Clinical trial NCT05673733: Additional Effects of Scapular Stabilization Exercise With Exergaming Training in Stroke Patients
Official title: Additional Effects of Scapular Stabilization Exercise With Exergaming Training on Upper Limb Functions in Chronic Stroke Patients
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Stroke
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-01-06
Enrollment: 40
Sex: ALL
Minimum age (years): 40
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Exergaming Training
Primary purpose: OTHER

Brief summary: The World Health Organization has termed stroke to be a clinical syndrome, of presumed vascular origin, typified by rapidly developing signs of focal or global disturbance of cerebral functions and the leading cause of death worldwide in 2016 making it a major non-contagious cause of death. This study would be beneficial in a way that it will give a valuable input and will contribute for the knowledge of interventions for stroke with an emphasis on upper extremity function among health care practitioners for their goal of promoting health, prevention of diseases and improving quality of life.

Detailed description: Exergaming can contribute to improvement of the function of UE motor and AROM in chronic stroke patients, additional studies with a large number of subjects with long follow-up periods are required to determine their effectiveness neurorehabilitation stimulation . The exergaming protocol presented in this study represents success a tool for UE functional aspects in patients with chronic stroke. It has shown improvement in gripping strength, handicrafts and UE's operational recovery. Movement control and the position of scapula determine an optimal upper limb function. Paresis leading to scapular disorientation ultimately exaggerates motor impairment in upper extremities. Recent literature has emphasized on the need to design an upper extremity protocol including scapular stabilization exercises in order to increase muscular strength and decrease scapular dyskinesis .The results of a study showed that scapular stability exercises had an impact on hand function and the ability to move hemiplegic patients after stroke.

Eligibility criteria: Inclusion Criteria:

* Chronic Stroke patients with an initial onset of 6 months or above.
* Those who had 30-65 points by Fugl-Meyer Assessment of upper extremity
* Those who had minimum score 24 on mini mental state examination
* Those who have the ability to execute at least 20' of active shoulder flexion and abduction against gravity those who could understand and follow instructions provided by the investigator
* Those who are medically stable enough to participate in active rehab
* Those who have no problems with auditory or visual functioning.
* Modified Ashworth Scale (MAS) 1-3

Exclusion Criteria:

* Orthopaedic or mental health problems
* Those who have difficulty to stay in a sitting position
* Severe conditions such as uncontrolled blood pressure or angina
* History of epilepsy
* The refusal to play a video game.

Primary outcomes:
measure: Fugl-Meyer Assessment tool of Upper Extremity Function
timeFrame: 2 months
measure: Wolf Motor Function Test
timeFrame: 2 months
measure: Jebsen Taylor Hand Function Test
timeFrame: 2 months
Secondary outcomes:
Other outcomes:
Locations:
city: Rawalpindi
country: Pakistan
facility: Shumaila
Study officials:
affiliation: Riphah International University
name: Misbah Ghous, MSNMPT
role: PRINCIPAL_INVESTIGATOR
References: