MRP and PNF Effect on Upper Limb Motor Performance and Quality of Life in Sub-acute Stroke
NCT ID: NCT05429944
Last Updated: 2023-08-01
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
39 participants
INTERVENTIONAL
2022-06-15
2023-02-28
Brief Summary
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Detailed Description
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Another experimental study was conducted on comparison between proprioceptive neuromuscular facilitation versus mirror therapy enhances gait and balance in paretic lower limb in acute stroke. In this study patients are randomly divided into two groups. According to statistical analysis this study shows that both the techniques Group A (Proprioceptive Neuromuscular Facilitation) and Group B (Mirror Therapy) were individually effective in improving gait and balance. While comparing both the techniques there is a significant difference present in the group. So, Group A is more effective in enhancing gait and balance in paretic lower limb after acute Stroke.
Another randomized control trial was conducted on comparing the effects of motor relearning programs and mirror therapy for improving upper limb motor function in stroke patient. This study concluded that MRP and MT were found to be effective in improving upper limb motor function of stroke patients, but the former was more effective than the later.
Another comparative study was conducted on motor relearning program versus proprioceptive neuro-muscular facilitation technique for improving basic mobility in chronic stroke patients- According to the results he concluded that MRP is more effective then PNF for improving basic mobility of sit to stand and walking in chronic stroke subjects and subjects were able to maintain their basic mobility at one month follow up also.
Previous studies have compared only a single intervention with controls; however, this study aims to compare two different interventions in addition to comparison with the control groups.
All these interventions previously used focus on the functional activities as a training component after stroke and have shown some degree of improvement in the functional outcome of the upper limb, but still, there is a paucity of literature on which intervention improves motor performance in an optimum timeframe during the subacute phase of stroke.
Given this gap in the literature, a study is needed to elucidate the comparative effects of motor relearning program and proprioceptive neuromuscular facilitation on upper limb motor performance and quality of life in sub-acute stroke survivors.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
It isn't always possible to mask the treatments. For example, subjects randomly assigned to follow either a specific exercise regimen or continue their usual level of activity cannot be blinded.
Single-blinded: the subjects are unaware of which group they have been assigned to.
Double-blinded: Neither the subjects nor the investigators are aware of the treatment assignment until the end of the trial.
Study Groups
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Motor Relearning Program
MRP is a task- oriented approach to improve motor control, focusing on relearning of daily activities. Based on 4 steps
1.Analysis of task 2.Practice of missing component 3.Practice of task 4.Transference of learning
Motor Relearning Program
The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.
Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation (PNF) is the neurophysiological approach in which impulses from the periphery are facilitated to the central nervous system through the stimulation of sensory receptors present in muscles and around the joints by stretch, resistance, traction, approximation and audiovisual command to the patient. The techniques administered included Rhythmic Initiation, Slow Reversal and Agonistic Reversal.
Proprioceptive Neuromuscular Facilitation
The techniques administered included Rhythmic Initiation, Slow Reversal and Agonistic Reversal.
The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.
Conventional Physical Therapy
Electrotherapy includes TENS, Electrical stimulation and Heat therapy. ROM . Stretching and positioning Exercises Strengthening Exercises for the weak muscles. Sensory Interventions.
Conventional Physical Therapy
The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.
Interventions
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Motor Relearning Program
The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.
Proprioceptive Neuromuscular Facilitation
The techniques administered included Rhythmic Initiation, Slow Reversal and Agonistic Reversal.
The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.
Conventional Physical Therapy
The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.
Eligibility Criteria
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Inclusion Criteria
* Both genders are included
* Hemiplegic ischemic stroke of both sides
* Participants with sub-acute Stroke (from 1 week to 6 months).
* Non- aphasic stroke patients.
* Clinically stable patients.
Exclusion Criteria
* Patients with other neurological conditions and deficits.
* Patients with other orthopedic condition like frozen shoulder or unhealed fracture of upper limb.
40 Years
70 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Sara Aabroo, MS
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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PSRD, Ittefaq Hospital
Lahore, Punjab Province, Pakistan
Countries
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References
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Guiu-Tula FX, Cabanas-Valdes R, Sitja-Rabert M, Urrutia G, Gomara-Toldra N. The Efficacy of the proprioceptive neuromuscular facilitation (PNF) approach in stroke rehabilitation to improve basic activities of daily living and quality of life: a systematic review and meta-analysis protocol. BMJ Open. 2017 Dec 12;7(12):e016739. doi: 10.1136/bmjopen-2017-016739.
Ullah I, Arsh A, Zahir A, Jan S. Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi experimental study. Pak J Med Sci. 2020 Nov-Dec;36(7):1613-1617. doi: 10.12669/pjms.36.7.2351.
Batool S, Soomro N, Amjad F, Fauz R. To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke. Pak J Med Sci. 2015 Sep-Oct;31(5):1167-71. doi: 10.12669/pjms.315.7910.
Jan S, Arsh A, Darain H, Gul S. A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients. J Pak Med Assoc. 2019 Sep;69(9):1242-1245.
Diaz-Arribas MJ, Martin-Casas P, Cano-de-la-Cuerda R, Plaza-Manzano G. Effectiveness of the Bobath concept in the treatment of stroke: a systematic review. Disabil Rehabil. 2020 Jun;42(12):1636-1649. doi: 10.1080/09638288.2019.1590865. Epub 2019 Apr 24.
Bai Z, Zhang J, Zhang Z, Shu T, Niu W. Comparison Between Movement-Based and Task-Based Mirror Therapies on Improving Upper Limb Functions in Patients With Stroke: A Pilot Randomized Controlled Trial. Front Neurol. 2019 Mar 26;10:288. doi: 10.3389/fneur.2019.00288. eCollection 2019.
Singer B, Garcia-Vega J. The Fugl-Meyer Upper Extremity Scale. J Physiother. 2017 Jan;63(1):53. doi: 10.1016/j.jphys.2016.08.010. Epub 2016 Oct 17. No abstract available.
Pickering RL, Hubbard IJ, Baker KG, Parsons MW. Assessment of the upper limb in acute stroke: the validity of hierarchal scoring for the Motor Assessment Scale. Aust Occup Ther J. 2010 Jun;57(3):174-82. doi: 10.1111/j.1440-1630.2009.00810.x.
Other Identifiers
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REC//22/0203 Tabeer Sheikh
Identifier Type: -
Identifier Source: org_study_id
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