Motor Imagery Technique on Lower Limb Function Among Stroke Patients.

Overview

To determine the effects of motor imagery technique on lower limb function among stroke patient. To determine the effects of motor imagery technique on lower limb spasticity among stroke patients. To determine the effects of motor imagery technique on gait among stroke patients. To determine the effects of motor imagery technique on quality of life among stroke patients

Full Title of Study: “Effects of Motor Imagery Technique on Lower Limb Function Among Stroke Patients.”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: November 28, 2020

Detailed Description

Stroke affected the functional capacities and the state of health thus altered quality of life.

Interventions

  • Other: Motor imagery technique
    • The patient will sit on chair in a quiet room. The patients will be observing motor performance in video, motor performance video will consist of (1) knee flexion and extension movement, (2) sitting to standing movement, (3) stepping movement, (4) walking, (5) climbing and descending stairs. Addition to motor imagery, the patients will be provided the passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.
  • Other: Conventional Physical Therapy
    • It includes passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.

Arms, Groups and Cohorts

  • Experimental: Motor imagery technique
    • Motor Imagery technique Plus Conventional Physical therapy
  • Active Comparator: Conventional Physical therapy
    • passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.

Clinical Trial Outcome Measures

Primary Measures

  • Lower Extremity Function scale
    • Time Frame: 8 weeks
    • It is 20 items questionnaire, measure the lower extremity function scoring from 1 to 4 for each items, in which minimum score is 0 and maximum score of 80 shows the maximum functional status. It has a valid and reliable tool to measure the lower extremity functional status.
  • Dynamic Gait Index
    • Time Frame: 8 weeks
    • It assess gait, balance and fall risk, with 24 is the maximum score, in which 19 or less have been related to increase incidence of falls. It has high reliability and validity in the stroke population.
  • Time Up and Go test
    • Time Frame: 8 weeks
    • It assess a person’s mobility and requires both static and dynamic balance. Score of less than 10 seconds indicate freely mobile,<20 seconds mostly independent, 20-29 seconds variable mobility, >30 seconds Impaired mobility. It is reliable, valid, and easy to administer clinical tool in stroke patients.
  • Stroke Specific Quality of Life Scale
    • Time Frame: 8 Weeks
    • It is a self-report questionnaire, measure the quality of life in stroke patients consisting of 49 items in the 12 domains. Scoring from 1 to 5 , in which 1 shows strongly agreement and 5 shows strongly disagreement. It is a reliable and valid tool for measuring the quality of life for stroke patients.
  • Modified Ashworth scale
    • Time Frame: 8 Weeks
    • It measures the spasticity, ranging from 0 means normal tone to 4 shows increased tone to such extent where passive movement is not possible. It has good intra-rater reliability and validity in stroke patients .

Participating in This Clinical Trial

Inclusion Criteria

  • Adult without ADHD by Adult ADHD Self-Report Scale score. – History of no more than one stroke. – Lower limb muscles spasticity with the grade 1+ or 2 on modified Ashworth in scale. – Mini-mental status score more than 25. – Patients who are less than 6 months post-stroke. – Modified Rankin scale score is 4. Exclusion Criteria:

  • Lesion of frontal, parietal and basal ganglia – Excessive spasticity that is score of>3 on modified Ashworth spasticity scale. – Any musculoskeletal disorder impeding lower limb function. – Participating in any experimental rehabilitation or drug studies. – Bed ridden patient. – Subjects psychiatric disorder or dementia. – Any neglect of space on the affected side, or any other neurological disease or auditory or visual.

Gender Eligibility: All

Minimum Age: 45 Years

Maximum Age: 65 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Riphah International University
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Mirza Obaid Baig, MSPT(NMR), Principal Investigator, Riphah International University

References

Gul I, Malik MS, Halim A, Rauf S. POST STROKE DEPRESSION: EXPERIENCE AT A TERTIARY CARE HOSPITAL OF PAKISTAN. Pakistan Armed Forces Medical Journal. 2019 Aug 27;69(4):779-83.

Paravlic AH, Pisot R, Marusic U. Specific and general adaptations following motor imagery practice focused on muscle strength in total knee arthroplasty rehabilitation: A randomized controlled trial. PLoS One. 2019 Aug 14;14(8):e0221089. doi: 10.1371/journal.pone.0221089. eCollection 2019.

Pedersen SG, Heiberg GA, Nielsen JF, Friborg O, Stabel HH, Anke A, Arntzen C. Validity, reliability and Norwegian adaptation of the Stroke-Specific Quality of Life (SS-QOL) scale. SAGE Open Med. 2018 Jan 8;6:2050312117752031. doi: 10.1177/2050312117752031. eCollection 2018.

Clinical trials entries are delivered from the US National Institutes of Health and are not reviewed separately by this site. Please see the identifier information above for retrieving further details from the government database.

At TrialBulletin.com, we keep tabs on over 200,000 clinical trials in the US and abroad, using medical data supplied directly by the US National Institutes of Health. Please see the About and Contact page for details.