Stroke Clinical Trial
Official title:
Effects of Graded Repetitive Arm Supplementary Program Versus Task Based Training on Upper Limb Function in Stroke Patients
To determine effects of graded repetitive arm supplementary program versus Task based training on Upper limb function in stroke patients.
Status | Recruiting |
Enrollment | 38 |
Est. completion date | September 15, 2024 |
Est. primary completion date | September 1, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years to 60 Years |
Eligibility | Inclusion Criteria: - Patients with Sub acute stage of stroke. - Patients with Ischemic and Haemorrhagic stroke. - Patients with Cognition level on MMSE must be > 24(23). - Patients with mild pain in upper extremity according to NPRS (24). - Patients with Grade 2 active movements in affected extremity Tone of upper limb at MAS Grade 1+. Exclusion Criteria: - Other neurological disorders e.g. brain tumor, encephalitis, meningitis, CNS abscess. - Use of antipsychotics - Use of drugs for spasticity. - Patients with vestibular impairment. |
Country | Name | City | State |
---|---|---|---|
Pakistan | Imran International Amjad | Islamabad | Punjab |
Lead Sponsor | Collaborator |
---|---|
Riphah International University |
Pakistan,
Connell LA, McMahon NE, Watkins CL, Eng JJ. Therapists' use of the Graded Repetitive Arm Supplementary Program (GRASP) intervention: a practice implementation survey study. Phys Ther. 2014 May;94(5):632-43. doi: 10.2522/ptj.20130240. Epub 2014 Feb 6. — View Citation
Lee HS, Lim JH, Jeon BH, Song CS. Non-immersive Virtual Reality Rehabilitation Applied to a Task-oriented Approach for Stroke Patients: A Randomized Controlled Trial. Restor Neurol Neurosci. 2020;38(2):165-172. doi: 10.3233/RNN-190975. — View Citation
Veerbeek JM, van Wegen E, van Peppen R, van der Wees PJ, Hendriks E, Rietberg M, Kwakkel G. What is the evidence for physical therapy poststroke? A systematic review and meta-analysis. PLoS One. 2014 Feb 4;9(2):e87987. doi: 10.1371/journal.pone.0087987. eCollection 2014. — View Citation
Yang CL, Waterson S, Eng JJ. Implementation and Evaluation of the Virtual Graded Repetitive Arm Supplementary Program (GRASP) for Individuals With Stroke During the COVID-19 Pandemic and Beyond. Phys Ther. 2021 Jun 1;101(6):pzab083. doi: 10.1093/ptj/pzab083. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Fugl Mayer assessment scale | It is designed to assess reflex activity, movement control and muscle strength in the upper extremity of people with post-stroke hemiplegia. FMA has an excellent Inter- and intrarater reliability (intra class correlation coefficient = 0.98-0.99), validity is also excellent (r = 0.74-0.93, P < .0001). | 6 months | |
Primary | The Motor Activity Log (MAL) | The Motor Activity Log (MAL) was developed by Taub et al. (1993) as a subjective outcome measure of an individual's real life functional upper limb performance. | 6 months |
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