Effects of Instrument-Assisted Soft Tissue Mobilization (IASTM) Along With Conventional Physical Therapy on Upper Limb Function, Strength, Range of Motion, and Spasticity in Patients With Subacute Stroke.
This randomized controlled trial aims to compare the effects of IASTM (Instrument-Assisted Soft Tissue Mobilization) along with conventional physical therapy on function, strength, range of motion, and spasticity of the upper limb in patients with subacute stroke.
調査の概要
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Ghulam Mohiuddin Ghulam Mohiuddin, DPT, MS-PT NPT
- 電話番号：+923323817426
- メール：ghulammohiuddinrind@gmail.com
研究連絡先のバックアップ
- 名前：Nazish Rafique Dr Nazish Rafique, DPT, MS-PT NMPT
- 電話番号：03002132436
- メール：nazish2312@gmail.com
研究場所
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Balochistan
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Quetta、Balochistan、パキスタン
- 募集
- Barkat Medical and Physical-Therapy Center Hazaratown Quetta
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コンタクト：
- Nazish Rafique, MSPT
- 電話番号：03002132436
- メール：nazish.rafique@uipt.iiui.edu.pk
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- First-ever stroke (ischemic or hemorrhagic) diagnosed via CT/MRI
- Subacute stage (2 weeks to 6 months post-stroke)
- Age 40-60 years
- Upper limb hemiparesis with Modified Ashworth Scale score 2 and 3
- MMSE (Mini-Mental State Examination) score ≥ 24
- Capable of follow simple verbal commands
Exclusion Criteria:
- Severe cognitive impairment affecting the ability to follow instructions.
- Recurrent stroke
- Presence of other neurological disorders such as Parkinson's disease or multiple sclerosis etc.
- Recent upper limb surgery, fractures or musculoskeletal injury affecting the arm or hand.
- Fixed contracture of upper limb joints
- Severe aphasia or inability to follow commands
- Uncontrolled diabetes mellitus, hypertension
- Serious cardiac problems or unstable cardiovascular disease
- Skin conditions, open wounds, or infections affecting upper limb
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Group A: IASTM + Conventional Physical Therapy
IASTM + Conventional Physical Therapy |
5-10 minutes per session applied to affected upper limb muscles (biceps brachii, brachialis, flexor carpi radialis, flexor carpi ulnaris, thenar and hypothenar muscles) using stainless steel instruments
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アクティブコンパレータ：Group B: Conventional Physical Therapy
Conventional Physical Therapy |
45-minute session.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Modified Ashworth Scale (MAS)
時間枠：Baseline, 3rd week, 6th week
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Moderate-good reliability (κ = 0.65-0.78). The modified Ashworth scale will be used to determine the level of spasticity in the participants. The assessment is done by bringing the patient's limb to the possible maximal extension from flexion and then flexion to extension until the point of resistance is met. Scoring is done from 0-4 (0 being normal while 4 being rigid). |
Baseline, 3rd week, 6th week
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Fugl-Meyer Assessment Upper Extremity (FMA-UE)
時間枠：Baseline, 3rd week, 6th week
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It is a stroke-specific, performance-based outcome measure used to assess upper limb motor recovery following a stroke. The FMA-UE consists of 33 items evaluating reflex activity, voluntary movement within and out of synergy, wrist and hand function, and coordination/speed. Each item is scored on a 3-point ordinal scale (0 = cannot perform, 1 = performs partially, 2 = performs fully), with a maximum score of 66 indicating optimal motor function. |
Baseline, 3rd week, 6th week
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Muscle Strength Manual Muscle Testing (MMT)
時間枠：Baseline, 3rd week, 6th week
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A standardized, performance-based outcome measure assessing muscle strength on a 6-point ordinal scale (0 = no contraction to 5 = normal strength). Evaluates key upper limb muscle groups, including shoulder, elbow, forearm, wrist, and grip bilaterally. Requires no equipment, is clinically feasible, and provides immediate interpretable results. Excellent reliability (ICC = 0.84-0.92) in stroke. |
Baseline, 3rd week, 6th week
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Goniometry
時間枠：Baseline, 3rd week, 6th week
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Good-excellent reliability (ICC = 0.90-0.98). A goniometer will be used to assess the range of motion of all joints. A goniometer can assess both active and passive ROM. |
Baseline, 3rd week, 6th week
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協力者と研究者
捜査官
- スタディチェア：Nazish Rafique, DPT, MS-PT NMPT、Ibadat International University
出版物と役立つリンク
一般刊行物
- Shahid J, Kashif A, Shahid MK. A comprehensive review of physical therapy interventions for stroke rehabilitation: impairment-based approaches and functional goals. Brain Sciences. 2023;13(5):717. Sherin A, Ul-Haq Z, Fazid S, Shah BH, Khattak MI, Nabi F. Prevalence of stroke in Pakistan: Findings from Khyber Pakhtunkhwa integrated population health survey (KP-IPHS) 2016-17. Pakistan Journal of Medical Sciences. 2020;36(7):1435. Baker, R. T., Nasypany, A., Seegmiller, J. G., & Baker, J. G. (2023). Instrument-assisted soft tissue mobilization: A systematic review and meta-analysis of current literature. Journal of Athletic Training, 58(2), 112-125. Cheatham, S. W., Baker, R. T., & Abdenour, T. E. (2021). Instrument-assisted soft tissue mobilization: A clinical commentary. International Journal of Athletic Therapy and Training, 26(4), 187-193. Cuesta-Vargas, A. I., González-Sánchez, M., & Kuisma, R. (2022). Reliability of goniometric measurements in stroke patients: A systematic review. Disability and Rehabilitation, 44(8), 1342-1352. Grefkes, C., & Fink, G. R. (2020). Recovery from stroke: Current concepts and future perspectives. Neurological Research and Practice, 2(1), 17-29. Harb, A., & Kishner, S. (2023). Modified Ashworth Scale. In StatPearls. StatPearls Publishing.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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