Effects of Combine EMS and Mirror Therapy in Upper Limb Stroke Patients
Condition: Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      This study will be designed to evaluate the effectiveness mirror therapy combined with
      electrical muscle stimulations compared with constraint induced therapy in upper limb stroke
      patients. The aim of the study is to investigate the therapeutic effectiveness of mirror
      therapy and EMS in stroke patients and compare the outcomes with CIMT.
    

Detailed description: 
      Stroke or CVA is the sudden death of the brain cells due to inadequate blood flow, it's a
      focal disturbance of cerebral function, with symptoms lasting for 24hrs or longer or leading
      to death, with no apparent cause other than of vascular origin. The commonest consequence of
      stroke is loss of upper limb function. The protocol planned for improving the function of the
      upper limb is mirror therapy combined with EMS and compare with constraint-induced movement
      therapy (CIMT) treatment in stroke patients Many works done on CIMT and mirror therapy in
      rehabilitation prove to be powerful tools for upper limbs in people with stroke. Different
      studies concluded that CIMT is more effective than Mirror Therapy (MT) in the upper extremity
      in stroke patients. An RCT was published in 2019 in which mirror therapy combined with
      electrical stimulation proves to be effective in stroke patients. However, I have not found a
      study comparing EMS combined with Mirror therapy compared to CIMT treatment in stroke
      patients. According to the Alternate hypothesis mirror therapy combined with EMS has
      beneficial effects on clinical outcomes in upper limb stroke patients. According to the null
      hypothesis, CIMT has better results in stroke patients as compared to EMS combined with
      Mirror therapy.
    

Intervention name(s): EMS, Mirror therapy & exercises; CIMT & exercises; Mirror therapy & exercises
Intervention type(s): Other; Other; Other
Intervention description(s): EMS will be applied with frequency between 20-100 Hz and pulse width between 20 to 450us and Mirror therapy for 30 minutes and four days per week for a total duration of 12 weeks. Exercises include the flexion, extension of the wrist and elbow, ulnar and radial deviations , place any cylindrical object in patients palm and ask to lift the object off the table. other exercises includes external and internal rotations with different task orientations.; Constraint induced movement therapy will be applied for 30 minutes and four days per week for a total duration of 12 weeks, it is a form of rehabilitation therapy that improves upper limb movement, it claims to improve the arm motor ability and the functional use of a paretic arm- hand. Exercises include the flexion, extension of the wrist and elbow, ulnar and radial deviations , place any cylindrical object in patients palm and ask to lift the object off the table. other exercises includes external and internal rotations with different task orientations.; Mirror therapy will be given for 30 minutes and four days per week for a total duration of 12 weeks. The exercises include the flexion, extension of the wrist and elbow, ulnar and radial deviations , place any cylindrical object in patients palm and ask to lift the object off the table. other exercises includes external and internal rotations with different task orientations.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This is an randomized control trail in which the stroke patients are divided into three different treatment group.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Electrical muscle stimulation; Constraint induced movement therapy; Mirror therapy