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Идёт набор NCT07724925

Comparative Effects of Task-Oriented Training and Hand-Arm Bimanual Intensive in Post-Stroke Patients

Без фазы С лечением Stroke

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Task-Oriented Training, Hand-Arm Bimanual Intensive Therapy.
Кому может быть актуально
Состояния в реестре: Stroke. Базовые параметры: 45 лет — 70 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Пакистан
Следующий шаг
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Официальное название

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

Обзор

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.

Подробное описание

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.

Вмешательства

  • Другое 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.
  • Другое 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.

Первичные конечные точки

  • Gross Motor Skills [Срок оценки: Baseline and post 8 weeks]
  • Fine Motor Skills [Срок оценки: Baseline and post 8 weeks]
  • Activities of Daily Living [Срок оценки: Baseline and post 8 weeks]

Критерии участия

Критерии включения

  • • 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)

Критерии исключения

  • • 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

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
Простое слепое
Основная цель
Лечение

Центры проведения

Пакистан · 1 центр
  • DHQ Hospital Nankana Sahib — Nankana Sahib

Идентификаторы

NCT: NCT07724925 · REC/RCR & AHS/25/0238

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