Clinical trial NCT04939493: Use of Rhythmic Auditory Cueing During Bilateral Training of the Upper Extremities in Stroke Patients
Official title: Use of Rhythmic Auditory Cueing During Bilateral Training of the Upper Extremities in Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hemiplegia, Spastic
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2021-06-25
Enrollment: 30
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 purpose of the study is to determine the effect of rhythmic auditory cueing with bilateral arm training on upper limb functions in stroke patients.

Detailed description: Arm and hand movement problems are major contributors to disability in patients after stroke. In fact, only 5% of adults regain full arm function after stroke, and 20% regain no functional use. Hence, alternative strategies are needed to reduce the long-term disability and functional impairment from upper limb hemiparesis.

To solve problems concerning upper limb dysfunction related to stroke, various treatment methods have been used in several previous studies. Rhythmic auditory stimulation has been reported as an effective intervention for improving movement in the affected extremities of stroke patients.

To the best of our knowledge, no mentioned previous studies evaluating the effect of rhythmic auditory cueing with bilateral arm training using functional exercises on upper extremity impairment in patients with stroke in Egypt are reported. So, this study aims to determine the effect of rhythmic auditory cueing with bilateral arm training on upper limb functions in patients with stroke.

Eligibility criteria: Inclusion Criteria:

1. Thirty patients with ischemic stroke from both sexes will be included.
2. Patients will have stroke for the first time.
3. The age of patients will range from 45 to 60 years.
4. Duration of illness will be from six months to eighteen months.
5. The degree of spasticity will ranged from 1 to 1 + grade according to the modified Ashworth scale.
6. Patients will have moderate arm motor impairment (between 30 and 49 scores) according to Fugl-Meyer (FM) arm section scale.
7. The affected upper extremity will be the dominant side.
8. Patients will be able to sit and maintain balance in a sitting position.

Exclusion Criteria:

* The patients will be excluded if they have:

  1. Visual or auditory deficits.
  2. Perceptual disorders.
  3. Any surgical interventions in the upper extremities limiting the range of motion.
  4. Aphasia or apraxia.
  5. Musculoskeletal or neurological impairment of the unaffected upper extremity.

Primary outcomes:
measure: Assessing the change in Upper Extremity Motor Performance
timeFrame: Baseline and 6 weeks post-intervention
measure: Assessing the change in upper limb Motor Function
timeFrame: Baseline and 6 weeks post-intervention
measure: Assessing the change in gross manual dexterity
timeFrame: Baseline and 6 weeks post-intervention
Secondary outcomes:
Other outcomes:
Locations:
city: Dokki
country: Egypt
facility: Outpatient clinic - Faculty of Physical Therapy - Cairo University
Study officials:
affiliation: Cairo University
name: Reem Abdelhady
role: PRINCIPAL_INVESTIGATOR
References: