Unilateral Versus Bilateral Task-specific Training on Motor Impairment, Upper Extremity Function, and Hand Dexterity in Post-Stroke Rehabilitation

Обзор

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.

Вмешательства

• Процедура 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.
• Процедура 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.

Первичные конечные точки

• Motor recovery and upper extremity function [Срок оценки: Four weeks]

Вторичные конечные точки (1)

• Hand dexterity [Срок оценки: Four weeks]

Критерии участия

Критерии включения

• • 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

Критерии исключения

• • 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

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

Двойное слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Hospitals — Kot Addu

Идентификаторы

NCT: NCT07523503 · TUF/EIRB/165/26

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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