Comparative Effects of Task-Oriented Training and Hand-Arm Bimanual Intensive in Post-Stroke Patients
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: Task-Oriented Training, Hand-Arm Bimanual Intensive Therapy.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 45 years — 70 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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Official title
Comparative Effects of Task-Oriented Training and Hand-Arm Bimanual Intensive Therapy on Gross and Fine Motor Skills of Upper Limb and Activities of Daily Living in Post-Stroke Patients
Overview
Stroke is a rapidly developing clinical signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than a vascular origin. Among various rehabilitation strategies, Task-oriented training of low to moderate intensity and Hand-Arm bimanual intensive therapy have shown their promising results in stroke rehabilitation. So, this study aims to determine the comparative effects of Task-oriented and Hand-Arm bimanual intensive therapy on Gross and Fine motor skills of Upper Limb and Activities of Daily Living in Post-Stroke Patients.
Detailed description
This randomized clinical trial will be conducted at District Headquarter Hospital Nankana Sahib on 30 stroke patients, randomly assigned to two groups through seal opaque method. Group A will receive task-oriented training and Group B will undergo hand-arm bimanual therapy over an 8-week period. Outcome measures will include Action Research Arm Test for gross movement of upper limb and fine motor functions will be assessed using the Nine Hole Peg Test, while the Barthel Index will be used for daily activity performance. Pre and post-intervention assessments will be used to analyze and compare the effects of interventions. Data will be analyzed using the SPSS version 25. Statistical significance will be set at p=0.05. The normality of data will be checked by Shapiro wilk test (p-value 0.05). Difference between groups will be analyzed through Independent sample t-test/Mann-Whitney Test within group comparison will be analyzed through Paired sample t-test/Wilcoxen Signed-Rank test depending upon the normality of data.
Interventions
- Other Task-Oriented Training
Frequency: 3 session/week for 8 weeks Intensity: 5 reps/session Duration: 30 minutes, increasing to 45 minutes by the end of week 8 Exercises: * Reaching * Push-pull tasks * Grasping * Wiping tasks * Weight-bearing on hands * Lifting an object (2 sets×5 reps of each exercise) Gradually increasing duration and intensity each week. - Other Hand-Arm Bimanual Intensive Therapy
Frequency: 3 session/week for 8 weeks Intensity: 5 reps/session Duration:30 minutes, increasing to 45 minutes by the end of week 8 Exercises: * Rolling a ball * Opening containers * Towel folding * Lifting and placing objects * Cutting with scissors * Zipping and buttoning * Peeling fruits (2 sets×5 reps of each exercise) Gradually increasing duration and intensity each week.
Primary outcome measures
- Gross Motor Skills [Time frame: Baseline and post 8 weeks]
- Fine Motor Skills [Time frame: Baseline and post 8 weeks]
- Activities of Daily Living [Time frame: Baseline and post 8 weeks]
Eligibility criteria
Inclusion criteria
- • Age 45-70
- Gender (both male and female)
- Pre diagnosed First-time stroke patients (ischemic or hemorrhagic)
- Time since stroke: ≥3 months
- Mild to moderate upper limb impairment (ABILHAND Questionnaire: Less than 50% of items rated as "impossible.")
- Moderate functional independence in basic activities (Barthel Index score ≥ 60)
- Ability to follow commands (MMSE > 24 or equivalent cognitive screening)
Exclusion criteria
- • Severe spasticity (Modified Ashworth Scale score ≥ 3) or contractures
- Other neurological conditions (Alzheimer's disease, Parkinson and dementia)
- Unstable medical conditions (diabetes and hypertension) that may interfere with participation
- Participation in any other structured upper limb rehabilitation or experimental therapy within the past 3 months
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
Pakistan · 1 center
- DHQ Hospital Nankana Sahib — Nankana Sahib
Identifiers
NCT: NCT07724925 · REC/RCR & AHS/25/0238