Combined Effects of PNF and Electrical Muscle Stimulation on Spasticity and Hand Function in Stroke Patients.

Riphah International University30 enrolled

Overview

To determine the combined effects of proprioceptive neuromuscular facilitation and electrical muscle stimulation on spasticity and hand function in stroke patients.

It will be a randomized controlled trial. The stroke patients aged between 30-70 years will be included in this study. Participants will be selected with non-probability convenience sampling technique. Participants will be randomly allocated into two groups by lottery method i.e experimental group and control group. The experimental group will receive proprioceptive neuromuscular technique (contract relax-10 repetition) (5-min) and electrical muscle stimulation(10 min) as 15 min session 3 times a week for four weeks while the control group will receive only conventional therapy. The outcome measure will be calculated by modified barthel index, modified ashworth scale and wolf motor function test.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke Proprioceptive Disorders Balance; Distorted

Interventions

experimental groupOTHER

Patients will receive Proprioceptive Neuromuscular Facilitation (contract-relax) technique with EMS

control groupOTHER

Patients will receive conventional therapy.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Both ischemic and haemorrhagic stroke patients * Chronic stroke patients from 6 month to 2years * Mini Mental Scale Examination (MMSE) more than 25 Exclusion Criteria: * Transient ischemic attack * Recurrent stroke * Stroke patient with comorbidity and cardiac disease * Myopathies

Locations (1)

Riphah International University

Islamabad, Fedral, Pakistan

Outcomes

Primary Outcomes

Modified Barthel Index:

It is used for assessing the activities of daily living. It is composed of 10 questions that link the degree of independence to daily living activities. Collin et, al; proposed amendment in 1988, in which each domain was scored in one-point increments, ranging from 0 to 2 or 3 for each activity with a maximum score of 20 suggesting functional independence. It is highly reliable and has a good correlation with other disability measures.

Time frame: 9 months

Modified Ashworth Scale:

Modified Ashworth Scale: It is used to assess the spasticity in patients of stroke or spinal cord injury. Scores range from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity. It is characterized by exaggerated deep tendon reflexes that interfere with muscular activity, gait, movement, or speech. It has excellent validity and reliability.

Time frame: 9 months

Data from ClinicalTrials.gov

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