Graded Repetitive Arm Supplementary Program Versus Task Based Training on Upper Limb Function in Stroke Patients

NCT ID: NCT06397170

Last Updated: 2024-09-19

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-01

Study Completion Date

2024-09-01

Brief Summary

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To determine effects of graded repetitive arm supplementary program versus Task based training on Upper limb function in stroke patients.

Detailed Description

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This study will be Randomized Clinical Trial. A total of 38 stroke patients will be recruited by using non-probability convenience sampling Technique. Patients will be Randomized and allocated into two interventional groups based on the inclusion and exclusion criteria. Patients in Group A will receive Graded repetitive arm supplementary program and Patients in Group B will receive Task based training. All participants will receive the treatment for 40 minutes per session, 5 days per week for 5 weeks. For the evaluation of all participant scales like be Chedoke Arm and Hand Activity Inventory for clinical relevance, Fugl Mayer assessment scale for performance assessment, Action Reach Arm Test for coordination and dexterity and Motor Activity Log for functional assessment of Upper limb in stroke patients. D

Conditions

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Stroke Upper Extremity Paresis Motor Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be divided into Group A (N=19) will receive Graded repetitive arm supplementary program and Patients in Group B (N=19)will receive Task based training.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Graded repetitive arm supplementary program group

Patients in Group A will receive Graded repetitive arm supplementary program.

Group Type EXPERIMENTAL

Graded repetitive arm supplementary program

Intervention Type OTHER

Patients in Group A will receive Graded repetitive arm supplementary program

Task based training group

Patients in Group B will receive Task based training.

Group Type ACTIVE_COMPARATOR

Task based training

Intervention Type OTHER

Patients in Group B will receive Task based training.

Interventions

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Graded repetitive arm supplementary program

Patients in Group A will receive Graded repetitive arm supplementary program

Intervention Type OTHER

Task based training

Patients in Group B will receive Task based training.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with Sub acute stage of stroke.
* Patients with Ischemic and Haemorrhagic stroke.
* Patients with Cognition level on Mini Mental State Examination must be \> 24
* Patients with mild pain in upper extremity according to Numeric Pain Rating Scale
* Patients with Grade 2 active movements in affected extremity Tone of upper limb at Modified Ashworth Scale Grade 1+.

Exclusion Criteria

* Other neurological disorders e.g. brain tumor, encephalitis, meningitis, brain abscess.
* Use of antipsychotics
* Use of drugs for spasticity.
* Patients with vestibular impairment.
Minimum Eligible Age

40 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Zeest hashmi

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Imran International Amjad

Islamabad, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Connell LA, McMahon NE, Watkins CL, Eng JJ. Therapists' use of the Graded Repetitive Arm Supplementary Program (GRASP) intervention: a practice implementation survey study. Phys Ther. 2014 May;94(5):632-43. doi: 10.2522/ptj.20130240. Epub 2014 Feb 6.

Reference Type BACKGROUND
PMID: 24505098 (View on PubMed)

Veerbeek JM, van Wegen E, van Peppen R, van der Wees PJ, Hendriks E, Rietberg M, Kwakkel G. What is the evidence for physical therapy poststroke? A systematic review and meta-analysis. PLoS One. 2014 Feb 4;9(2):e87987. doi: 10.1371/journal.pone.0087987. eCollection 2014.

Reference Type BACKGROUND
PMID: 24505342 (View on PubMed)

Yang CL, Waterson S, Eng JJ. Implementation and Evaluation of the Virtual Graded Repetitive Arm Supplementary Program (GRASP) for Individuals With Stroke During the COVID-19 Pandemic and Beyond. Phys Ther. 2021 Jun 1;101(6):pzab083. doi: 10.1093/ptj/pzab083.

Reference Type BACKGROUND
PMID: 33682872 (View on PubMed)

Lee HS, Lim JH, Jeon BH, Song CS. Non-immersive Virtual Reality Rehabilitation Applied to a Task-oriented Approach for Stroke Patients: A Randomized Controlled Trial. Restor Neurol Neurosci. 2020;38(2):165-172. doi: 10.3233/RNN-190975.

Reference Type BACKGROUND
PMID: 32176674 (View on PubMed)

Other Identifiers

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REC/RCR & AHS/23/0281

Identifier Type: -

Identifier Source: org_study_id

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