Outcome Measures of Modified Constraint Induced Movement Therapy Versus Dual Task Training on Upper Extremity and Cognitive Functions in Patients With Hemiparesis

All stroke patients were assessed via isokinetic dynamometer, Montreal cognitive assessment scale (MOCA) and Fugl Myer Upper extremity (FMUE) before and after the treatment program.

Study Overview

• Status: Completed
• Conditions: Hemiparesis
• Intervention / Treatment: Other: Modified Constraint Induced Movement therapy; Other: Conventional physiotherapy rehabilitation program; Other: Dual task training in the form of cognitive - motor task

Detailed Description

The patients were classified randomly into three equal groups, Study group A (GA) receiving modified constraint induced movement therapy in addition to conventional physical therapy program, Study group B (GB) receiving dual task training in addition to conventional physical therapy program and control group C (GC) receiving only conventional physiotherapy program.

• Study Type: Interventional
• Enrollment (Actual): 45
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Menoufia
    • Sadat, Menoufia, Egypt
      • Al Ryada University for Science and Technology

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients with age range between 55 and 65 years old.
• The patients were from both genders (males &females).
• Patients were of duration of illness between 6 and 12 months.
• The patients were scoring 1 &1+ on modified Ashworth scale (mild spasticity).
• The patients were of good ability to see and hear.
• Consent form was obtained from all participants to approve the study and follow the commands.
• All patients were scoring more than 26 on MMSE. All patients were medically stable.

Exclusion Criteria:

• patients with moderate and sever spasticity.
• patients with cognitive disorder due to other cause rather than spasticity.
• patients with unstable medical conditions.
• patients with previous or recurrent stroke.
• patients with respiratory problems.
• patients with shoulder dislocation or subluxation or frozen shoulder.
• patients with uncontrolled hypertension, diabetes mellitus, unstable angina or heart failure.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Factorial Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A; Receiving modified constraint induced movement therapy , for 30 minutes , in addition to conventional physiotherapy program for the other 30 minutes.	Other: Modified Constraint Induced Movement therapy; patient wears a restraint instrument in his unaffected hand, then applying massed practice to his affected upper extremity. The patient wears padded glove in his unaffected upper extremity for restraining the patient from using his unaffected upper extremity for about 3 hours per day including the treatment session and the home program. So, by this way the patient is reinforced to use his affected upper extremity during this period of time to achieve his activities of daily living. Finally, the total time, the patient spends it during the day wearing the glove should be recorded each day.; Other: Conventional physiotherapy rehabilitation program; Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles
Experimental: Group B; Receiving dual task training (Cognitive-Motor) for 30 minutes, in addition to conventional physiotherapy program for the other 30 minutes.	Other: Conventional physiotherapy rehabilitation program; Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles; Other: Dual task training in the form of cognitive - motor task; Verbal fluency: Ask the hemiparetic patient to title many words of specific type as fruits, vegetable or animals. Mental tracking: as the hemiparetic patient to subtract serial 3 between number 90 and 100.
Other: Group C; Receiving only conventional physiotherapy program for 60 minutes.	Other: Conventional physiotherapy rehabilitation program; Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Biodex isokinetic dynamometer	Used to assess muscle strength and function	4 weeks
Montreal cognitive assessment	a quick test that is used to examine mild cognitive impairment and early dementia.	4 weeks
Fugl Myer upper extremity	a scale used to measure the functional impairment of stroke	4 weeks

Collaborators and Investigators

• Sponsor: Ahmed Alshimy

Study record dates

Study Major Dates

• Study Start (Actual): June 10, 2024
• Primary Completion (Actual): July 5, 2024
• Study Completion (Actual): July 10, 2024

Study Registration Dates

• First Submitted: June 8, 2024
• First Submitted That Met QC Criteria: June 8, 2024
• First Posted (Actual): June 13, 2024

Study Record Updates

• Last Update Posted (Actual): July 19, 2024
• Last Update Submitted That Met QC Criteria: July 18, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: Upper extremity; Hemiparesis; Cognitive functions; Dual task training; Modified constraint induced movement therapy
• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Paresis
• Other Study ID Numbers: P.T.REC/012/005007

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