Scapular and Upper Limb Proprioceptive Neuromuscular Facilitation Techniques in Stroke With Scapular Dyskinesia.
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: Scapular PNF, Conventional treatment.
- Who it may be relevant to
- Registry conditions: Scapular Dyskinesis. Basic parameters: 40 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
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Effects of Scapular and Upper Limb Proprioceptive Neuromuscular Facilitation Techniques on Shoulder Pain, Upper Limb Function & Gait in Stroke With Scapular Dyskinesia.
Overview
This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function \& gait in stroke with scapular dyskinesia. This study is a randomized control trial that includes 44 patients which were randomly divided into two groups each containing 22 participants. Experimental group will receive scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment and Control group will receive only Conventional treatment.
Detailed description
Stroke is one of the major causes of disability, cognitive decline, and mortality worldwide. This condition is recognized as the second leading cause of disability and the third leading cause of death. Scapular dyskinesia (SD) refers to the abnormal movement and function of scapula .Changes in scapular kinematics can result from altered scapular recruitment patterns , muscles performance issues and flexibility deficits in the surrounding soft tissues which may restrict normal scapular movements during daily activities.
Physical therapy is crucial for rehabilitating scapular disorders. The goal of therapeutic intervention is to restore the normal position, movement, and strength of the scapula. Specific exercises are designed to target the scapular stabilizing muscles. Proprioceptive Neuromuscular Facilitation (PNF) is a neurological technique used in therapeutic exercise that integrates functionally based diagonal movement patterns with neuromuscular facilitation techniques. This approach aims to elicit motor responses and enhance neuromuscular control and performance. This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function \& gait in stroke with scapular dyskinesia.
Interventions
- Other Scapular PNF
scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment . It was a 6 week's intervention in which patients got treatment protocol for 30 mints 5 times a week. - Other Conventional treatment
Conventional treatment. It includes closed kinematic chain exercises of upper limb, upper and lower extremity range of motion exercises, stretching and strengthening exercises for upper limb, trunk and lower limb, balance \& coordination, manual dexterity exercises (e.g., grasp release), and teaching of ADLs.. It was a 6 week's intervention in which patients got treatment protocol for 30 mints 5 times a week.
Primary outcome measures
- Fugl-Meyer Assessment of Upper Extremity (FMA-UE) [Time frame: 6 weeks]
- Dynamic gait index (DGI) [Time frame: 6 weeks]
- Visual Analogue Scale [Time frame: 6 weeks]
- 10-Meter Walk Test (10MWT) [Time frame: 6 weeks]
Eligibility criteria
Inclusion criteria
- • Sub-acute
- MCA
- Age bracket 40-65 years.
- Gender Male or Female.
- Gait baseline score (DGI less than 19)
- Patients with spasticity between grades (+1 and 1) on the Modified Ashworth Scale (MAS).
Exclusion criteria
- • Inability to communicate/understand instructions.
- Stroke with other neurological conditions.
- Patient with any other psychological and medical condition.
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
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 2 centers
- HBS Hospital islamabad — Islamabad
- National institute of rehablitation medicine islamabad — Islamabad
Identifiers
NCT: NCT07148466 · Aqsa Fayyaz