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Protocol summary
Both male and female genders will be included patient having within range of 40-60 years the stage of stroke attack with onset at least 05 months patients developing unilateral scapular dyskinesis due to stroke assessed by lateral scapular slide test with type 1 scapular dyskinesia prominent infero-medial border of scapula will be in inclusion criteria
patients with neurological deficit of the upper extremity patients with any surgery of upper extremity and Active Infections, Hyper mobility, Calcification of the soft tissues, fragile skin patients with Musculoskeletal injuries as upper limb fractures, dislocation, joint instability or any soft tissue injuries on affected side and Other illnesses such supraspinatus, bicep tendinitis, fibromyalgia, frozen shoulder and arthritis that produced discomfort in the upper extremities and Severe depression or other post-stroke symptoms, etc will be in exclusion criteria
Both male and female genders; age range between 40-60 years; stage of stroke attack with onset at least 5 months; patients developing unilateral scapular dyskinesis due to stroke assessed by lateral scapular slide test with type 1 scapular dyskinesia prominent infero-medial border of scapula.
Exclusion criteria: patients with neurological deficit of the upper extremity; patients with any surgery of the upper extremity, active infections, hypermobility, calcification of the soft tissues, fragile skin patients with musculoskeletal injuries as upper limb fractures, dislocation, joint instability or any soft tissue injuries on affected side; other illnesses such supraspinatus, bicep tendinitis, fibromyalgia, frozen shoulder and arthritis that produced discomfort in the upper extremities; severe depression or other post-stroke symptoms.
Both male and female genders will be included patient having within; age range ofbetween 40-60 years the; stage of stroke attack with onset at least 055 months; patients developing unilateral scapular dyskinesis due to stroke assessed by lateral scapular slide test with type 1 scapular dyskinesia prominent infero-medial border of scapula will be in inclusion. Exclusion criteria: patients with neurological deficit of the upper extremity; patients with any surgery of the upper extremity and Active Infections, Hyper mobilityactive infections, Calcificationhypermobility, calcification of the soft tissues, fragile skin patients with Musculoskeletalmusculoskeletal injuries as upper limb fractures, dislocation, joint instability or any soft tissue injuries on affected side and Other; other illnesses such supraspinatus, bicep tendinitis, fibromyalgia, frozen shoulder and arthritis that produced discomfort in the upper extremities and Severe; severe depression or other post-stroke symptoms, etc will be in exclusion criteria.
D1 flexion group and D2 flexion group named in intervention group
Intervention group 1: D1 flexion group. Intervention group 2: D2 flexion group.
Intervention group 1: D1 flexion group and. Intervention group 2: D2 flexion group named in intervention group.
patients shoulder ROM will be measured Visual analogue scale to measure pain Shoulder pain and disability index will be measured
Shoulder ROM, Visual analogue scale; disability index
patients shoulderShoulder ROM will be measured, Visual analogue scale to measure pain Shoulder pain and; disability index will be measured
General information
LSST, SPADI,ROM, SD
LSST, SPADI,ROM, SD
Used
Not used
usednused
2023-11-01, 1402/08/10
2023-11-06, 1402/08/15
2023-11-0106 00:00:00
trail has been started
trail completed
trail has been startedcompleted
Primary outcomes
#1
this is gold standerd test having 0-10 measurement for mild, moderate, severe pain
This is gold standerd test having 0-10 measurement for mild, moderate, severe pain
thisThis is gold standerd test having 0-10 measurement for mild, moderate, severe pain
#2
The patients shoulder's range of motion will be measured
The patients shoulder's range of motion were measured
The patients shoulder's range of motion will bewere measured
flexion, extension, abduction, internal rotation, and external rotation measured by using goniometr
Flexion, Extension, Abduction, Internal Rotation, and External Rotation measured by using goniometer
flexionFlexion, extensionExtension, abductionAbduction, internal rotationInternal Rotation, and external rotationExternal Rotation measured by using goniometrgoniometer
Secondary outcomes
#1
shoulder pain and disability index will measure it
Shoulder Pain and Disability Index was measured it
shoulder painShoulder Pain and disability index will measureDisability Index was measured it
Intervention groups
#1
Intervention group:
Patients of group 1 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D1 flexion pattern. The antagonistic pattern in Diagonal 1 is flexion-adduction-external rotation that included 2 sets of 20 repitations were performed with a 20 second rest period between the sets. Patient was lie on unaffected side while therapist was stand in line of desired motion. First therapist was give preparatory instructions to patients. In this exercise, the therapist's proximal hand grasps the patient's upper arm on the anteromedial surface, exerting resistance in the opposite direction of the movement. Simultaneously, the distal hand holds the patient's hand with the fingers positioned on the ulnar side and the thumb on the radial side, allowing the patient's wrist to flex towards the radial side. This particular hand positioning technique was referred to as the lumbrical grip. The total time for baseline treatment and D1 flexion exercise was at least 50 minutes.
InterventionPatients of group: 1 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D1 flexion pattern. The antagonistic pattern in Diagonal 1 is flexion-adduction-external rotation that included 2 sets of 20 repitations were performed with a 20 second rest period between the sets. Patient was lie on unaffected side while therapist was stand in line of desired motion. First therapist was give preparatory instructions to patients. In this exercise, the therapist's proximal hand grasps the patient's upper arm on the anteromedial surface, exerting resistance in the opposite direction of the movement. Simultaneously, the distal hand holds the patient's hand with the fingers positioned on the ulnar side and the thumb on the radial side, allowing the patient's wrist to flex towards the radial side. This particular hand positioning technique was referred to as the lumbrical grip. The total time for baseline treatment and D1 flexion exercise was at least 50 minutes.
#2
Intervention group:
Patients of group 2 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D2 flexion pattern. The antagonistic pattern in Diagonal 2 is flexion abduction-external rotation that included 2 sets of 20 repitations was performed with 20 second rest period between sets. Patient was lie on unaffected side as therapist makes desired motion while standing in line. First therapist was give preparatory instructions to patients. The patient's hand's dorsal-radial surface held in the therapist's distal hand. In order to provide pressure in the opposite direction of movement, the proximal hand grasps the anterior-lateral surface of the upper arm from below. The total time for baseline treatment and D2 flexion exercise was at least 50 minutes.
InterventionPatients of group: 2 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D2 flexion pattern. The antagonistic pattern in Diagonal 2 is flexion abduction-external rotation that included 2 sets of 20 repitations was performed with 20 second rest period between sets. Patient was lie on unaffected side as therapist makes desired motion while standing in line. First therapist was give preparatory instructions to patients. The patient's hand's dorsal-radial surface held in the therapist's distal hand. In order to provide pressure in the opposite direction of movement, the proximal hand grasps the anterior-lateral surface of the upper arm from below. The total time for baseline treatment and D2 flexion exercise was at least 50 minutes.
Person responsible for general inquiries
contact.organization_id:
Name of organization / entity - English: The university of Faisalabad
Name of organization / entity - Persian:
Full name of responsible person - English: Rafia Abdul Rehman
Full name of responsible person - Persian:
Position - English: student
Position - Persian:
Latest degree: master
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: chungi no #6 itfaq colony rajpoot street house no16 boasan road multan
Street address - Persian:
City - English: multan
City - Persian:
Province: punjab
Province - English: punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 60700
Phone: +92 307 7136100
Mobile: +92 307 7136100
Fax:
Email: rafiarehman096@gmail.com
Web page address:
contact.organization_id:
Name of organization / entity - English: The University of Faisalabad
Name of organization / entity - Persian:
Full name of responsible person - English: Rafia Abdul Rehman
Full name of responsible person - Persian:
Position - English: Student
Position - Persian:
Latest degree: master
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: Chungi no #6 itfaq colony rajpoot street house no16 boasan road Multan
Street address - Persian:
City - English: Multan
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 60700
Phone: +92 307 7136100
Mobile: +92 307 7136100
Fax:
Email: rafiarehman096@gmail.com
Web page address:
contact.organization_id: Name of organization / entity - English: The universityUniversity of Faisalabad Name of organization / entity - Persian: Full name of responsible person - English: Rafia Abdul Rehman Full name of responsible person - Persian: Position - English: studentStudent Position - Persian: Latest degree: master Area of specialty/work: 68 Area of specialty/work title - English: Area of specialty/work title - Persian: Street address - English: chungiChungi no #6 itfaq colony rajpoot street house no16 boasan road multanMultan Street address - Persian: City - English: multanMultan City - Persian: Province: punjabPunjab Province - English: punjabPunjab Province - Persian: contact.provinces_available: Country: Pakistan Postal code: 60700 Phone: +92 307 7136100 Mobile: +92 307 7136100 Fax: Email: rafiarehman096@gmail.com Web page address:
Person responsible for scientific inquiries
contact.organization_id:
Name of organization / entity - English: Multan college of physiotherapy, multan
Name of organization / entity - Persian:
Full name of responsible person - English: prof. Dr. Sajid rashid,PT
Full name of responsible person - Persian:
Position - English: physiotherapist
Position - Persian:
Latest degree: phd
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 6HC8+P2H, Northern Bypass, Block A Model Town, Multan, Punjab
Street address - Persian:
City - English: multan
City - Persian:
Province: punjab
Province - English: punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 60700
Phone: +92 300 6309825
Mobile: +92 300 6309825
Fax:
Email: sajid.rashid@mcpm.edu.pk
Web page address:
contact.organization_id:
Name of organization / entity - English: Multan college of physiotherapy, Multan
Name of organization / entity - Persian:
Full name of responsible person - English: Prof. Dr. Sajid Rashid, PT
Full name of responsible person - Persian:
Position - English: Physiotherapist
Position - Persian:
Latest degree: phd
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 6HC8+P2H, Northern Bypass, Block A Model Town, Multan, Punjab
Street address - Persian:
City - English: Multan
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 60700
Phone: +92 300 6309825
Mobile: +92 300 6309825
Fax:
Email: sajid.rashid@mcpm.edu.pk
Web page address:
contact.organization_id: Name of organization / entity - English: Multan college of physiotherapy, multanMultan Name of organization / entity - Persian: Full name of responsible person - English: profProf. Dr. Sajid rashid,PTRashid, PT Full name of responsible person - Persian: Position - English: physiotherapistPhysiotherapist Position - Persian: Latest degree: phd Area of specialty/work: 68 Area of specialty/work title - English: Area of specialty/work title - Persian: Street address - English: 6HC8+P2H, Northern Bypass, Block A Model Town, Multan, Punjab Street address - Persian: City - English: multanMultan City - Persian: Province: punjabPunjab Province - English: punjabPunjab Province - Persian: contact.provinces_available: Country: Pakistan Postal code: 60700 Phone: +92 300 6309825 Mobile: +92 300 6309825 Fax: Email: sajid.rashid@mcpm.edu.pk Web page address:
Person responsible for updating data
contact.organization_id:
Name of organization / entity - English: The university of Faisalabad
Name of organization / entity - Persian:
Full name of responsible person - English: Rafia Abdul Rehman
Full name of responsible person - Persian:
Position - English: student
Position - Persian:
Latest degree: master
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: chungi no #6 itfaq colony rajpoot street house no16 boasan road multan
Street address - Persian:
City - English: multan
City - Persian:
Province: punjab
Province - English: punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 60700
Phone: +92 307 7136100
Mobile: +92 307 7136100
Fax:
Email: rafiarehman096@gmail.com
Web page address:
contact.organization_id:
Name of organization / entity - English: The University of Faisalabad
Name of organization / entity - Persian:
Full name of responsible person - English: Rafia Abdul Rehman
Full name of responsible person - Persian:
Position - English: Student
Position - Persian:
Latest degree: master
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: Chungi no #6 Itfaq Colony Rajpoot Street House No16 Boasan Road Multan
Street address - Persian:
City - English: Multan
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 60700
Phone: +92 307 7136100
Mobile: +92 307 7136100
Fax:
Email: rafiarehman096@gmail.com
Web page address:
contact.organization_id: Name of organization / entity - English: The universityUniversity of Faisalabad Name of organization / entity - Persian: Full name of responsible person - English: Rafia Abdul Rehman Full name of responsible person - Persian: Position - English: studentStudent Position - Persian: Latest degree: master Area of specialty/work: 68 Area of specialty/work title - English: Area of specialty/work title - Persian: Street address - English: chungiChungi no #6 itfaq colony rajpoot street house no16 boasan road multanItfaq Colony Rajpoot Street House No16 Boasan Road Multan Street address - Persian: City - English: multanMultan City - Persian: Province: punjabPunjab Province - English: punjabPunjab Province - Persian: contact.provinces_available: Country: Pakistan Postal code: 60700 Phone: +92 307 7136100 Mobile: +92 307 7136100 Fax: Email: rafiarehman096@gmail.com Web page address:
Sharing plan
data will be available for other people almost 6 months after the completion of study
Data will be available for other people almost 6 months after the completion of study
dataData will be available for other people almost 6 months after the completion of study
data will be available for other people almost 6 months after the completion of study
Data will be available for other people almost 6 months after the completion of study
dataData will be available for other people almost 6 months after the completion of study
Protocol summary
Study aim
To see the effects of PNF Hold Relax technique on scapular dyskinesis in patients with subacute stroke and to compare the effects of D1 and D2 flexion patterns of proprioceptive neuromuscular facilitation on pain, range of motion, disability and scapular asymmetry in patients with subacute stroke
Design
randomized clinial design
Settings and conduct
Ibn-e-Siena Hospital & Research Institute, Multan.
Participants/Inclusion and exclusion criteria
Both male and female genders; age range between 40-60 years; stage of stroke attack with onset at least 5 months; patients developing unilateral scapular dyskinesis due to stroke assessed by lateral scapular slide test with type 1 scapular dyskinesia prominent infero-medial border of scapula.
