Motor Imagery Technique on Lower Limb Function Among Stroke Patients.

Study Overview
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Brief Summary
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To determine the effects of motor imagery technique on lower limb function among stroke patient. To determine the effects of motor imagery technique on lower limb spasticity among stroke patients. To determine the effects of motor imagery technique on gait among stroke patients. To determine the effects of motor imagery technique on quality of life among stroke patients

Detailed Description
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Stroke affected the functional capacities and the state of health thus altered quality of life.

Official Title
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Effects of Motor Imagery Technique on Lower Limb Function Among Stroke Patients.

Conditions
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Spasticity as Sequela of Stroke, Gait, Hemiplegic, Quality of Life

Intervention / Treatment
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* Other: Motor imagery technique
* Other: Conventional Physical Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult without ADHD by Adult ADHD Self-Report Scale score. History of no more than one stroke. Lower limb muscles spasticity with the grade 1+ or 2 on modified Ashworth in scale. Mini-mental status score more than 25. Patients who are less than 6 months post-stroke. Modified Rankin scale score is 4. Exclusion Criteria: Lesion of frontal, parietal and basal ganglia Excessive spasticity that is score of>3 on modified Ashworth spasticity scale. Any musculoskeletal disorder impeding lower limb function. Participating in any experimental rehabilitation or drug studies. Bed ridden patient. Subjects psychiatric disorder or dementia. Any neglect of space on the affected side, or any other neurological disease or auditory or visual.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 65 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motor imagery technique<br>Motor Imagery technique Plus Conventional Physical therapy | Other: Motor imagery technique<br>* The patient will sit on chair in a quiet room. The patients will be observing motor performance in video, motor performance video will consist of (1) knee flexion and extension movement, (2) sitting to standing movement, (3) stepping movement, (4) walking, (5) climbing and descending stairs. Addition to motor imagery, the patients will be provided the passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.<br>|
| Active Comparator: Conventional Physical therapy<br>passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs. | Other: Conventional Physical Therapy<br>* It includes passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Lower Extremity Function scale | It is 20 items questionnaire, measure the lower extremity function scoring from 1 to 4 for each items, in which minimum score is 0 and maximum score of 80 shows the maximum functional status. It has a valid and reliable tool to measure the lower extremity functional status. | 8 weeks | 
| Dynamic Gait Index | It assess gait, balance and fall risk, with 24 is the maximum score, in which 19 or less have been related to increase incidence of falls. It has high reliability and validity in the stroke population. | 8 weeks | 
| Time Up and Go test | It assess a person's mobility and requires both static and dynamic balance. Score of less than 10 seconds indicate freely mobile,<20 seconds mostly independent, 20-29 seconds variable mobility, >30 seconds Impaired mobility. It is reliable, valid, and easy to administer clinical tool in stroke patients. | 8 weeks | 
| Stroke Specific Quality of Life Scale | It is a self-report questionnaire, measure the quality of life in stroke patients consisting of 49 items in the 12 domains. Scoring from 1 to 5 , in which 1 shows strongly agreement and 5 shows strongly disagreement. It is a reliable and valid tool for measuring the quality of life for stroke patients. | 8 Weeks | 
| Modified Ashworth scale | It measures the spasticity, ranging from 0 means normal tone to 4 shows increased tone to such extent where passive movement is not possible. It has good intra-rater reliability and validity in stroke patients . | 8 Weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Gait, Lower Limb function, Motor imagery