The Effect of Modified Constraint Induced Movement Therapy on Upper Extremity Function in Stroke Rehabilitation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Conventional Physical Therapy, Modified Constraint Induced Movement Therapy.
- Who it may be relevant to
- Registry conditions: Stroke, Hemiplegia, Chronic Stroke Patients. Basic parameters: 45 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Saudi Arabia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The purpose of the study is to determine the effect of Modified Constraint-Induced Movement Therapy and trunk restraint contrasted with conventional physical therapy treatment on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients. * To find out the effectiveness of conventional physical therapy treatment on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients. * To find out the effectiveness of modified constraint induced movement therapy (mCIMT) and trunk restraint along with conventional physical therapy treatment on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients. * To find out the effectiveness of modified constraint induced movement therapy (mCIMT) and trunk restraint combined with conventional physical therapy treatment versus conventional physical therapy treatment alone on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients.
Interventions
- Other Conventional Physical Therapy
The conventional Physical Therapy, the treatment will be based on the client's capabilities. It included functional reeducation, muscle strengthening and stretching, muscle tone regulation methods, and training for activities of daily living - Other Modified Constraint Induced Movement Therapy
Modified Constraint Induced Movement Therapy (mCIMT) which involves trunk constraint along with conventional Physical Therapy treatment. Under the attentive guidance of a physiotherapist, the patient engages in specific hand activities aligned with personalized goals. These activities encompass tasks such as picking up marbles, flipping cards, stacking blocks, combing hair, writing, and other actions relevant to daily life. The difficulty level is dynamically adjusted according to the patient's
Primary outcome measures
- Wolf Motor Function Test [Time frame: Week 0 and week 6]
- Berg Balance Scale [Time frame: week 0 and week 6]
- Stroke Specific Quality of Life Scale [Time frame: week 0 and week 6]
Eligibility criteria
Inclusion criteria
- Right or left-sided chronic hemiplegic patients.
- Onset of stroke More than six months.
- Age between 45 to 65 years of both genders.
- Mini-Mental State Examination - Scored more than 24/30.
- Modified Ashworth Scale for spasticity 1 or 1+.
- Have at least 20° wrist active extension and at least 10° of metacarpophalangeal active extension of the paretic upper extremity.
- Have at least grade 2/5 of muscle power on upper extremity especially in wrist extensors.
- Have normal visual perception.
- With no other neurological disorders.
Exclusion criteria
- Unable to follow visual and oral commands.
- Unilateral neglect.
- Severe cognitive, or language deficits.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Saudi Arabia · 1 center
- Majmaah Rehabilitation center — Riyadh
Publications
- M Shahhar A, Shaik AR, Esht V, Alshehri MM, Balasubramanian K, Ramasamy Sanjeevi R, Abdulrahman Alfaleh K, Okab Alsalem W, Fathi WA, A Alothman S. Modified Constraint-Induced Movement Therapy with Trunk Restraint for Upper Extremity Functional Motor Recovery, Balance and Health-Related Quality of Life in Chronic Stroke: A Single-Blinded Randomized Controlled Clinical Trial. NeuroRehabilitation. 20 PMID 41627128
Identifiers
NCT: NCT06692569 · MUREC-May.22/COM-2022/6-1