Clinical trial NCT06303050: Additional Effects of Mental Imagery Along With Task Oriented Training on Kinesiophobia in Patients With Stroke
Official title: Additional Effects of Mental Imagery Along With Task Oriented Training on Kinesiophobia in Patients With Stroke
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke, Cardiovascular
Keywords: Mental Imagery, Kinesiophobia, Task oriented training
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-03-12
Enrollment: 44
Sex: ALL
Minimum age (years): 45
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The objective of this study to determine the effect of mental imagery and task oriented training on Kinesiophobia in stroke patients. And to determine the association of Kinesiophobia with gait and balance in stroke patients. Patients will be divided into experimental and control group. Randomized participants will be allocated into control and experimental group. The experimental group will receive 20 minutes of MI training followed by 25 minutes of TOT for a total of 45 minutes, 5 days per week for 6 weeks.

Detailed description: Cerebrovascular accident (CVA),commonly known as stroke , occurs when blood flow to the brain is disrupted , either by a clot or by rupture in a blood vessel .It can lead to severe neurological damaged or even death. A stroke can cause neurological deficits in various domains of brain areas, include motor, sensory/perceptive, visual, language, intelligence and emotion. Motor deficits are one of the most common and disabling consequences of stroke.

Kinesiophobia is a psychological condition characterized by an excessive, irrational fear of movement and physical activity due to the belief that it will increase pain or worsen a pre medical condition. It can be a common obstacle to rehabilitation and recovery for individuals with various musculoskeletal or neurological conditions, including stroke.

MI has been recognized as an effective adjunct therapy to physical rehabilitation for various neurological conditions, including stroke. Task-oriented training is a widely adopted approach in stroke rehabilitation, which emphasizes the practice of functional tasks to promote motor skill learning and improve motor function.

However the potential benefits of combining mental imagery with task-oriented train-ing have not been fully explored. Therefore studying the additional effects of mental imagery along with task-oriented training on Kinesiophobia in patients with stroke is important for developing more effective and comprehensive rehabilitation interven-tions for stroke populations.

Eligibility criteria: Inclusion Criteria:

* Hemiplegic stroke patients
* Age above 45
* Both genders
* Patients having score \>17 on Tempa Scale of Kinesiophobia
* Patients of score \>21 on Berg Balance Scale

Exclusion Criteria:

* • Communication deficits and unable to follow instructions

  * A history of serious or unstable cardiac condition
  * Severe musculoskeletal problem and unable to stand or walk
  * History of other neurological diseases or unilateral neglect

Primary outcomes:
measure: Berg And Balance scale
timeFrame: 6 weeks
measure: Tempa scale for kinesiophobia
timeFrame: 6 weeks
measure: Ten-meter walk test
timeFrame: 6 weeks
measure: Dynamic gate index
timeFrame: 6 weeks
measure: Time Up and Go Test
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Peshawar
country: Pakistan
facility: Khyber Medical University
state: KPK
Study officials:
affiliation: Riphah International University
name: Nadia Azhar, MS-NMPT
role: PRINCIPAL_INVESTIGATOR
References: