Clinical trial NCT05087719: Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients
Official title: Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Proprioceptive Disorders
Keywords: graphesthesia
stereognosis
stroke
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-10-21
Enrollment: 40
Sex: ALL
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To determine effects of proprioceptive activities on hand function in chronic stroke patients

Detailed description: Stroke is causing the long term disability worldwide. The patient in the chronic phase of stroke may suffer from long term hand disability along with both motor and sensory dysfunction. That causes hindrance in performing the ADLs. As the hand is the important organ performing major functions of daily living .So the early restoration of the motor as well as sensory function is necessary.

The motive of this study IS to determine effects of proprioceptive activities on hand function in chronic stroke patients. Total 40 chronic stroke patients will be included in the study. They will be randomly allocated in two groups by lottery method that fulfills the inclusion criteria of the study. In group A patients will be recruited and proprioceptive activities will be given to the affected hand for 3 days /week for 2 months. On the other hand in group B conventional therapy will be given for 3 days /week for 2 months. In sensory training graphesthesia and stereognosis will be checked by modified subtest of sensory integration praxis test and Byl-Cheney-Boczai Sensory Discriminator Test respectively. The motor task will be assessed by the wolf motor test. As a baseline treatment hot pack for 15 min will be given to both of the groups

Eligibility criteria: Inclusion Criteria:

* Either right or left sided hemiplegic patients post stroke 6 months to 4 years
* Can partially open and close hand and able to elevate arm to at least 60 degrees and bend to 45-60 degree against gravity.

Exclusion Criteria:

* Patient with TBI, neuromuscular degenerative diseases, diabetes, heart disease, fracture of hand ,.muscular skeletal injuries of hand or birth deformities of hand
* Patients having any known or diagnosed psychological condition or unable to follow the command for exercise.

Primary outcomes:
measure: wolf motor assessment scale
timeFrame: 15 minutes
measure: Byl-Cheney-Boczai Sensory Discriminator Test
timeFrame: 15 minutes
measure: Graphesthesia (modified sub test of sensory integration praxis test)
timeFrame: 15 minutes
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Riphah International University
state: Fedral
Study officials:
affiliation: Riphah International University
name: zeest hashmi, MS NMPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wu CY, Fu T, Lin KC, Feng CT, Hsieh KP, Yu HW, Lin CH, Hsieh CJ, Ota H. Assessing the streamlined Wolf motor function test as an outcome measure for stroke rehabilitation. Neurorehabil Neural Repair. 2011 Feb;25(2):194-9. doi: 10.1177/1545968310381249. Epub 2010 Oct 14.
citation: Turville ML, Cahill LS, Matyas TA, Blennerhassett JM, Carey LM. The effectiveness of somatosensory retraining for improving sensory function in the arm following stroke: a systematic review. Clin Rehabil. 2019 May;33(5):834-846. doi: 10.1177/0269215519829795. Epub 2019 Feb 25.
citation: Hatem SM, Saussez G, Della Faille M, Prist V, Zhang X, Dispa D, Bleyenheuft Y. Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Front Hum Neurosci. 2016 Sep 13;10:442. doi: 10.3389/fnhum.2016.00442. eCollection 2016.