Clinical trial NCT05008822: Effect of Motor Imaginary Training on Upper Limb Functions in Stroke
Official title: Effect of Motor Imaginary Training on Upper Limb Functions in Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke, Cardiovascular
Keywords: Motor imaginary technique
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-08-17
Enrollment: 42
Sex: ALL
Minimum age (years): 30
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This study will provide knowledge about effectiveness of motor imaginary training in upper limb performance in chronic stroke patients. Very little data is available about the use in Motor Imaginary in post stroke upper limb rehabilitation in Pakistan. Moreover, studies done previously did not specified population of stroke; This study will include MCA stroke patients only, whom upper limb weakness is more prevalent.

Detailed description: Motor imagery is a technique for inducing motor activity in response to a certain motor output by producing a mental image of the action without intending to conduct it. It is a cognitive technique that, rather than making a patient to pick up new procedures, promotes neural alterations in order enable the patient to re-acquire motor skills mastered before the CVA or copy the actions of others. Motor imaging training is a sort of therapy in which the patient imagines a gesture or movement in order to learn, reinforce, or improve the movement's performance. A study done in South Korea, published in 2015, revealed that Motor imagery training has a good impact on UL performance by refining functional mobility during stroke rehabilitation. The results suggest that motor imagery training is viable and helpful for improving UL function in CVA patients.

Meta-analysis done in Australia in the year 2013, was supportive of Motor imaginary techniques further convincing that Mental imagery can be a possible intervention for stroke patients given that it being, safe cost-effective \& unlimited practice opportunities. Study done in China in 2017, suggested that clinicians should consider the use of MI in addition to treatment currently used to improve upper extremity functions after stroke as no evidence of side effects or harm was noted . RCT done in year 2006 in USA indicated that for patients with chronic, moderate upper limb impairment after CVA, program of CIMT with mental practice only resulted in decrease impairment, with functional enhancement.

Eligibility criteria: Inclusion Criteria:

* MCA stroke
* Chronic stroke patients
* Mini-Mental State Examination (MMSE) score \>24 points
* Spasticity grade II and III on Modified Ashworth scale

Exclusion Criteria:

* Severe cognitive disability such as depression, unilateral neglect, seizure, dementia,
* Any MSK disorder including muscle contracture

Primary outcomes:
measure: wolf motor function
timeFrame: Change from Baseline to 4th Weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Peshawar
country: Pakistan
facility: Physical therapy department of Rehman Medical Institute, Peshawar, Pakistan
state: Khyber Pakhtunkha
Study officials:
affiliation: Riphah International University Islamabad
name: Misbah ghous, MS
role: PRINCIPAL_INVESTIGATOR
References: