Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients

Riphah International University40 enrolled

Overview

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

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke Proprioceptive Disorders

Interventions

experimental groupCOMBINATION_PRODUCT

patients will receive the hot pack initially for 15 minutes .Then for proprioception training of graphesthesia for 15 mints,stereognosis will be of 15 minutes. For motor training patients will practice 15 mints motor tasks

conventional treatmentCOMBINATION_PRODUCT

patients will receive the baseline treatment of hot pack for 15 minutes. The patients in this group will get muscle strengthening exercise of the hand, Range of motion, and stretching of the hand muscles, 3 sets of 8 repetitions were given to the patient, gap of 2 minutes will be given between regimes. For 20 minutes this session will be given to patient by the therapist.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 60 Years

Medical Language ↔ Plain English

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.

Locations (1)

Riphah International University

Islamabad, Fedral, Pakistan

Outcomes

Primary Outcomes

wolf motor assessment scale

The scale was categorized from 0-5.0 represents that UE doesn't attempt tested.1 represents that the UE being tested does not participate functionally.2 represents that UE does movements minor readjustment or change in position, but requires assistance.3 represents UE does movement but movements is effected to certain degree by synergy or performance gradually or with effort.4 represents that movement was close to normal slight slower lack accuracy.5 represents that movement seems to be accurate

Time frame: 15 minutes

Byl-Cheney-Boczai Sensory Discriminator Test

For the stereognosis

Time frame: 15 minutes

Graphesthesia (modified sub test of sensory integration praxis test)

to assess Graphesthesia

Time frame: 15 minutes

Data from ClinicalTrials.gov

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