Graded Repetitive Arm Supplementary Program Versus Task Based Training on Upper Limb Function in Stroke Patients

Riphah International University38 enrolled

Overview

To determine effects of graded repetitive arm supplementary program versus Task based training on Upper limb function in stroke patients.

This study will be Randomized Clinical Trial. A total of 38 stroke patients will be recruited by using non-probability convenience sampling Technique. Patients will be Randomized and allocated into two interventional groups based on the inclusion and exclusion criteria. Patients in Group A will receive Graded repetitive arm supplementary program and Patients in Group B will receive Task based training. All participants will receive the treatment for 40 minutes per session, 5 days per week for 5 weeks. For the evaluation of all participant scales like be Chedoke Arm and Hand Activity Inventory for clinical relevance, Fugl Mayer assessment scale for performance assessment, Action Reach Arm Test for coordination and dexterity and Motor Activity Log for functional assessment of Upper limb in stroke patients. D

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke Upper Extremity Paresis Motor Activity

Interventions

Graded repetitive arm supplementary programOTHER

Patients in Group A will receive Graded repetitive arm supplementary program

Task based trainingOTHER

Patients in Group B will receive Task based training.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with Sub acute stage of stroke. * Patients with Ischemic and Haemorrhagic stroke. * Patients with Cognition level on Mini Mental State Examination must be \> 24 * Patients with mild pain in upper extremity according to Numeric Pain Rating Scale * Patients with Grade 2 active movements in affected extremity Tone of upper limb at Modified Ashworth Scale Grade 1+. Exclusion Criteria: * Other neurological disorders e.g. brain tumor, encephalitis, meningitis, brain abscess. * Use of antipsychotics * Use of drugs for spasticity. * Patients with vestibular impairment.

Locations (1)

Imran International Amjad

Islamabad, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Fugl Mayer assessment scale

It is designed to assess reflex activity, movement control and muscle strength in the upper extremity of people with post-stroke hemiplegia. total score is 126.This tool has an excellent Inter- and intrarater reliability (intra class correlation coefficient = 0.98-0.99), validity is also excellent (r = 0.74-0.93, P \< .0001). Higher scores indicate maximum recovery. higher the score greater is the improvement

Time frame: 6 months

The Motor Activity Log (MAL)

The Motor Activity Log (MAL) is a subjective outcome measure of an individual's real life functional upper limb performance. The Motor activity log is administered by semi-structured interview and items are scored by patients according to their performance of each task over the past 7 days. The MAL adopts a 6-point ordinal scale, although patients can attribute a half-score, resulting in 11-point Likert scales with specified anchoring definitions at 6 points. higher the score greater is the improvement

Time frame: 6 months

Data from ClinicalTrials.gov

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