Effect of Motor Imaginary Training on Upper Limb Functions in Stroke

NCT ID: NCT05008822

Last Updated: 2022-01-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-10-01
• Study Completion Date: 2021-12-30

Brief Summary

This study will provide knowledge about effectiveness of motor imaginary training in upper limb performance in chronic stroke patients. Very little data is available about the use in Motor Imaginary in post stroke upper limb rehabilitation in Pakistan. Moreover, studies done previously did not specified population of stroke; This study will include MCA stroke patients only, whom upper limb weakness is more prevalent.

Detailed Description

Motor imagery is a technique for inducing motor activity in response to a certain motor output by producing a mental image of the action without intending to conduct it. It is a cognitive technique that, rather than making a patient to pick up new procedures, promotes neural alterations in order enable the patient to re-acquire motor skills mastered before the CVA or copy the actions of others. Motor imaging training is a sort of therapy in which the patient imagines a gesture or movement in order to learn, reinforce, or improve the movement's performance. A study done in South Korea, published in 2015, revealed that Motor imagery training has a good impact on UL performance by refining functional mobility during stroke rehabilitation. The results suggest that motor imagery training is viable and helpful for improving UL function in CVA patients.

Meta-analysis done in Australia in the year 2013, was supportive of Motor imaginary techniques further convincing that Mental imagery can be a possible intervention for stroke patients given that it being, safe cost-effective & unlimited practice opportunities. Study done in China in 2017, suggested that clinicians should consider the use of MI in addition to treatment currently used to improve upper extremity functions after stroke as no evidence of side effects or harm was noted . RCT done in year 2006 in USA indicated that for patients with chronic, moderate upper limb impairment after CVA, program of CIMT with mental practice only resulted in decrease impairment, with functional enhancement.

Conditions

Stroke, Cardiovascular

Study Design

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

Study Groups

Motor Imaginary Training Group

After the baseline assessment, the participant will receive Motor Imaginary Program

Group Type: EXPERIMENTAL

Motor Imaginary Training Group

Intervention Type: OTHER

After the baseline assessment, the participant will receive Motor Imaginary Program

Task oriented Training Group

After the baseline assessment, the participant will receive MRP and CIMT training

Group Type: ACTIVE_COMPARATOR

Task oriented Training Group

Intervention Type: OTHER

After the baseline assessment, the participant will receive MRP and CIMT training

Interventions

Motor Imaginary Training Group

After the baseline assessment, the participant will receive Motor Imaginary Program

Intervention Type: OTHER

Task oriented Training Group

After the baseline assessment, the participant will receive MRP and CIMT training

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• MCA stroke
• Chronic stroke patients
• Mini-Mental State Examination (MMSE) score >24 points
• Spasticity grade II and III on Modified Ashworth scale

Exclusion Criteria

• Severe cognitive disability such as depression, unilateral neglect, seizure, dementia,
• Any MSK disorder including muscle contracture

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Misbah ghous, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University Islamabad

Locations

Physical therapy department of Rehman Medical Institute, Peshawar, Pakistan

Peshawar, Khyber Pakhtunkha, Pakistan

Countries

Pakistan

Other Identifiers

REC/0832 Zulfiqar Ali

Identifier Type: -

Identifier Source: org_study_id