MRP and PNF Effect on Upper Limb Motor Performance and Quality of Life in Sub-acute Stroke
Condition: Stroke, Ischemic
MeSH terms: Stroke; Ischemic Stroke
Study type: Interventional

Summary: 
      Through this study we compare the the effects of motor relearning program and proprioceptive
      neuromuscular facilitation on upper limb motor performance and quality of life in sub-acute
      stroke survivors. This study will be a randomized controlled trial will recruit a sample of
      39 participants through non-probability consecutive sampling technique. After satisfying the
      inclusion criteria, participants will be divided into three groups. The first group will
      receive motor relearning program for 6 weeks, 3 times per week for 30 minutes, along with the
      conventional therapy. The second group will receive proprioceptive neuromuscular facilitation
      for 6 weeks, 3 times per week for 30 minutes, along with conventional therapy. The third
      group will only receive conventional the conventional therapy.
    

Detailed description: 
      One study revealed that both PNF and CIMT were effective in the management of upper limb
      chronic post- stroke patients. However, CIMT is the preferred technique for upper limb
      function recovery.

      Another experimental study was conducted on comparison between proprioceptive neuromuscular
      facilitation versus mirror therapy enhances gait and balance in paretic lower limb in acute
      stroke. In this study patients are randomly divided into two groups. According to statistical
      analysis this study shows that both the techniques Group A (Proprioceptive Neuromuscular
      Facilitation) and Group B (Mirror Therapy) were individually effective in improving gait and
      balance. While comparing both the techniques there is a significant difference present in the
      group. So, Group A is more effective in enhancing gait and balance in paretic lower limb
      after acute Stroke.

      Another randomized control trial was conducted on comparing the effects of motor relearning
      programs and mirror therapy for improving upper limb motor function in stroke patient. This
      study concluded that MRP and MT were found to be effective in improving upper limb motor
      function of stroke patients, but the former was more effective than the later.

      Another comparative study was conducted on motor relearning program versus proprioceptive
      neuro-muscular facilitation technique for improving basic mobility in chronic stroke
      patients- According to the results he concluded that MRP is more effective then PNF for
      improving basic mobility of sit to stand and walking in chronic stroke subjects and subjects
      were able to maintain their basic mobility at one month follow up also.

      Previous studies have compared only a single intervention with controls; however, this study
      aims to compare two different interventions in addition to comparison with the control
      groups.

      All these interventions previously used focus on the functional activities as a training
      component after stroke and have shown some degree of improvement in the functional outcome of
      the upper limb, but still, there is a paucity of literature on which intervention improves
      motor performance in an optimum timeframe during the subacute phase of stroke.

      Given this gap in the literature, a study is needed to elucidate the comparative effects of
      motor relearning program and proprioceptive neuromuscular facilitation on upper limb motor
      performance and quality of life in sub-acute stroke survivors.
    

Intervention name(s): Motor Relearning Program; Proprioceptive Neuromuscular Facilitation; Conventional Physical Therapy
Intervention type(s): Other; Other; Other
Intervention description(s): The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.; The techniques administered included Rhythmic Initiation, Slow Reversal and Agonistic Reversal.
The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.; The exercise will be performed for approximately 30 minutes, 3 times a week for 6 weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment