Combined Effects of Accelerated Skill Acquisition Programme With Segmental Vibration on Extensor Muscles for Upper Limb Function in Subacute Stroke.

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Stroke is a major health burden and the leading cause of serious long-term disability around the world. One of the most cumbersome deficits after a unilateral stroke is impairment in the contralateral upper limb. Segmental vibration is an intervention that incorporates sensory stimulation to improve motor cortical excitability. This study aims to investigate the influence of a 15-minute SMV application along with accelerated skill acquisition programme (ASAP) on spasticity, motor function, manual dexterity, and somatosensory function of the Upper Limb in Subacute stroke. This study will be a randomized clinical trial conducted in the physiotherapy department of DHQ Hospital Gujranwala, Gondal Hospital, and Dayan Physiotherapy and Rehabilitation over 10 months. Using the Online Randomizer tool, 60 stroke patients will be recruited through a non-probability convenience sampling technique and randomly divided into two equal groups, Group A and Group B. Group A will receive ASAP with high-frequency segmental vibration(100Hz) on the extensor muscles while Group B, will receive accelerated skill acquisition programme (ASAP) with only. The Assessment tools are the Fugl-Meyer Assessment Scale (for upper limb function), Wolf Motor Functional Test(for motor function), Modified Ashworth Scale(for spasticity), Maximal Hand Grip Strength(for manual dexterity), Nottingham Sensory Assessment(for somatosensory function). Outcome measures will be assessed at baseline,4th week,8th week, and 12th week. Follow-up will be performed in the 16th week. Data analysis will be done by SPSS version 28.0. Two-way Mixed ANOVA, repeated measure ANOVA, and one-way ANOVA will be used in case of normal distribution of data. The Friedman, Kruskal Wallis, and Wilcoxon sign rank tests will be used for non-normal data.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 45
Maximum Age: 65
Healthy Volunteers: f
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⁃ The study included participants of both genders(35)

• Participants between the ages of 45 and 65 years.(36)

• Unilateral stroke between 3 months and 6 months post-stroke(32).

• Fugl-Meyer assessment upper extremity (FMA-UE) motor scores between 19 and 58. (32).

• Participants be able to follow the researcher's instructions and study procedures.

• Spasticity of spastic agonist muscles ranging from 0-2 on the modified Ashworth scale(37).

• Montreal Cognitive Assessment (MoCA) score of 24 or higher, indicating sufficient cognitive function to participate in stroke rehabilitation.

Locations
Other Locations
Pakistan
DHQ Hospital Gujranwala, Gondal Hospital, and Dayan Physiotherapy and Rehabilitation
RECRUITING
Chak One Hundred Seventy-five Nine Left
Contact Information
Primary
Mubeen Arshad, MS-NMPT*
Mubeenarshad1999@gmail.com
+923413193628
Time Frame
Start Date: 2025-04-10
Estimated Completion Date: 2025-10-30
Participants
Target number of participants: 60
Treatments
Experimental: Group A( High-frequency segmental vibration(100Hz) and ASAP with Routine physical therapy)
Group A: (High-frequency segmental vibration and ASAP with with Routine Physical Therapy) This group will receive a 60-minute training session that consists of 50 minutes of ASAP, 10 minutes of routine physical therapy, and 15 minutes of Segmental vibration 3 days per week for a total of 12 weeks. Six vibration sets were applied, including one vibration for 1 min and the rest for 2 min.A Segmental vibration device was used to provide vibratory stimulation with a frequency of 100 Hz and an amplitude of 1.0 mm. This stimulation was used because vibratory stimulation with a high frequency (80-120 Hz) and low amplitude can elicit strong activity in Ia afferents from the muscle spindles. 100 Hz frequency vibration was applied perpendicularly along the muscle fibers of the forearm extensor muscle (extensor carpi ulnaris (ECU), extensor carpi radialis (ECR), triceps).
Experimental: Group B ( accelerated skill acquisition programme (ASAP) with Routine Physical Therapy)
Group B (Accelerated skill acquisition programme with Routine Physical Therapy) This group will receive a 60-minute training session that consists of 50 minutes of ASAP, and 10 minutes of routine physical therapy, 3 days per week for a total of 12 weeks.
Related Therapeutic Areas
Sponsors
Leads: Riphah International University

This content was sourced from clinicaltrials.gov