Comparison of PNF and Task Related Techniques Along With Tens on Upper Limb Function Among Stroke Patients

Study Overview
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Brief Summary
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Comparison of PNF and Task Related Techniques Along with Tens on Upper Limb Function Among Stroke Patients

Detailed Description
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The objective of this study is to determine the comparison of PNF and TRT along with TENs on upper limb function recovery among stroke patients.

Official Title
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Comparison of PNF and Task Related Techniques Along With Tens on Upper Limb Function Among Stroke Patients

Conditions
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Stroke

Intervention / Treatment
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* Diagnostic Test: PNF
* Diagnostic Test: TRT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Duration of illness before participation in the study ranged from six to eighteen months' post stroke. Patients who diagnosed with ischemic stroke stage 2 and 3 Patients' age ranged from 50-70 years (male/female) Patients with sufficient cognitive abilities that enables them to understand and follow instructions (mini mental scale) Exclusion Criteria: Patients with communication problems Patients with a history of previous stroke or other neurological diseases or disorders Patients with inflammation, old fracture or prosthesis in the affected limb, neurological diseases that affect upper limb function other than stroke (e.g.: Multiple sclerosis, Peripheral neuropathy, Parkinsonism .... etc.), infection or dermatological conditions on acupuncture sites, musculoskeletal disorders such as severe arthritis, cardiovascular problems (unstable angina, recent myocardial infarction within the last three months, congestive heart failure, significant heart valve dysfunction, arrhythmia, implanted pacemaker or unstable hypertension) or pulmonary disorders, visual and auditory problems and patients with cognitive impairment. Any Contra indications for TENS, Other neurological & orthopedic conditions affecting upper limb, Patient with subluxed shoulder, Patient with shoulder hand syndrome.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PNF GROUP<br>PNF exercise twice daily five days per week for 8 weeks. D1 and D2 flexion and extension pattern for upper limb. In D1 Flexion-adduction -external rotation d1, extension -abduction-internal rotation and in D2 flexion-abduction-external rotation, extension-adduction-internal rotation | Diagnostic Test: PNF<br>* PNF exercise twice daily five days per week for 8 weeks. D1 and D2 flexion and extension pattern for upper limb. In D1 Flexion-adduction -external rotation d1, extension -abduction-internal rotation and in D2 flexion-abduction-external rotation, extension-adduction-internal rotation<br>|
| Experimental: TRT GROUP<br>The duration of a TRT session Will be 60 min. Each session started with warm-up exercises for 10 min followed by 50 min of TRT. Each task will be repeated approximately 10 to 20 times, for 1 to 5 sets, or alternatively for 2 to 5 min. A 2 min rest period after every 15 min of practice will be allowed. Before commencing the exercise session, tasks will be demonstrated to each patient using the non-affected UE. | Diagnostic Test: TRT<br>* The duration of a TRT session Will be 60 min. Each session started with warm-up exercises for 10 min followed by 50 min of TRT. Each task will be repeated approximately 10 to 20 times, for 1 to 5 sets, or alternatively for 2 to 5 min. A 2 min rest period after every 15 min of practice will be allowed. Before commencing the exercise session, tasks will be demonstrated to each patient using the non-affected UE.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Task Related Techniques Along With Tens on Upper Limb Function Among Stroke Patients | The duration of a TRT session Will be 60 min. Each session started with warm-up exercises for 10 min followed by 50 min of TRT. Modified ashworth scale (mas) Box and block test | 6 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PNF Techniques Along With Tens on Upper Limb Function Among Stroke Patients | PNF exercise twice daily five days per week for 8 weeks. D1 and D2 flexion and extension pattern for upper limb. Mini Mental Scale | 6 Months |