ROOD's Sensory Motor Training in Sub-acute Stroke
Condition: Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      The aim of this randomized controlled trial is to determine the effects of ROOD's sensory
      motor training along with Constraint Induced Movement Therapy (CIMT) in sub-acute stroke. Two
      randomized groups of patients with stroke were treated with conservative physical therapy and
      the experimental group was given ROOD's SMT and CIMT in conjunction with conservative
      rehabilitation. Both, male and female patients meeting the inclusion criteria were included.
      Patients having other neurological disease, chronic disease, not compatible being
      participates in CIMT or with any surgical intervention were excluded.
    

Detailed description: 
      The study is aimed at determining the effects of ROOD's sensory motor training along with
      constraint induced movement therapy in sub-acute stroke and is being conducted in National
      Institute of Rehabilitation Medicine Islamabad and Pakistan Railway General Hospital,
      Rawalpindi (Feb 2019-July 2019). Sample size of the study is 36 patients, 36 were included in
      the study on the basis of inclusion criteria, 18 for each group. Patients were allocated
      randomly and equally in each group. Similar conservative rehabilitation protocol was designed
      for both control and experimental group except for experimental group had ROOD's sensory
      motor training and CIMT training. Patients were examined at 1st visit before administration
      of any treatment and at 6th week which was also the last one (after completing 6 weeks
      sessions at alternate days). Baseline evaluation for demographics and assessment was taken.
      Fugyl-meyer assessment scale(FMA) and Wolf motor function test(WMFT) as measuring tools were
      used for first and 6th week assessment. 29 patients completed the study while 4 patient from
      control group and 3 patients from experiment group were lost to follow up and were considered
      drop outs.
    

Intervention name(s): Rood's Group; Conventional Physical Therapy Group
Intervention type(s): Other; Other
Intervention description(s): ROOD'S sensory motor training
Brushing & strokings 3-5 strokings after 30sec, joint compressions and slow stretch 10 rep of 3 sets on alternative days for consecutive 6 weeks CIMT training
Writing, combing hairs and using spoon activity 1 hour training concentrated on affected limb along with restraint of non affected limb by cotton sling under supervision of therapist and 5 hours training in home plan 3 times a week on alternative days for consecutive 6 weeks along with conventional physical therapy.; Conventional training Proprioceptive neuromuscular facilitations (PNF) Combination of Isotonics technique 10 rep 3 sets 10 sec hold on alternative days for consecutive 6 weeks Stretching's 10 rep 3 sets on alternative days for consecutive 6 weeks Joint approximation 10 rep of 3 sets on alternative days for 6 weeks
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Stroke; Proprioceptive Neuromuscular Facility; Hemiplegia; Neurorehabilitation; Neural Plasticity