CompletedNot Applicable

Constraint-Induced Movement Therapy (CIMT) with Motor Relearning Program (MRP) and Bobath Approach to Augment Functional Motor Recovery of Chronic Hemiparetic Arm

Pakistan64 participantsStarted 2024-01-26

Plain-language summary

Hemiparesis is a condition characterized by weakness or the inability to move on one side of the body, making it difficult to perform everyday activities like eating or dressing (Iswatun et al., 2022). It is a common after-effect of stroke that causes weakness on one side of the body, limiting movement and affecting all basic activities such as dressing, eating, and walking. Hemiparesis can also be a sign of a stroke, and the side of the body weakened by hemiparesis could be ipsilateral (the same side as the brain injury) or contralateral (the opposite side of the brain injury) (Obman, 2020). The symptoms of hemiparesis include: Weakness, Difficulty walking, Loss of balance, Muscle fatigue, Difficulty with coordination, Inability to grasp objects. Additionally, a person with hemiparesis may experience trouble maintaining balance, standing, or walking, as well as a tingling or numbing sensation on the weak side (Brandstaedter \& Lindenbaum, 2023). Difficulty grabbing things, moving with precision, and lack of coordination can also be present. Hemiparesis is a one-sided muscle weakness that can affect all or most of the anatomical segments on one side of the body (Dantes et al., 2020). Constraint-Induced Movement Therapy (MCIMT) with combination of Motor Relearning Program (MRP) has significant effects on stroke rehabilitation. CIMT is considered to achieve its beneficial effects through mechanisms such as overcoming learned nonuse and use-dependent neural plasticity. However, in case of Bobath there in no such evidence. Therefore more studies are needed to evaluate the effects of CIMT with MRP and Bobath only in both acute and chronic post-stroke populations. Therefore, the aim of this research is to focus on rehabilitation of hemiparetic arm. This present study compared the effects of CIMT with MRP versus Bobath to Augment Functional Motor Recovery of Chronic Hemiparetic Arm.

Who can participate

Age range50 Years – 65 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Diagnosed with chronic hemiparesis at least 6 months prior to study enrollment (Lang et al., 2016). * Chronic hemiparesis affecting one arm only (Lang et al., 2016). * Age between 50 and 65 years old (Lang et al., 2016). * Patients experiencing functional limitations in upper limb motor function (Gracies et al., 2019). * Mini-Mental State Examination (MMSE) score ≥ 24 (Page et al., 2007). * Patients with mild to moderate spasticity (Jan et al., 2019). * Able to tolerate and participate actively in the assigned intervention (Gracies et al., 2019) Exclusion Criteria: * Recent acute medical/surgical condition unrelated to stroke (Lang et al., 2016). * Severe cognitive impairment or communication difficulties (Lang et al., 2016) * Uncontrolled pain or spasticity in the affected arm (Lang et al., 2016). * History of shoulder instability or major orthopedic surgery in the affected arm (Gracies et al., 2019).

What they're measuring

Fugl-Meyer Assessment (FMA)

Timeframe: Baseline, mid-intervention (3 weeks), and post-intervention (6 weeks).

Modified Ashworth Scale (MAS)

Timeframe: Baseline, mid-intervention (3 weeks), and post-intervention (6 weeks).

Trial details

NCT IDNCT06806553

SponsorUniversity of Lahore

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-11-11