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IRCT20230530058341N1 IRCT 2023-09-27 The University of Faisalabad Comparative effects of Carlo Perfetti Method and Proprioceptive Neuromuscular Facilitation technique on upper limb motor function in patients with subacute stroke Comparative effects of Carlo Perfetti Method and Proprioceptive Neuromuscular Facilitation technique on upper limb motor function in patients with subacute stroke 2023-09-28 anticipated 32 Complete https://irct.ir/trial/72354 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be done with Lottery method and by the help of computerized generator, allocations will done to randomly allocate the participants in two groups, Blinding description: Participants will not know if they will be allocated in Carlo Perfetti Method group or in Proprioceptive Neuromuscular Facilitation Technique group for the Treatment. 3 Stroke. Intervention 1: Intervention group: Carlo Perfetti Method; As part of the treatment process, the patient will be blindfolded and the physical therapist will began to passively move the patient’s involved limb. The therapist will then ask the patient to sense and guess the movement of the limb that will be performed by the therapist. To further enhance the rehabilitation process, the therapist will use a pattern of lines drawn on a page and will ask the patient to trace those lines with their hand, either actively or passively. This exercise will help to improve the patient's proprioception, which is their sense of body position and movement. By tracing the lines with their hand, the patient will be able to get a better sense of their limb's position and movement, which can be helpful in improving their coordination and motor function. Intervention 2: Intervention group: Proprioceptive Neuromuscular Facilitation Technique; In this group, the participants will be given the Rhythmic Initiation technique of Proprioceptive Neuromuscular Facilitation (PNF) technique. This technique will involve progressively transitioning from passive range of motion to active resisted movements of the limb. During the rehabilitation process, a series of movements will be performed, starting with voluntary relaxation and progressing to passive movements, active assisted and active resisted movements before finally transitioning to active movements. Verbal commands will be used to set the pace and rhythm of the movements, and light tracking will be incorporated during the resistive phase to facilitate movement. These exercises are design to improve motor function and range of motion and are customize to meet the specific needs of the patient. Rhythmic initiation helps in the initiation of the motion and improve the coordination and sense of the motion. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Hafsa Naz
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Faisalabad Pakistan 38500 +92 41 8848211 hafsanaz020@gmail.com The University of Faisalabad scientific Hafsa Naz
P-526, St no 2, Aslam market, Hajveri town, millat road, Faisalabad
Faisalabad Pakistan 38500 +92 41 8848211 clinical.trainer.339@tuf.edu.pk The University of Faisalabad Pakistan Pakistan Pakistan Age range from 40 to 80 years Both genders: male and female Modified Ashworth scale 2 Mini-mental scale > 24 Motricity index scale < 99 MCA Stroke confirmed with MRI 40 years 80 years Both Already seeking any physiotherapy treatment Having any wound or inflammation on upper extremity Unstable medical condition Any peripheral nerve injury Before stroke any upper limb musculoskeletal functional impairments Z82.3 Family history of stroke Rehabilitation Rehabilitation Intervention group: Carlo Perfetti Method; As part of the treatment process, the patient will be blindfolded and the physical therapist will began to passively move the patient’s involved limb. The therapist will then ask the patient to sense and guess the movement of the limb that will be performed by the therapist. To further enhance the rehabilitation process, the therapist will use a pattern of lines drawn on a page and will ask the patient to trace those lines with their hand, either actively or passively. This exercise will help to improve the patient's proprioception, which is their sense of body position and movement. By tracing the lines with their hand, the patient will be able to get a better sense of their limb's position and movement, which can be helpful in improving their coordination and motor function. Intervention group: Proprioceptive Neuromuscular Facilitation Technique; In this group, the participants will be given the Rhythmic Initiation technique of Proprioceptive Neuromuscular Facilitation (PNF) technique. This technique will involve progressively transitioning from passive range of motion to active resisted movements of the limb. During the rehabilitation process, a series of movements will be performed, starting with voluntary relaxation and progressing to passive movements, active assisted and active resisted movements before finally transitioning to active movements. Verbal commands will be used to set the pace and rhythm of the movements, and light tracking will be incorporated during the resistive phase to facilitate movement. These exercises are design to improve motor function and range of motion and are customize to meet the specific needs of the patient. Rhythmic initiation helps in the initiation of the motion and improve the coordination and sense of the motion. Spasticity. Timepoint: At baseline, after second week of treatment, after fourth week of treatment, after sixth week of treatment, after eighth week of treatment and after tenth week of treatment. Method of measurement: Modified Ashworth Scale. Motor function of upper extremity. Timepoint: At baseline, after second week of treatment, after fourth week of treatment, after sixth week of treatment, after eighth week of treatment and after tenth week of treatment. Method of measurement: Motricity Index Scale. Arm motor performance and movement quality. Timepoint: At baseline, after second week of treatment, after fourth week of treatment, after sixth week of treatment, after eighth week of treatment and after tenth week of treatment. Method of measurement: Motor Evaluation Scale for Upper Extremity. The University of Faisalabad Approved 2023-03-24 Ethics Committee of The University of Faisalabad West Canal Road, Faisalabad Faisalabad Punjab Pakistan