Effects of Imaginary Resisted Exercise Versus Physical Resisted Exercise on Hand Grip Strength in Stroke Patients

NCT ID: NCT04894773

Last Updated: 2023-09-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-03-01
• Study Completion Date: 2021-09-01

Brief Summary

The goal of our study is to make a comparison between the effectiveness of physical resistance exercise and imaginary resistance exercise in improving handgrip strength, dexterity, and eye-hand coordination among stroke patients.

Detailed Description

A Randomized Control Trial study will be conducted in which patients with stroke will be allocated to Group A that will receive imaginary resistance exercises and patients in group B will receive physical resistance exercises.

The intervention will be applied (3 days /week) for 12 weeks, which consists of 5 different types of resistance using 5 different resistive objects, each will have 15 repetitions. Each session includes handgrip exercises with physical resistance exercises for one group and imaginary resistance exercises using Virtual Reality Box for another group. As for improving dexterity and eye-hand coordination, the Purdue pegboard test and finger-to-nose test will be used respectively in both groups with 15-15 repetitions.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Imaginary Resisted Exercises

Handgrip exercises with the imagination of resistance in hand by getting feedback in VR Box will be given as an intervention. Stretching will be given at the beginning and the end of each session. This will include imaginary resistance exercises for handgrip by using Virtual Reality Box. Five types of different resistances will be imagined by patients by watching their own videos in VR box, which will be recorded on day one to make them familiar with the resistive objects and the resistance experienced from them by asking patients to perform 15-15 repetitions of each object. Every imaginary resistance exercise will have 15 repetitions. After performing exercises, the participants will ask to perform Finger-to-Nose Test and Purdue Pegboard Test.

Group Type: EXPERIMENTAL

Imaginary Resistance Exercises

Intervention Type: OTHER

In imaginary resistance exercises, resistive force is assumed to get applied by the patient after demonstrating some resistive objects and the kind of force exerted by them.

Physical Resisted Exercises

Handgrip exercises with physical resistance in hand will be given as an intervention. Stretching will be given at the beginning and the end of the session. 5 different types of resistances will be given to patients for making themselves familiarize themselves with the type of resistance applied by each object, that they will experience in further sessions, by asking them to perform 15-15 repetitions of each object. Every physical resistance exercise will have 15 repetitions. After performing exercises, the participants will ask to perform Finger-to-Nose Test and Purdue Pegboard Test.

Group Type: EXPERIMENTAL

Physical Resisted Exercises

Intervention Type: OTHER

In physical resistance exercises, resistive force is applied to the targeted region by using different and appropriate resistive objects.

Interventions

Imaginary Resistance Exercises

In imaginary resistance exercises, resistive force is assumed to get applied by the patient after demonstrating some resistive objects and the kind of force exerted by them.

Intervention Type: OTHER

Physical Resisted Exercises

In physical resistance exercises, resistive force is applied to the targeted region by using different and appropriate resistive objects.

Intervention Type: OTHER

Other Intervention Names

Rehabilitation following Imaginary Resistance Exercises; Rehabilitation following Physical Resisted Exercises

Eligibility Criteria

Inclusion Criteria

• Age should be in the range from 50 years to 75 years
• Time passed since stroke attack should be more than one year.
• Grade of Manual Muscles Testing for Elbow and Wrist, Flexion / Extension should be more than 2 out of 5.
• Scoring of Modified Ashworth Scale should be more than 3 out of 5 for the same muscle groups of previously mentioned movements.

Exclusion Criteria

• Any significant pain present in the affected upper limb.
• Increased muscle tone that interferes with movements of the affected upper limb.
• Serious sensory loss in the affected upper limb.
• Severe medical issues currently.
• Cognitive impairment to a level that interferes with sessions of intervention.
• Impairments of vision that disables patient to perform interventional exercises.
• Serious presence of apraxia / neglect.
• If enrolled for any related or alike other upper limb therapy sessions / interventional studies.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 74 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Kashif

Role: STUDY_CHAIR

Riphah International University

Locations

Ripah International University

Faisalabad, Punjab Province, Pakistan

Countries

Pakistan

References

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Reference Type: BACKGROUND

PMID: 28947166 (View on PubMed)

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

Amirjani N, Ashworth NL, Olson JL, Morhart M, Chan KM. Validity and reliability of the Purdue Pegboard Test in carpal tunnel syndrome. Muscle Nerve. 2011 Feb;43(2):171-7. doi: 10.1002/mus.21856. Epub 2010 Nov 24.

Reference Type: BACKGROUND

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Johansson GM, Grip H, Levin MF, Hager CK. The added value of kinematic evaluation of the timed finger-to-nose test in persons post-stroke. J Neuroeng Rehabil. 2017 Feb 10;14(1):11. doi: 10.1186/s12984-017-0220-7.

Reference Type: BACKGROUND

PMID: 28183337 (View on PubMed)

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 24357656 (View on PubMed)

Other Identifiers

REC/FSD/0234

Identifier Type: -

Identifier Source: org_study_id