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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
40
Group A will receive scapular stabilization exercises with exergaming training
Group B will receive only exergaming training
Shumaila
Rawalpindi, Pakistan
RECRUITINGFugl-Meyer Assessment tool of Upper Extremity Function
To assess motor functioning, balance , sensation and joint functioning in patients with post-stroke hemiplegia. Change from baseline and 2 months
Time frame: 2 months
Wolf Motor Function Test
It quantifies upper extremity (UE) motor ability through timed and functional tasks. The items are rated on a 6-point scale. Change from baseline and 2 months
Time frame: 2 months
Jebsen Taylor Hand Function Test
It is a standardized and objective measure of fine and gross motor hand function using simulated activities of daily living (ADL). \- Scoring: The JTHFT has seven subsets which are writing, simulated page-turning, lifting small objects, stimulated feeding, stacking, and lifting large, lightweight, and heavy objects. Total score is the sum of time taken for each sub-test, which are rounded to the nearest second. Shorter times indicate better performance. Change from baseline and 2 months
Time frame: 2 months
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