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.
연구 개요
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Ghulam Mohiuddin Ghulam Mohiuddin, DPT, MS-PT NPT
- 전화번호: +923323817426
- 이메일: ghulammohiuddinrind@gmail.com
연구 연락처 백업
- 이름: Nazish Rafique Dr Nazish Rafique, DPT, MS-PT NMPT
- 전화번호: 03002132436
- 이메일: nazish2312@gmail.com
연구 장소
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Balochistan
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Quetta, Balochistan, 파키스탄
- 모병
- Barkat Medical and Physical-Therapy Center Hazaratown Quetta
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연락하다:
- Nazish Rafique, MSPT
- 전화번호: 03002132436
- 이메일: nazish.rafique@uipt.iiui.edu.pk
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: 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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활성 비교기: Group B: Conventional Physical Therapy
Conventional Physical Therapy |
45-minute session.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Modified Ashworth Scale (MAS)
기간: 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)
기간: 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)
기간: 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
기간: 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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공동 작업자 및 조사자
수사관
- 연구 의자: Nazish Rafique, DPT, MS-PT NMPT, Ibadat International University
간행물 및 유용한 링크
일반 간행물
- 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.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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