Isolated Versus Synergetic Muscle Facilitation on Upper Limb Functional Performance in Acute Stroke

Официальное название

Effect of Isolated Versus Synergetic Muscle Facilitation on Upper Limb Functional Performance in Patients With Acute Stroke

Обзор

This study is a randomized controlled clinical trial that will be carried out to investigate the effect of isolated versus synergetic muscle facilitation on upper limb functional performance in patients with acute stroke. RESEARCH QUESTION: Is there a difference between isolated and synergetic muscle facilitation on upper limb functional performance in patients with acute stroke? It will be hypothesized that: There will be no difference between isolated and synergetic muscle facilitation on upper limb task-oriented training in patients with acute stroke. Treatment procedures: Study group (A): patients will receive a physical therapy program in the form of a range of motion exercise, electrical muscle stimulation, stretching exercise, mental practice with motor imagery, and isolated muscle facilitation using electromyography (EMG) biofeedback for six weeks and followed by task-oriented training of the upper limb for six weeks control group (B): will receive a standard physical therapy program including range of motion exercise, electrical muscle stimulation, Mental practice with motor imagery and stretching exercise, synergetic muscle facilitation for six weeks, and followed by task-oriented training of the upper limb for six weeks.

Вмешательства

• Другое standard physical therapy program
  * Soft tissue technique (stretch) will be applied for the anterior pectoral region, elbow flexors, pronators, wrist flexors, and finger flexors(for both research groups. * Passive Range of motion exercises will be applied for the glenohumeral joint, scapulothoracic articulation, elbow joint, radioulnar joint, and wrist joint(for both research groups). * Muscular electrical stimulation will be applied for supraspinatus, anterior and posterior deltoid, biceps and triceps, pronators and supinators,
• Другое isolated muscle facilitation
  Muscle facilitation exercises will be applied for the anterior deltoid, middle deltoid, posterior deltoid, biceps, triceps, radioulnar pronators and supinators, wrist and finger extensors, wrist and finger flexors, and lumbricals using EMG biofeedback. During EMG biofeedback training, the electrodes will be placed on (pectoralis major, triceps, and finger flexor muscles, and (trapezius, biceps, and wrist flexors) to ensure the isolated firing of each muscle group (100 reps each muscle group). B
• Другое synergetic muscle facilitation program
  Muscle facilitation exercises will be applied for the anterior deltoid, middle deltoid, posterior deltoid, biceps, triceps, radioulnar pronators and supinators, wrist and finger extensors, wrist and finger flexors, and lumbricals During the synergetic muscle facilitation, we will permit the muscles that are linked together through flexion or extension synergy to fire together (100 reps each muscle group) using EMG biofeedback training.

Первичные конечные точки

• Evaluation of upper limb functional performance (dexterity- coordination) using the Action Reach Arm Test (ARAT) [Срок оценки: before enrollment and the end of treatment at 6 weeks]

Вторичные конечные точки (1)

• Analysis of upper limb kinematics (shoulder, elbow, and wrist Positions and acceleration speed of movement) using Kinovea software [Срок оценки: Before enrollment and at the end of treatment at 6 weeks]

Критерии участия

Критерии включения

• Unilateral Middle cerebral artery (MCA) stroke patients
• Brunnstrom stage of recovery 1\& 2
• Normal body mass index (18.5 - 24.99 kg/m2)
• Dominant handedness

Критерии исключения

• Perceptual, apraxia, major cognitive deficits
• Recurrent stroke
• Subjects with cerebellar lesions, painful or subluxated shoulder, any contracture or deformity of the upper extremity

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• faculty of Physical Therapy, Cairo University, and El kasr El-Einy hospitals — Cairo

Идентификаторы

NCT: NCT07273201 · P.T.REC/012/005625

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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