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IRCT20210615051586N1 IRCT 2021-09-09 The University Of Lahore Effectiveness of modified constraint induced movement therapy with trunk restraint versus bobath approach on motor function and activities of daily livings in hemiplegic upper extremity after stroke RCT Effectiveness of modified constraint induced movement therapy with trunk restraint versus bobath approach on motor function and activities of daily livings in hemiplegic upper extremity after stroke 2020-01-01 anticipated 60 Complete https://irct.ir/trial/56912 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random numbers will be generated from 1-30 using an online random numbers generator in two sets. Set 1 will be assigned modified Constraint-Induced Movement Therapy and set 2 will be physical therapy based on both Concepts. The sealed envelope method will be used to assign patients to both groups, Blinding description: Random numbers will be generated from 1-30 using an online random numbers generator in two sets. Set 1 will be assigned modified Constraint-Induced Movement Therapy and set 2 will be physical therapy based on both Concepts. The sealed envelope method will be used to assign patients to both groups. N/A Sub Acute Hemiplegic Stroke. Intervention 1: Group-B: Bobath approach. This approach usually takes one hour per day during 20 sessions. The interventions will group in 5 major items: facilitated movement; mobilization; practicing an activity component; and/or whole task and teaching patients. All interventions, individually program, aims to improving postural control of trunk and shoulder girdle enabling more selective arm movement and increasing strength and function, to recover full motor range patterns, in order to enhance efficiency and maximize function and reducing the severity of impairments where they influence function. Intervention 2: Group-A: Modified Constraint Induced Movement Therapy with trunk restraint. The training was provided at the rehabilitation clinic during a 1-hour therapy session, 5 days per week, for 4 weeks (a total of 20 sessions). The training was based on repetitive and task-specific practice. Participants mCIMT +TR group will be asked to perform tasks with the paretic arm only, with the less-paretic arm restraint in a mitt. During the 4-week period, the participants’ less-paretic hands and wrists will be placed in mitts with self-adhesive straps. Patients in the mCIMT + TR group will be restrained at the trunk by a non-elastic strap during the intervention to limit compensatory movements of the trunk. Arm movement, and pelvic motion were not restricted. The therapist provided consistent verbal feedback to increase the effectiveness of the training. More-affected arm restraint was accomplished by use of a padded mitt that prevented use of the fingers of the less-affected arm. Yes - There is a plan to make this available What will be shared: all collected deidentified IPD When: starting in January 2020 To whom: people working in academic institutions or people working in businesses can also apply to receive it. Conditions: types of analyses, and by what mechanism. Information about who will review requests and criteria for reviewing requests may also be provided. Where to obtain: addresses for websites, telephone and fax numbers, and contact persons to whom the applicant should talk. How to obtain: Your description should give sufficient insight to the applicant into the amount of time needed to follow through these processes. Comments:
public Tanveer Hussain
Defense Road Lahore The University Of Lahore
Lahore Pakistan 54000 +92 42 35963424 tanveerhussainpt@gmail.com The University Of Lahore scientific Tanveer Hussain
Defense Road Lahore The University Of Lahore
Lahore Pakistan 54000 +92 42 35963424 tanveerhussainpt@gmail.com The University Of Lahore Pakistan Patient with episode of first stroke between 2 to 12th week of subacute stage. Both genders, age lies 40-70 years The first stroke confirmed by C.T, MRI, or clinically by a neuro-physician. Patient able to perform a functional test of 20° wrist extension and 10° finger extension The patient had an active range of motion of 45° or more of shoulder flexion, abduction, or scaption and had the capacity to sustain standing balance for 2 min Patient had Mini Mental State Exam score of greater than or equal to 7 30 years 70 years Both Patients with shoulder pain (frozen shoulder etc.) or other neurological and orthopedic conditions affecting the reaching movement ability or trunk, hemispatial neglect, or apraxia. Patient with any comorbidity or disability other than stroke that precludes upper-extremity training Patient with any uncontrolled health condition for which exercise is contraindicated. Patient have any psychosocial problems G46.4 Cerebellar Stroke Syndrome Rehabilitation Treatment - Other Group-B: Bobath approach. This approach usually takes one hour per day during 20 sessions. The interventions will group in 5 major items: facilitated movement; mobilization; practicing an activity component; and/or whole task and teaching patients. All interventions, individually program, aims to improving postural control of trunk and shoulder girdle enabling more selective arm movement and increasing strength and function, to recover full motor range patterns, in order to enhance efficiency and maximize function and reducing the severity of impairments where they influence function. Group-A: Modified Constraint Induced Movement Therapy with trunk restraint. The training was provided at the rehabilitation clinic during a 1-hour therapy session, 5 days per week, for 4 weeks (a total of 20 sessions). The training was based on repetitive and task-specific practice. Participants mCIMT +TR group will be asked to perform tasks with the paretic arm only, with the less-paretic arm restraint in a mitt. During the 4-week period, the participants’ less-paretic hands and wrists will be placed in mitts with self-adhesive straps. Patients in the mCIMT + TR group will be restrained at the trunk by a non-elastic strap during the intervention to limit compensatory movements of the trunk. Arm movement, and pelvic motion were not restricted. The therapist provided consistent verbal feedback to increase the effectiveness of the training. More-affected arm restraint was accomplished by use of a padded mitt that prevented use of the fingers of the less-affected arm. Motor Function. Timepoint: At Baseline, At The End Of 4th Week, And At The End Of 8th Week. Method of measurement: Motor Assessment Scale. Activity Of Daily Livings. Timepoint: At Baseline, At The End Of 4th Week, And At The End Of 8th Week. Method of measurement: Barthel Index Scale. The University Of Lahore Approved 2019-12-26 Institutional Review Board, Faculty of Allied Health Sciences, The University of Lahore Defense Road Lahore The University Of Lahore Lahore Punjab Pakistan