Combined Effects of PNF and Electrical Muscle Stimulation on Spasticity and Hand Function in Stroke Patients.
Study Details
Study Description
Brief Summary
To determine the combined effects of proprioceptive neuromuscular facilitation and electrical muscle stimulation on spasticity and hand function in stroke patients.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
It will be a randomized controlled trial. The stroke patients aged between 30-70 years will be included in this study. Participants will be selected with non-probability convenience sampling technique. Participants will be randomly allocated into two groups by lottery method i.e experimental group and control group. The experimental group will receive proprioceptive neuromuscular technique (contract relax-10 repetition) (5-min) and electrical muscle stimulation(10 min) as 15 min session 3 times a week for four weeks while the control group will receive only conventional therapy. The outcome measure will be calculated by modified barthel index, modified ashworth scale and wolf motor function test.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: experimental group patients in this group will receive contract relax exercises along with EMS |
Other: experimental group
Patients will receive Proprioceptive Neuromuscular Facilitation (contract-relax) technique with EMS
|
| Active Comparator: control group patients in groups B will receive conventional therapy. |
Other: control group
Patients will receive conventional therapy.
|
Outcome Measures
Primary Outcome Measures
- Modified Barthel Index: [9 months]
It is used for assessing the activities of daily living. It is composed of 10 questions that link the degree of independence to daily living activities. Collin et, al; proposed amendment in 1988, in which each domain was scored in one-point increments, ranging from 0 to 2 or 3 for each activity with a maximum score of 20 suggesting functional independence. It is highly reliable and has a good correlation with other disability measures.
- Modified Ashworth Scale: [9 months]
Modified Ashworth Scale: It is used to assess the spasticity in patients of stroke or spinal cord injury. Scores range from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity. It is characterized by exaggerated deep tendon reflexes that interfere with muscular activity, gait, movement, or speech. It has excellent validity and reliability.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Both ischemic and haemorrhagic stroke patients
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Chronic stroke patients from 6 month to 2years
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Mini Mental Scale Examination (MMSE) more than 25
Exclusion Criteria:
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Transient ischemic attack
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Recurrent stroke
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Stroke patient with comorbidity and cardiac disease
-
Myopathies
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Riphah International University | Islamabad | Fedral | Pakistan | 44000 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Zeest Hashmi, MSNMPT, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
- Faghri PD, Rodgers MM, Glaser RM, Bors JG, Ho C, Akuthota P. The effects of functional electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients. Arch Phys Med Rehabil. 1994 Jan;75(1):73-9.
- Hankey GJ. The global and regional burden of stroke. Lancet Glob Health. 2013 Nov;1(5):e239-40. doi: 10.1016/S2214-109X(13)70095-0. Epub 2013 Oct 24. No abstract available.
- Rong W, Tong KY, Hu XL, Ho SK. Effects of electromyography-driven robot-aided hand training with neuromuscular electrical stimulation on hand control performance after chronic stroke. Disabil Rehabil Assist Technol. 2015 Mar;10(2):149-59. doi: 10.3109/17483107.2013.873491. Epub 2013 Dec 31.
- REC/RCR & AHS/23/0211