Effects of Modified Constraint-induced Movement Therapy With and Without Proprioceptive Neuromuscular Facilitation Techniques on Upper Extremity Function in Pediatric Stroke Patients
Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
This randomized clinical trial investigates the effects of modified CIMT with and without the addition of PNF techniques on upper extremity function in pediatric stroke patients, aiming to determine whether combining these approaches yields superior motor recovery.This study will be conducted as a randomized clinical trial over an intervention period of six-week. 20 pediatric stroke patients with upper extremity impairments will be randomly assigned to two groups: one receiving modified CIMT alone and the other receiving modified CIMT combined with PNF techniques. Pre- and post-intervention assessments will be conducted using standardized measures, such as Pediatric Motor Activity Log(PMAL) for upper extremity function, Modified Ashworth Scale(MAS) and Manual Ability Classification System(MACS). Muscle tone and physical activity status will also be evaluated. Data will be entered and analyzed in SPSS V-26.0 to compare improvements in motor function between the two groups, with statistical significance assessed to determine the efficacy of each intervention
Eligibility
Participation Requirements
Sex: All
Minimum Age: 5
Maximum Age: 13
Healthy Volunteers: f
View:
• Paeds Patients with confirmed diagnosis of Stroke
• Children between age 5 to 13 years
• Modified Ashworth Scale spasticity level 1 and 2.
• Patients having Manual Ability Classification System Score between 3 to 6.
• GMFCS level 1 and 2
• Patient having in affected upper extremity at least 20◦ of active wrist extension starting from the full flexion, 10◦ of active extension or abduction in the thumb, and 10◦ of active extension in the metacarpophalangeal and interphalangeal joints of the other fingers
Locations
Other Locations
Pakistan
Imran Amjad
RECRUITING
Lahore
Contact Information
Primary
IMRAN AMJAD, PhD
imran.amjad@riphah.edu.pk
9233224390125
Backup
Muhammad Asif Javed, MS-PT
a.javed@riphah.edu.pk
923224209422
Time Frame
Start Date:2025-10-27
Estimated Completion Date:2026-02-10
Participants
Target number of participants:20
Treatments
Active_comparator: Group A: Intervention Group (Modified CIMT+PNF)
Modified CIMT: Constraining the unaffected arm with a mitt or splint to encourage use of the affected arm (3-5 times a week).~PNF Techniques: Includes rhythmic initiation, combination of isotonics, and replication exercises to enhance proprioception and motor control in the affected arm (10 reps of each technique for 15-20 minutes with rest interval) Rest Interval for 1-2 minute to prevent fatigue Routine Physiotherapy Exercises: Targeted exercises focusing on strength, range of motion, and coordination.~* Strengthening: 3 sets of 10-12 reps per targeted muscle group (e.g., biceps, wrist extensors).~* Range of Motion (ROM): 10-15 repetitions per joint (e.g., shoulder, elbow, wrist).~* Coordination and Functional Training: Structured tasks such as reaching and grasping toys or objects for 15-20 minutes.~Duration: 6 weeks
Active_comparator: Group B: Control Group (Modified CIMT only)
Warm-Up Exercises:~10-15 minutes of light exercises for the affected arm, focusing on gentle range of motion.~Modified CIMT: Constraining the unaffected arm with a mitt or splint to promote use of the affected arm(3-5 times a week). Routine Physiotherapy Exercises: Targeted exercises focusing on strength, range of motion, and coordination.~* Strengthening: 3 sets of 10-12 reps per targeted muscle group (e.g., biceps, wrist extensors).~* Coordination and Functional Training: Structured tasks such as reaching and grasping toys or objects for 15-20 minutes.~Duration: 6 week