Unilateral Versus Bilateral Task-specific Training on Motor Impairment, Upper Extremity Function, and Hand Dexterity in Post-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: Unilateral task oriented training (UTOT) with baseline EMS, Bilateral task oriented training (BTOT) with baseline EMS.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 40 years — 75 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 →
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Overview
This randomized clinical trial will examine upper limb rehabilitation in individuals recovering from stroke. The study will compare unilateral and bilateral task-oriented training approaches to determine their relative effectiveness. Thirty-two medically stable participants with active shoulder movement and adequate cognition will be enrolled into two groups. Both groups will receive structured training for four weeks. Outcomes related to motor function and dexterity will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper extremity function after stroke.
Interventions
- Procedure Unilateral task oriented training (UTOT) with baseline EMS
Baseline: EMS applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Task oriented functional exercises performed only with affected arm. Task progress from simple to complex e.g. drinking form a cup, lifting a glass to 90° flexion of shoulder, polishing a table, and hair combing. Visual, verbal, or proprioceptive feedback provided to support motor learning. Sessions conducted 4 times/week for 4 weeks. - Procedure Bilateral task oriented training (BTOT) with baseline EMS
Baseline: EMS applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Same tasks previous group, but performed by both upper limbs, simultaneously in a coordinated manner. Intensity, duration and task complexity matched with UTOT group to ensure comparability. Therapist provides cueing and feedback to maintain proper movement and progression. Sessions conducted 4 times/week for 4 weeks.
Primary outcome measures
- Motor recovery and upper extremity function [Time frame: Four weeks]
Secondary outcome measures (1)
- Hand dexterity [Time frame: Four weeks]
Eligibility criteria
Inclusion criteria
- • Age between 40 and 75 years
- Clinically diagnosed stroke (no more than three lifetime episodes)
- Stroke duration between 6 to 24 months
- Ability to perform antigravity shoulder movement with the paretic limb
- Abbreviated Mental Test score ≥ 7
- Medically stable and capable of giving consent
Exclusion criteria
- • Uncontrolled systemic conditions (e.g. Unstable cardiac conditions)
- Major orthopedic issues affecting the involved upper limb
- Hearing deficits
- Allergy to electrodes
- Receptive aphasia or severe language impairment
- Severe joint contracture limiting required upper limb movements
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
- Double blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Hospitals — Kot Addu
Identifiers
NCT: NCT07523503 · TUF/EIRB/165/26