Circuit Class Training vs. Individual, Task Specific Training in Chronic Stroke Patient

NCT ID: NCT05059704

Last Updated: 2023-01-17

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-06-26
• Study Completion Date: 2022-08-31

Brief Summary

Due to minimal volitional activation of the impaired arm, these individuals are less able to engage in activities of daily living (ADL's). Moreover, simultaneous use of the hand and arm are needed throughout ADL's. The effects of these two approaches (circuit class training and individual task-specific training) on upper extremity function and activities of daily living (ADL's) have not yet been clearly identified, and studies on its effects on chronic stroke patients are limited.

Detailed Description

several research found that circuit training improved various functional parameters after stroke. And most of the circuit based tasks from the published studies were focused on the leg strength, walking speed, distance and balance etc. Previous literature found that circuit class training is effective in improving upper extremity function in chronic stroke patients disregarding the type of stroke and the results of that study are not generalized for chronic stroke patients with upper extremity deficit. Secondly, circuit class training and task-specific training are effective for improving upper limb function following a stroke but in the acute stage. In fact, there is no evidence in which comparison of these two approaches has been done in chronic stroke patients and thirdly, between these two approaches which approach is more effective towards improving upper limb function in chronic stage.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Circuit Class Training

Patients will participate in a total of 1.5hour/day for 8 weeks with a 1:3 (therapist to patient). The circuit will be divided into 5 specific stations, 5 to 10 minutes for warm-up tasks and 15 to 20 minutes on each station as tailored to the patient's activity level

Group Type: EXPERIMENTAL

Circuit Class Training

Intervention Type: OTHER

Station 1 will include tasks for warm-up specific for upper extremity, station 2 will include shoulder exercises, station 3 will include elbow exercises, station 4 will include wrist exercises and station 5 will include hand activities and functional training. Variables such as speed, or/and resistance will progressively increase in difficulty according to each patient's ability.

Individual Task specific training

Patients will participate in a total of 1.5hour/day for 8 weeks with 1:1 (therapist to patient) ratio. During each session, all patients will perform 5 to 10 minutes warm-up tasks, then practiced the selected tasks for the rest of the time.

Group Type: ACTIVE_COMPARATOR

Individual Task specific training

Intervention Type: OTHER

Variables such as speed, or/and resistance will progressively increase in difficulty according to each patient's ability.

Interventions

Circuit Class Training

Station 1 will include tasks for warm-up specific for upper extremity, station 2 will include shoulder exercises, station 3 will include elbow exercises, station 4 will include wrist exercises and station 5 will include hand activities and functional training. Variables such as speed, or/and resistance will progressively increase in difficulty according to each patient's ability.

Intervention Type: OTHER

Individual Task specific training

Variables such as speed, or/and resistance will progressively increase in difficulty according to each patient's ability.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Mini-Mental State Examination score more than 24
• Chronic stage (i.e. post-stroke duration of 6 months)
• Single episode of stroke
• MAS of 1 to 3 at upper extremity.
• MRS of ≤ 3 at lower extremity.
• MCA stroke
• Scores 32 to 47 on Fugl-Meyer Upper Extremity Scale (FMA-UE)

Exclusion Criteria

• Orthopedic conditions that affect the UE function.
• Other neurological conditions, like PD, MS etc.

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Mirza Obaid Baig, MSPT(NMR)

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Al Mustafa Trust Medical and Physiotherapy Centre

Dhok Gujra, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/01036 Farwa Azmat

Identifier Type: -

Identifier Source: org_study_id