Outcome Measures of Modified Constraint Induced Movement Therapy Versus Dual Task Training on Upper Extremity and Cognitive Functions in Patients With Hemiparesis

NCT ID: NCT06457022

Last Updated: 2024-07-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-10
• Study Completion Date: 2024-07-10

Brief Summary

All stroke patients were assessed via isokinetic dynamometer, Montreal cognitive assessment scale (MOCA) and Fugl Myer Upper extremity (FMUE) before and after the treatment program.

Detailed Description

The patients were classified randomly into three equal groups, Study group A (GA) receiving modified constraint induced movement therapy in addition to conventional physical therapy program, Study group B (GB) receiving dual task training in addition to conventional physical therapy program and control group C (GC) receiving only conventional physiotherapy program.

Conditions

Hemiparesis

Study Design

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

Study Groups

Group A

Receiving modified constraint induced movement therapy , for 30 minutes , in addition to conventional physiotherapy program for the other 30 minutes.

Group Type: EXPERIMENTAL

Modified Constraint Induced Movement therapy

Intervention Type: OTHER

patient wears a restraint instrument in his unaffected hand, then applying massed practice to his affected upper extremity. The patient wears padded glove in his unaffected upper extremity for restraining the patient from using his unaffected upper extremity for about 3 hours per day including the treatment session and the home program. So, by this way the patient is reinforced to use his affected upper extremity during this period of time to achieve his activities of daily living. Finally, the total time, the patient spends it during the day wearing the glove should be recorded each day.

Conventional physiotherapy rehabilitation program

Intervention Type: OTHER

Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles

Group B

Receiving dual task training (Cognitive-Motor) for 30 minutes, in addition to conventional physiotherapy program for the other 30 minutes.

Group Type: EXPERIMENTAL

Dual task training in the form of cognitive - motor task

Intervention Type: OTHER

Verbal fluency: Ask the hemiparetic patient to title many words of specific type as fruits, vegetable or animals. Mental tracking: as the hemiparetic patient to subtract serial 3 between number 90 and 100.

Conventional physiotherapy rehabilitation program

Intervention Type: OTHER

Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles

Group C

Receiving only conventional physiotherapy program for 60 minutes.

Group Type: OTHER

Conventional physiotherapy rehabilitation program

Intervention Type: OTHER

Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles

Interventions

Modified Constraint Induced Movement therapy

patient wears a restraint instrument in his unaffected hand, then applying massed practice to his affected upper extremity. The patient wears padded glove in his unaffected upper extremity for restraining the patient from using his unaffected upper extremity for about 3 hours per day including the treatment session and the home program. So, by this way the patient is reinforced to use his affected upper extremity during this period of time to achieve his activities of daily living. Finally, the total time, the patient spends it during the day wearing the glove should be recorded each day.

Intervention Type: OTHER

Dual task training in the form of cognitive - motor task

Verbal fluency: Ask the hemiparetic patient to title many words of specific type as fruits, vegetable or animals. Mental tracking: as the hemiparetic patient to subtract serial 3 between number 90 and 100.

Intervention Type: OTHER

Conventional physiotherapy rehabilitation program

Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with age range between 55 and 65 years old.
• The patients were from both genders (males &females).
• Patients were of duration of illness between 6 and 12 months.
• The patients were scoring 1 &1+ on modified Ashworth scale (mild spasticity).
• The patients were of good ability to see and hear.
• Consent form was obtained from all participants to approve the study and follow the commands.
• All patients were scoring more than 26 on MMSE. All patients were medically stable.

Exclusion Criteria

• patients with moderate and sever spasticity.
• patients with cognitive disorder due to other cause rather than spasticity.
• patients with unstable medical conditions.
• patients with previous or recurrent stroke.
• patients with respiratory problems.
• patients with shoulder dislocation or subluxation or frozen shoulder.
• patients with uncontrolled hypertension, diabetes mellitus, unstable angina or heart failure.

• Minimum Eligible Age: 55 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ahmed Alshimy

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Alshimy

Lecturer of Physical Therapy for Neurology and it's Surgery

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/005007

Identifier Type: -

Identifier Source: org_study_id