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Effects of Modified CIMT With and Without PNF

ConditionPediatric Stroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-13
SponsorRiphah International University

About this trial

This randomized clinical trial investigates the effects of modified CIMT with and without the addition of PNF techniques on upper extremity function in pediatric stroke patients, aiming to determine whether combining these approaches yields superior motor recovery.This study will be conducted as a randomized clinical trial over an intervention period of six-week. 20 pediatric stroke patients with upper extremity impairments will be randomly assigned to two groups: one receiving modified CIMT alone and the other receiving modified CIMT combined with PNF techniques. Pre- and post-intervention assessments will be conducted using standardized measures, such as Pediatric Motor Activity Log(PMAL) for upper extremity function, Modified Ashworth Scale(MAS) and Manual Ability Classification System(MACS). Muscle tone and physical activity status will also be evaluated. Data will be entered and analyzed in SPSS V-26.0 to compare improvements in motor function between the two groups, with statistical significance assessed to determine the efficacy of each intervention

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Paeds Patients with confirmed diagnosis of Stroke

Children between age 5 to 13 years

Modified Ashworth Scale spasticity level 1 and 2.

Patients having Manual Ability Classification System Score between 3 to 6.

Disqualifiers

Patients with epilepsy or seizure disorder

Patients with history of botulinum toxin injection, cognitive impairment, fracture and any surgical procedure in upper extremity

Trial design

Design model

Parallel

Treatments tested in this trial

  • Modified CIMT

    Other intervention

    Modified CIMT Protocol: Participants wear a mitt on the unaffected hand daily for 5 hours approximately to encourage the use of the affected upper limb. They engage in task-oriented activities designed to improve motor function, hand-eye coordination, and strength of the affected extremity.

  • Proprioceptive Neuromuscular Facilitation

    Other intervention

    PNF (Proprioceptive Neuromuscular Facilitation) is a stretching and rehabilitation technique that combines muscle contraction and relaxation with passive stretching to improve flexibility, range of motion, and muscle control

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: Group A: Intervention Group (Modified CIMT+PNF)Active comparator 2 interventions
Group B: Group B: Control Group (Modified CIMT only)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Pediatric Motor Activity Log (PMAL)

This log will be used to assess the spontaneous use of the affected upper limb in daily activities. Parents/guardians will rate the frequency and quality of use.

Time frame
Base line, 3rd Week, 6th week
2

Modified Ashworth Scale (MAS)

This scale will be used to assess the degree of spasticity in the affected upper limb.

Time frame
Base line, 3rd Week, 6th week
3

Manual Ability Classification System (MACS)

The MACS will classify the participant's ability to handle objects and perform manual tasks in daily activities.

Time frame
Base line, 3rd Week, 6th week

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Riphah International University

Lead sponsor

Source ClinicalTrials.gov
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