Clinical trial NCT05904795: PNF Strengthening and De-lorme and Watkins Exercises on Upper Extremity Function and Strength in Stroke Patients
Official title: Comparative Effects of Proprioceptive Neuromuscular Facilitation Strengthening Exercises and De-lorme and Watkins Exercises Program on Upper Limb Function and Strength in Chronic Stroke Patients
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Upper Extremity Paresis
Keywords: Proprioceptive neuromuscular facilitation
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-06-15
Enrollment: 20
Sex: ALL
Minimum age (years): 50
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to evaluate the effects of proprioceptive neuromuscular facilitation strengthening exercises and de-Lorme and Watkins exercises program in stroke patients with upper limb weakness in chronic stroke patients. The randomized central trial will recruit patients according to consecutive sampling into two intervention groups. One group will receive proprioceptive neuromuscular facilitation strengthening exercises and other group will receive de-Lorme and Watkins exercises program.

Detailed description: A study in which the participants (n=26) were recruited in the study suffering from stroke and meeting the inclusion criteria. Two groups formed such that patients in group A will be treated with conventional therapy and PNF and group B will be treated with PNF and NMES in along with conventional therapy. The protocol will cover 6 weeks of treatment. Regular assessment at 0,3rd and 6th week will be carried out. In the rehabilitation period, we will evaluate upper extremity function, activities of daily living(ADLs), mental status examination at regular interval during the rehabilitation.In previous studies there is less literature regarding the combine effects of proprioceptive neuromuscular facilitation techniques and de-Lorme and Watkins exercise program on upper limb function and strength in chronic stroke patients with upper limb weakness. Therefore there is dire need to explore which training technique is most effective in improving upper limb function and strength in chronic stroke patients therefore this study aims in comparative effects of proprioceptive neuromuscular facilitation strengthening exercises and de-Lorme and Watkins exercise program on upper limb function and strength in chronic stroke patients.

Eligibility criteria: Inclusion Criteria:

* Chronic stroke patients.
* Medically stable patients having a single stroke.
* History of stroke 6 to 24 months.
* A score greater than 24-30 in mini-mental test.
* Patients having consciousness with GC;10

Exclusion Criteria:

* Recurrent stroke
* Patients with gullian berrie syndrome, multiple sclerosis lesion osteoarthritis of shoulder.
* Manual muscle testing below grade II.

Primary outcomes:
measure: The barthel index scale
timeFrame: 4th day
measure: Hand held dynamometer
timeFrame: 4th day
Secondary outcomes:
Other outcomes:
Locations:
city: Lodhran
country: Pakistan
facility: Shahida Islam teaching hospital Lodhran
state: Punjab
Study officials:
affiliation: Riphah International Universiry
name: Hira Jabeen, MSNMPT
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Pak S, Patten C. Strengthening to promote functional recovery poststroke: an evidence-based review. Top Stroke Rehabil. 2008 May-Jun;15(3):177-99. doi: 10.1310/tsr1503-177.