Additional Effects of Motor Imaginary Technique Along With Task Oriented Trunk Control Training

NCT ID: NCT06877819

Last Updated: 2025-11-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-03-10
• Study Completion Date: 2025-09-15

Brief Summary

The aim of this randomized controlled trial is determine additional effects of motor imagery technique along with task oriented training on trunk control, posture, balance and mobility.

Detailed Description

Stroke has been classified as leading cause of death and disability. Mild to severe disruption on physical and cognitive functions may occur in stroke patients. Lack of motor control, muscle control, sensations, balance commonly develop after stroke. Motor dysfunctions result in body paralysis, paresis, stiffness, decrease range of motion, thereby limiting mobility, body movements hence increasing dependance in performing activities of daily living. Majority of patients of stroke face trunk and pelvis instability and asymmetry resulting in swaying posture, decreased stability, difficulty in weight shifting on affected side therefore resulting in impaired balance. One of advanced technique used in stroke patients is an active cognitive approach known as motor imagery technique (MIT). It involves mental rehearsal of simple and complex movements as per required internally in working memory of a person followed by asking patient to try practical implementation of imagined movement or task at end of each session. Thus this technique is constant reprocessing of interpretation that arise from perception of movement created in mind of a patient enhancing neural connections. In today's world intervention has been goal oriented involving task specific training i.e., repetitive practice of functional task incorporating desired movement and action during activity there by regulating nervous system re-building neural pathways through repeated practice. Task specific training enhance performance of trunk muscles by focusing on concept of function, participation and quality of life. To gain gainful effects among stroke patients, combining cognitive developmental strategy with physical goal oriented activity can be fruitful as it nourishes the concept of neuronal recruitment along with motor control development by improving trunk control, posture and balance among stroke patients. The rationale for the use of these techniques is to identify additional effects of MIT along with task oriented training on trunk control and mobility as studies conducted on trunk control using MI in past were devoid of activity based training, where as those conducted using task-oriented training lack advancement in technology. Therefore, due to dearth of empirical data on symbiotic benefits of motor imagery technique along with task oriented training leads to foundation of this study.

Conditions

Stroke

Study Design

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

Study Groups

Motor Imaginary alongwith Task Oriented Training

patient will first imagine task task-based based activities with closed eyes while listening to the audio using headphones, this will be followed by practical implication of same tasks and coventional physiotherapy.

Group Type: EXPERIMENTAL

Motor Imaginary Technique alongwith task-oriented training

Intervention Type: OTHER

Motor imaginary technique followed by task oriented trunk control training alongwith conventional physiotherapy.Frequency: 10- 15 reps 4 times/week for 8 consecutive weeks. Time for each session will be 60 mins. First of all task based exercises will be assumed by patient. To make imaginations more strong an audio demonstration of each exercise will be recorded by therapist and will be administered to patients hearing via headphones. This will make it easy for patients to assume as they are performing theses exercises in their head. Motor imagination will be followed by practical performance of same tasks. The experimental group will receive motor imagery technique for 15 minutes followed by task-specific training for 45minutes along with conventional physiotherapy to improve postural control and balance in stroke patients. .

Task Oriented Training

patient will be asked to perform task based activities followed by conventional physiotherapy

Group Type: ACTIVE_COMPARATOR

Task Oriented Training

Intervention Type: OTHER

Control group will receive task oriented trunk control training exercises followed by conventional physiotherapy. .Frequency: 10- 15 reps 4 times/week for 8 consecutive weeks. Time for each session will be 60 mins.

Interventions

Motor Imaginary Technique alongwith task-oriented training

Motor imaginary technique followed by task oriented trunk control training alongwith conventional physiotherapy.Frequency: 10- 15 reps 4 times/week for 8 consecutive weeks. Time for each session will be 60 mins. First of all task based exercises will be assumed by patient. To make imaginations more strong an audio demonstration of each exercise will be recorded by therapist and will be administered to patients hearing via headphones. This will make it easy for patients to assume as they are performing theses exercises in their head. Motor imagination will be followed by practical performance of same tasks. The experimental group will receive motor imagery technique for 15 minutes followed by task-specific training for 45minutes along with conventional physiotherapy to improve postural control and balance in stroke patients. .

Intervention Type: OTHER

Task Oriented Training

Control group will receive task oriented trunk control training exercises followed by conventional physiotherapy. .Frequency: 10- 15 reps 4 times/week for 8 consecutive weeks. Time for each session will be 60 mins.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with sub-acute stroke (> 3 months stroke till 6 months after stroke)
• Both male and female are included.
• Patient with stage 2 of postural control on Chedoke McMaster Stroke Assessment Score.
• Patient who are able to sit without holding on to objects/people
• Patient who are able to stand for 30seconds
• Patient able to flex non-paretic shoulder upto 90 degree, without holding on to any object
• Patients with no cognitive deficits ( score > 25 on Montreal Cognitive Assessment Tool)
• Patients with moderate spasticity of upper/lower extremity (Modified Ashworth Scale Grade = 1, +1)

Exclusion Criteria

• Patients with visuo-spatial neglect.
• Patients with hearing impairment
• Hip pathologieOlder adults 60 years & aboves or any condition other than stroke interfering with trunk movements will be excluded

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Arshad Nawaz Malik, PhD Rehab

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Minahil Butt, MS-NMPT*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

National Institute of Rehab Medicine, Nijaat Ambulance & Old Age Home

Islamabad, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/MS-PT/02027 Minahil Butt

Identifier Type: -

Identifier Source: org_study_id