Motor Imagery Training for Upper Limb Functional Strength in Chronic Stroke Patients
ConditionChronic Stroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45+
SponsorFoundation University Islamabad
About this trial
Stroke is a leading cause of upper extremity deficits worldwide. Persistent upper extremity dysfunction affects many post stroke patients and is strongly associated with decreased activities of daily living and poor quality of life.
There is accumulating evidence of a cross-over effect with training of one limb that slightly increase strength and coordination in contralateral untrained limb through neurological adaptations.
One of rehabilitation that is beneficial for stroke patient is motor imagery, a mental rehearsal of a movement that does not include physical movement has been shown to enhance upper limb function.
Evidence demonstrate that MI not only activates motor cortical and subcortical regions but also induces plastic change in motor networks and modulates synaptic activity at spinal level.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Stroke duration 6 months onwards (chronic stroke).
age 45 years and above.
Both genders.
Access cognitive function score > 24 on MoCA.
Disqualifiers
Patients with any comorbidity, previous surgery and congenital anomly.
Patient with any fracture/ MSK disorders.
Score 3 or more on Modified Ashworth scale.
Patients with hearing impairments
Trial design
Design model
Parallel
Treatments tested in this trial
Intervention Group A Conventional Physical Therapy
Procedure/SurgeryActive Range of Motion Exercises: (5-10 reps with 2 sets) Finger bends, finger spreads, finger to thumb opposition, thumb to palm stretches, palm up and down, wrist rotation, wrist bends, elbow bends, shoulder shrugging and shoulder rotation. Strengthening Exercises: (10-15 reps 2 sets weight 500 ml to 1L water bottle). Finger pinch, power grip, finger spread, pushing movement, wrist curls, roll and squeeze, bicep curls, side arm raise, lifting objects to a height, pulling resistance band. Coordination Exercises: (10-15 reps 2 sets) finger to finger, finger to doctor's finger, finger to nose, holding and lifting coins, buttoning, holding and lifting coins, alternate hand movement, closing and opening hand.
Intervention Group B Motor Imagery with Conventional Physical Therapy
Procedure/Surgery1. Subjects will be asked to sit comfortably on a chair with a backrest. A Quiet environment is ensured for proper concentration of subject .Take deep breaths for 2-3 min to relax. 2. Subjects will be asked to close their eyes and imagine the training scene for each task for 5 min while listening to the therapist 's voice describing the motion. 3. The non-paralysis part of the body's movement was imagined first and then the movement of the paralysis part was imagined. 4. Upon completion of the mental practice for the first activity, the subject will be given a comfortable break. Motor Imagery Training: Week 1-2: Approaching and holding a cup, turning book pages and grasping pencil to write. Week 3-4: wiping desk, turning door handle and drinking water from cup. Week 5-6: pressing light switch on and off, turning faucet and putting card in wallet. Week 7-8: folding towel, brushing teeth and brushing hair. Imagine for 30 sec 2-3 repetitions.
Treatment groups
26 Participants
are divided into 2 treatment groupsGroup A: CONTROL GROUP A- CONVENTIONAL PHYSICAL THERAPYActive comparator 1 intervention
Group B: INTERVENTION GROUP B- MOTOR IMAGERY WITH CONVENTIONAL PHYSICALExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
FUNCTIONAL STRENGTH
FUNCTONAL STRENGTH WILL BE ASSESSED USING WOLF MOTOR FUNCTION TEST
Time frame
8 weeks2
Coordination
The Action Research Arm Test (ARAT) will be used to assess upper extremity performance
Time frame
8 weeksSponsors and contacts
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Source ClinicalTrials.gov