Additional Effects of Scapular Stabilization Exercise With Exergaming Training in Stroke Patients

February 23, 2023 updated by: Riphah International University

Additional Effects of Scapular Stabilization Exercise With Exergaming Training on Upper Limb Functions in Chronic Stroke Patients

The World Health Organization has termed stroke to be a clinical syndrome, of presumed vascular origin, typified by rapidly developing signs of focal or global disturbance of cerebral functions and the leading cause of death worldwide in 2016 making it a major non-contagious cause of death. This study would be beneficial in a way that it will give a valuable input and will contribute for the knowledge of interventions for stroke with an emphasis on upper extremity function among health care practitioners for their goal of promoting health, prevention of diseases and improving quality of life.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Exergaming can contribute to improvement of the function of UE motor and AROM in chronic stroke patients, additional studies with a large number of subjects with long follow-up periods are required to determine their effectiveness neurorehabilitation stimulation . The exergaming protocol presented in this study represents success a tool for UE functional aspects in patients with chronic stroke. It has shown improvement in gripping strength, handicrafts and UE's operational recovery. Movement control and the position of scapula determine an optimal upper limb function. Paresis leading to scapular disorientation ultimately exaggerates motor impairment in upper extremities. Recent literature has emphasized on the need to design an upper extremity protocol including scapular stabilization exercises in order to increase muscular strength and decrease scapular dyskinesis .The results of a study showed that scapular stability exercises had an impact on hand function and the ability to move hemiplegic patients after stroke.

Study Type

Interventional

Enrollment (Anticipated)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Pakistan
      • Rawalpindi, Pakistan, 46000
        • Recruiting
        • Shumaila
        • Contact:
          • Shumaila Kiran, MSNMPT*
          • Phone Number: 03348842139

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

40 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Chronic Stroke patients with an initial onset of 6 months or above.
  • Those who had 30-65 points by Fugl-Meyer Assessment of upper extremity
  • Those who had minimum score 24 on mini mental state examination
  • Those who have the ability to execute at least 20' of active shoulder flexion and abduction against gravity those who could understand and follow instructions provided by the investigator
  • Those who are medically stable enough to participate in active rehab
  • Those who have no problems with auditory or visual functioning.
  • Modified Ashworth Scale (MAS) 1-3

Exclusion Criteria:

  • Orthopaedic or mental health problems
  • Those who have difficulty to stay in a sitting position
  • Severe conditions such as uncontrolled blood pressure or angina
  • History of epilepsy
  • The refusal to play a video game.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A
Exergaming training combined with Scapular stabilization exercises will be performed for 6 weeks for 3 times per week.
Other: scapular stabilization exercises with exergaming training
Group A will receive scapular stabilization exercises with exergaming training
Active Comparator: Group B
Exergaming training will be performed for 6 weeks for 3 times per week.
Other: exergaming training
Group B will receive only exergaming training

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Fugl-Meyer Assessment tool of Upper Extremity Function
Time Frame: 2 months

To assess motor functioning, balance , sensation and joint functioning in patients with post-stroke hemiplegia.

Change from baseline and 2 months
2 months
Wolf Motor Function Test
Time Frame: 2 months

It quantifies upper extremity (UE) motor ability through timed and functional tasks. The items are rated on a 6-point scale.

Change from baseline and 2 months
2 months
Jebsen Taylor Hand Function Test
Time Frame: 2 months

It is a standardized and objective measure of fine and gross motor hand function using simulated activities of daily living (ADL).

- Scoring: The JTHFT has seven subsets which are writing, simulated page-turning, lifting small objects, stimulated feeding, stacking, and lifting large, lightweight, and heavy objects. Total score is the sum of time taken for each sub-test, which are rounded to the nearest second. Shorter times indicate better performance.

Change from baseline and 2 months
2 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Misbah Ghous, MSNMPT, Riphah International University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 10, 2023

Primary Completion (Anticipated)

June 1, 2023

Study Completion (Anticipated)

June 1, 2023

Study Registration Dates

First Submitted

January 4, 2023

First Submitted That Met QC Criteria

January 5, 2023

First Posted (Actual)

January 6, 2023

Study Record Updates

Last Update Posted (Estimate)

February 27, 2023

Last Update Submitted That Met QC Criteria

February 23, 2023

Last Verified

February 1, 2023

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Shumailakiran

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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