Effect of Motor Imaginary Training on Upper Limb Functions in Stroke

Effect of Motor Imaginary Training on Upper Limb Functions in Stroke Patients

This study will provide knowledge about effectiveness of motor imaginary training in upper limb performance in chronic stroke patients. Very little data is available about the use in Motor Imaginary in post stroke upper limb rehabilitation in Pakistan. Moreover, studies done previously did not specified population of stroke; This study will include MCA stroke patients only, whom upper limb weakness is more prevalent.

Study Overview

• Status: Completed
• Conditions: Stroke, Cardiovascular
• Intervention / Treatment: Other: Motor Imaginary Training Group; Other: Task oriented Training Group

Detailed Description

Motor imagery is a technique for inducing motor activity in response to a certain motor output by producing a mental image of the action without intending to conduct it. It is a cognitive technique that, rather than making a patient to pick up new procedures, promotes neural alterations in order enable the patient to re-acquire motor skills mastered before the CVA or copy the actions of others. Motor imaging training is a sort of therapy in which the patient imagines a gesture or movement in order to learn, reinforce, or improve the movement's performance. A study done in South Korea, published in 2015, revealed that Motor imagery training has a good impact on UL performance by refining functional mobility during stroke rehabilitation. The results suggest that motor imagery training is viable and helpful for improving UL function in CVA patients.

Meta-analysis done in Australia in the year 2013, was supportive of Motor imaginary techniques further convincing that Mental imagery can be a possible intervention for stroke patients given that it being, safe cost-effective & unlimited practice opportunities. Study done in China in 2017, suggested that clinicians should consider the use of MI in addition to treatment currently used to improve upper extremity functions after stroke as no evidence of side effects or harm was noted . RCT done in year 2006 in USA indicated that for patients with chronic, moderate upper limb impairment after CVA, program of CIMT with mental practice only resulted in decrease impairment, with functional enhancement.

• Study Type: Interventional
• Enrollment (Actual): 42
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Khyber Pakhtunkha
    • Peshawar, Khyber Pakhtunkha, Pakistan, 25000
      • Physical therapy department of Rehman Medical Institute, Peshawar, Pakistan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 30 years to 60 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• MCA stroke
• Chronic stroke patients
• Mini-Mental State Examination (MMSE) score >24 points
• Spasticity grade II and III on Modified Ashworth scale

Exclusion Criteria:

• Severe cognitive disability such as depression, unilateral neglect, seizure, dementia,
• Any MSK disorder including muscle contracture

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Motor Imaginary Training Group; After the baseline assessment, the participant will receive Motor Imaginary Program	Other: Motor Imaginary Training Group; After the baseline assessment, the participant will receive Motor Imaginary Program
Active Comparator: Task oriented Training Group; After the baseline assessment, the participant will receive MRP and CIMT training	Other: Task oriented Training Group; After the baseline assessment, the participant will receive MRP and CIMT training

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
wolf motor function	The Wolf Motor Function Test (WMFT) is a timed and functional test that assesses upper extremity motor skills in a quantitative manner.	Change from Baseline to 4th Weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Misbah ghous, MS, Riphah International University Islamabad

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2021
• Primary Completion (Actual): December 30, 2021
• Study Completion (Actual): December 30, 2021

Study Registration Dates

• First Submitted: August 3, 2021
• First Submitted That Met QC Criteria: August 12, 2021
• First Posted (Actual): August 17, 2021

Study Record Updates

• Last Update Posted (Actual): January 26, 2022
• Last Update Submitted That Met QC Criteria: January 24, 2022
• Last Verified: January 1, 2022

More Information

Terms related to this study

• Keywords: Motor imaginary technique
• Additional Relevant MeSH Terms: Ischemia; Pathologic Processes; Necrosis; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Infarction; Myocardial Infarction; Stroke
• Other Study ID Numbers: REC/0832 Zulfiqar Ali

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No