Mental Imagery for Lower Limb Functions

NCT ID: NCT05812638

Last Updated: 2023-04-13

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 28 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-03-01
• Study Completion Date: 2023-09-30

Brief Summary

Stroke is a neurological impairment occurs due to cardiovascular abnormality and cerebrovascular disease. The term 'stroke' is mostly used when there is sudden loss of function of the body due any abrupt changes.The rates of disability are increasing along with mortality and morbidity rates due to stroke. The poor motor performance of lower limb affects gait severely. The slow velocity and other gait deviations limit the stroke survivors' ability to perform ADL's and interfere with their quality of life.

Hence, rehabilitation is obligatory for these patients to improve their quality of life

Detailed Description

motor imagery is helpful in improving mobility in healthy and neurologically impaired patients. When the patient is asked to do a movement, for example the patient is asked to walk along a draw line and then that patient has to imagine this same action in kinesthetic imagery. Neuroimaging shows that brain areas are more or less activated in the same manner. It can be concluded that there is some relation between mental imagery ability and muscular actions. In the stroke patients who have intact ability of mental imagery show activation of cortical areas demonstrating its ability to activate sub cortical areas also. Therefore, these results amplify the concept of using mental imagery for rehabilitation purpose of even deep lesion in motor nervous system.

Conditions

Stroke

Study Design

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

Study Groups

Mental Imagery

For mental imagery, the calm and nice atmosphere isrequired for the patientsto focus on the details while sitting on a chair. The audiotape and headphones are given to the patients. The audiotape tape comprised of three phases. The first phase is relaxation phase. The patient has to do the first phase actively. In this phase patients have asked to do the deep breathing exercises while sitting on a chair and then contract their lower limb muscles from distal to proximal. The second phase is task-oriented phase. The patient has to imagine him performing the tasks.

Group Type: EXPERIMENTAL

Mental imagery technique

Intervention Type: OTHER

Warm up Period Mental Imagery (Sit-stand task Static stance (30 seconds) Indoor walk on a leveled surface Walk indoor towards target Forward / Side Stepping) Walk outdoors

Virtual Reality

The virtual reality training will be given through Kinect connected with Xbox 360.

The Xbox games used are 20,000 water leaks, reflex ridge and river rush. The spacious environment will be given and walker are sometimes required for assistance. The LED and system are 3 feet away from patients. The VR training will be given to the both control and experimental groups

Group Type: ACTIVE_COMPARATOR

Virtual Reality technique

Intervention Type: OTHER

Virtual reality training (River rush, 20000 water leaks, reflex ridge.)

Interventions

Mental imagery technique

Warm up Period Mental Imagery (Sit-stand task Static stance (30 seconds) Indoor walk on a leveled surface Walk indoor towards target Forward / Side Stepping) Walk outdoors

Intervention Type: OTHER

Virtual Reality technique

Virtual reality training (River rush, 20000 water leaks, reflex ridge.)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Stroke patients (both genders)
• Age 40-60 years
• Patients with sub-acute/ chronic stroke (>3 months)
• Modified Ashworth Ranking Scale 1-3
• MOCA scoring >24-30

Exclusion Criteria

• Any active pathological condition
• Visual or hearing impairment
• Orthopedic issues hindering Mobility Substantially (Fractures, Severe Degenerative
• Joint Diseases etc.)
• Psychological issues

• Minimum Eligible Age: 40 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

arshad Malik, Phd

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Railway General Hospital

Rawalpindi, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Arshad Malik, PhD

Role: CONTACT

arshad.nawaz@riphah.edu.pk

+92 333 4503754

Facility Contacts

Tasmiya Asghar, DPT

Role: primary

Other Identifiers

REC/01261 Tasmiya

Identifier Type: -

Identifier Source: org_study_id