Efficacy of Modified Constraint Induced Movement Therapy Combined With Threshold Electrical Stimulation in Stroke Patients
Condition: Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      This study, it is aimed to investigate the effectiveness of applied modified
      constraint-induced movement therapy (MCIMT) with threshold electrical stimulation (TES) in
      addition to conventional therapy (therapeutic exercise program) in patients with stroke.
      Before and after the treatment program we will evaluate, the pain level of the participants
      measured with a visual pain scale; sensory functions with Semmes Weinstein monofilament test
      battery; muscle tone, and spasticity with the modified Tardieu scale and Digital Palpation
      Device, which has a very high proof value; functional status with Wolf motor function test
      and Motor Activity Log; quality of life will be assessed by Stroke Specific Quality of Life
      Scale. Participants will be included in the study according to the inclusion criteria, the
      first evaluation of the participants will be made according to the evaluation parameters, and
      the participants will be randomly distributed into three groups. The first group will be
      treated with M-CIMT, the second group will be treated with MCIMT with TES for 4 weeks, and
      the third group will be the control group. A total of 45 participants will be included in the
      study.
    

Detailed description: 
      This study, it is aimed to investigate the effectiveness of applied modified
      constraint-induced movement therapy (MCIMT) with threshold electrical stimulation (TES) in
      addition to conventional therapy (therapeutic exercise program) in patients with stroke.
      MCIMT treatment applied together with TES will be performed with electric stimulation without
      causing discomfort in patients with stroke and at the same time, the duration of use of the
      affected extremity can be extended with task-oriented exercises with MCIMT treatment. In this
      way, the efficiency of the applied treatment program will be evaluated, and the gains
      obtained will be investigated and presented as a suggestion to physiotherapists working with
      stroke patients. Before and after the treatment program we will evaluate, the pain level of
      the participants measured with a visual pain scale; sensory functions with Semmes Weinstein
      monofilament test battery; muscle tone, and spasticity with the modified Tardieu scale and
      Digital Palpation Device, which has a very high proof value; functional status with Wolf
      motor function test and Motor Activity Log; quality of life will be assessed by Stroke
      Specific Quality of Life Scale. Participants will be included in the study according to the
      inclusion criteria, the first evaluation of the participants will be made according to the
      evaluation parameters, and the participants will be randomly distributed into three groups.
      The first group will be treated with M-CIMT, the second group will be treated with MCIMT with
      TES for 4 weeks, and the third group will be the control group. A total of 45 participants
      will be included in the study. Participants in all three groups will be included in the
      routine conventional physiotherapy program. MCIMT and TES treatment will be applied three
      days a week for a total of four weeks. Each treatment session will continue for one and a
      half hours. A total of two evaluations will be applied before and after treatment.
    

Intervention name(s): Modified Constraint Induced Therapy and Threshold Electrical Stimulation
Intervention type(s): Other
Intervention description(s): M-CIMT emphasizes massed practice with the affected upper limb with restraining unaffected limb by a mitt. Threshold electrical stimulation is based on low-intensity (<100 Hz) and long-duration current and is applied with superficial electrodes.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Parallel Assignment Randomized
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: stroke; rehabilitation; Electrical stimulation; Upper extremity