PNF Strengthening and De-lorme and Watkins Exercises on Upper Extremity Function and Strength in Stroke Patients

NCT ID: NCT05904795

Last Updated: 2023-06-15

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-02-25
• Study Completion Date: 2023-10-30

Brief Summary

The aim of this study is to evaluate the effects of proprioceptive neuromuscular facilitation strengthening exercises and de-Lorme and Watkins exercises program in stroke patients with upper limb weakness in chronic stroke patients. The randomized central trial will recruit patients according to consecutive sampling into two intervention groups. One group will receive proprioceptive neuromuscular facilitation strengthening exercises and other group will receive de-Lorme and Watkins exercises program.

Detailed Description

A study in which the participants (n=26) were recruited in the study suffering from stroke and meeting the inclusion criteria. Two groups formed such that patients in group A will be treated with conventional therapy and PNF and group B will be treated with PNF and NMES in along with conventional therapy. The protocol will cover 6 weeks of treatment. Regular assessment at 0,3rd and 6th week will be carried out. In the rehabilitation period, we will evaluate upper extremity function, activities of daily living(ADLs), mental status examination at regular interval during the rehabilitation.In previous studies there is less literature regarding the combine effects of proprioceptive neuromuscular facilitation techniques and de-Lorme and Watkins exercise program on upper limb function and strength in chronic stroke patients with upper limb weakness. Therefore there is dire need to explore which training technique is most effective in improving upper limb function and strength in chronic stroke patients therefore this study aims in comparative effects of proprioceptive neuromuscular facilitation strengthening exercises and de-Lorme and Watkins exercise program on upper limb function and strength in chronic stroke patients.

Conditions

Upper Extremity Paresis

Study Design

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

Study Groups

PNF strengthening exercises

Pnf strengthening exercises along with isometrics and range of motion exercises

Group Type: ACTIVE_COMPARATOR

PNF strengthening exercises

Intervention Type: OTHER

PNF strengthening exercises 10 repetitions, 1set , 4 days/week along with range of motion exercises total of 4 sessions were given consisting 40 minutes

de-lorme and watkins progressive resistance exercises

progressive resistance exercises along with isometrics and range of motion exercises

Group Type: ACTIVE_COMPARATOR

de-lorme and watkins exercises

Intervention Type: OTHER

The group was given de-lorme and watkins progressive resistance exercises along with range of motion exercises .10 repetitions, 1set, 4 days /week along with range of motion exercises.

total of 4 sessions per week each consisting of 40 minutes.

Interventions

PNF strengthening exercises

PNF strengthening exercises 10 repetitions, 1set , 4 days/week along with range of motion exercises total of 4 sessions were given consisting 40 minutes

Intervention Type: OTHER

de-lorme and watkins exercises

The group was given de-lorme and watkins progressive resistance exercises along with range of motion exercises .10 repetitions, 1set, 4 days /week along with range of motion exercises.

total of 4 sessions per week each consisting of 40 minutes.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Chronic stroke patients.
• Medically stable patients having a single stroke.
• History of stroke 6 to 24 months.
• A score greater than 24-30 in mini-mental test.
• Patients having consciousness with GC;10

Exclusion Criteria

• Recurrent stroke
• Patients with gullian berrie syndrome, multiple sclerosis lesion osteoarthritis of shoulder.
• Manual muscle testing below grade II.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Hira Jabeen, MSNMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International Universiry

Locations

Shahida Islam teaching hospital Lodhran

Lodhran, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Hira Jabeen, MSNMPT

Role: CONTACT

hirajabeen@riphah.edu.pk

03234116506

Facility Contacts

Hira Jabeen, MSNMPT

Role: primary

hirajabeen@riphah.edu.pk

+92-323-4116506

References

Andrade SE, Harrold LR, Tjia J, Cutrona SL, Saczynski JS, Dodd KS, Goldberg RJ, Gurwitz JH. A systematic review of validated methods for identifying cerebrovascular accident or transient ischemic attack using administrative data. Pharmacoepidemiol Drug Saf. 2012 Jan;21 Suppl 1(Suppl 1):100-28. doi: 10.1002/pds.2312.

Reference Type: BACKGROUND

PMID: 22262598 (View on PubMed)

Zuber M, Mas JL. [Epidemiology of cerebrovascular accidents]. Rev Neurol (Paris). 1992;148(4):243-55. French.

Reference Type: BACKGROUND

PMID: 1439451 (View on PubMed)

Gillespie CD, Wigington C, Hong Y; Centers for Disease Control and Prevention (CDC). Coronary heart disease and stroke deaths - United States, 2009. MMWR Suppl. 2013 Nov 22;62(3):157-60.

Reference Type: BACKGROUND

PMID: 24264507 (View on PubMed)

Mergenthaler P, Dirnagl U, Meisel A. Pathophysiology of stroke: lessons from animal models. Metab Brain Dis. 2004 Dec;19(3-4):151-67. doi: 10.1023/b:mebr.0000043966.46964.e6.

Reference Type: BACKGROUND

PMID: 15554412 (View on PubMed)

Harris JE, Eng JJ. Paretic upper-limb strength best explains arm activity in people with stroke. Phys Ther. 2007 Jan;87(1):88-97. doi: 10.2522/ptj.20060065. Epub 2006 Dec 19.

Reference Type: BACKGROUND

PMID: 17179441 (View on PubMed)

Hendricks HT, van Limbeek J, Geurts AC, Zwarts MJ. Motor recovery after stroke: a systematic review of the literature. Arch Phys Med Rehabil. 2002 Nov;83(11):1629-37. doi: 10.1053/apmr.2002.35473.

Reference Type: BACKGROUND

PMID: 12422337 (View on PubMed)

Pak S, Patten C. Strengthening to promote functional recovery poststroke: an evidence-based review. Top Stroke Rehabil. 2008 May-Jun;15(3):177-99. doi: 10.1310/tsr1503-177.

Reference Type: BACKGROUND

PMID: 18647724 (View on PubMed)

Other Identifiers

REC/LHR/23/0215 ZAINAB TEHREEM

Identifier Type: -

Identifier Source: org_study_id