Cognitive Multi-sensory Rehabilitation on Upper Limb Function and Fatigue in Stroke

Launched by CAIRO UNIVERSITY · Feb 1, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at a new type of therapy called Cognitive Multi-sensory Rehabilitation (CMR) to see how well it helps improve arm movement and reduce tiredness in people who have had a stroke. The main question is whether this new approach is better than traditional physical therapy for helping stroke patients regain their upper limb function and manage fatigue. Participants will be divided into two groups: one will receive CMR combined with physical therapy, while the other group will get only traditional physical therapy. Each person will attend 12 sessions over four weeks.

To be eligible for this study, participants need to be between 45 and 65 years old and have had an ischemic stroke at least 6 months but no more than 18 months ago. They should be living in the community, be medically stable, and score normally on a cognitive assessment. Participants can expect to engage in a structured program that includes both CMR and physical therapy. It's important to note that individuals with severe muscle stiffness or other significant medical issues may not qualify for this trial. If you're interested in participating, this study could provide a chance to explore new treatment options for improving arm function and reducing fatigue after a stroke.

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • Age between 45 and 65 years.
• • 6-18 months after ischemic stroke
• • living in the community (i.e., not in a long-term care home).
• • medically stable.
• • normal score in the Montreal Cognitive Assessment (MoCA: 25 to 30, maximum score = 30).
• • Spasticity of upper limb muscles ranged from (grade 1:2) according to the Modified Ashworth scale.
• Exclusion Criteria:
• • severe spasticity (Modified Ashworth Scale score of 4)
• • any medical condition that hinders full participation,
• • another neurological diagnosis beyond stroke including cognitive impairment, or
• • upper extremity pain \> 4/10 on the Numeric Pain Rating Scale (maximum 10/10).