Exclusion criteria: patients with neurological deficit of the upper extremity; patients with any surgery of the upper extremity, active infections, hypermobility, calcification of the soft tissues, fragile skin patients with musculoskeletal injuries as upper limb fractures, dislocation, joint instability or any soft tissue injuries on affected side; other illnesses such supraspinatus, bicep tendinitis, fibromyalgia, frozen shoulder and arthritis that produced discomfort in the upper extremities; severe depression or other post-stroke symptoms.
Intervention groups
Intervention group 1: D1 flexion group. Intervention group 2: D2 flexion group.
Main outcome variables
Shoulder ROM, Visual analogue scale; disability index
General information
Reason for update
trail completed
Acronym
IRCT registration information
IRCT registration number:IRCT20230706058687N1
Registration date:2023-10-10, 1402/07/18
Registration timing:registered_while_recruiting
Last update:2023-11-22, 1402/09/01
Update count:6
Registration date
2023-10-10, 1402/07/18
Registrant information
Name
Rafia Abdul Rehman
Name of organization / entity
The university of Faisalabad
Country
Pakistan
Phone
+92 307 7136100
Email address
2021-ms-pt-031@tuf.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-09-19, 1402/06/28
Expected recruitment end date
2023-10-19, 1402/07/27
Actual recruitment start date
2023-09-11, 1402/06/20
Actual recruitment end date
2023-11-01, 1402/08/10
Trial completion date
2023-11-06, 1402/08/15
Scientific title
Effects of Proprioceptive Neuromuscular Facilitation Technique on Scapular Dyskinesis in Patients with Subacute Stroke
Public title
Effects of Proprioceptive Neuromuscular Facilitation Technique on Scapular Dyskinesis in Patients with Subacute Stroke
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Patients developing unilateral scapular dyskinesis due to stroke assessed by lateral scapular slide test
Type 1 scapular dyskinesia prominent infero-medial border of scapula
The 40-60 years of age, included both Male and Female
Stroke with onset at least 05 months
Exclusion criteria:
Neurological deficit of the upper extremity
Any surgery of upper extremity
Active Infections, Hyper mobility, Calcification of the soft tissues, fragile skin
Other illnesses such supraspinatus, bicep tendinitis, fibromyalgia, frozen shoulder and arthritis that produced discomfort in the upper extremities, etc
Severe depression or other post-stroke symptoms, etc
Visual Analogous Scale (VAS) was used instrument for assessing the characteristics of pain that a patient is experiencing
Timepoint
1,2,4 week
Method of measurement
This is gold standerd test having 0-10 measurement for mild, moderate, severe pain
2
Description
The patients shoulder's range of motion were measured
Timepoint
1,2,4 week
Method of measurement
Flexion, Extension, Abduction, Internal Rotation, and External Rotation measured by using goniometer
Secondary outcomes
1
Description
Shoulder Pain and Disability evaluates pain as well as the other upper extremity functional activities shoulder pain and disability index had high reliability and validity values
Timepoint
1,2,4 week
Method of measurement
Shoulder Pain and Disability Index was measured it
Intervention groups
1
Description
Patients of group 1 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D1 flexion pattern. The antagonistic pattern in Diagonal 1 is flexion-adduction-external rotation that included 2 sets of 20 repitations were performed with a 20 second rest period between the sets. Patient was lie on unaffected side while therapist was stand in line of desired motion. First therapist was give preparatory instructions to patients. In this exercise, the therapist's proximal hand grasps the patient's upper arm on the anteromedial surface, exerting resistance in the opposite direction of the movement. Simultaneously, the distal hand holds the patient's hand with the fingers positioned on the ulnar side and the thumb on the radial side, allowing the patient's wrist to flex towards the radial side. This particular hand positioning technique was referred to as the lumbrical grip. The total time for baseline treatment and D1 flexion exercise was at least 50 minutes.
Category
Rehabilitation
2
Description
Patients of group 2 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D2 flexion pattern. The antagonistic pattern in Diagonal 2 is flexion abduction-external rotation that included 2 sets of 20 repitations was performed with 20 second rest period between sets. Patient was lie on unaffected side as therapist makes desired motion while standing in line. First therapist was give preparatory instructions to patients. The patient's hand's dorsal-radial surface held in the therapist's distal hand. In order to provide pressure in the opposite direction of movement, the proximal hand grasps the anterior-lateral surface of the upper arm from below. The total time for baseline treatment and D2 flexion exercise was at least 50 minutes.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Ibn-e-Siena Hospital & Research Institute, Multan
Full name of responsible person
Prof.Dr.Sajid Rashid, PT
Street address
6HC8+P2H, Northern Bypass, Block A Model Town, Multan, Punjab
City
Multan
Postal code
60650
Phone
+92 300 6309825
Fax
+92 61 6782872
Email
sajid.rashid@mcpm.edu.pk
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
The university of Faisalabad
Full name of responsible person
Rafia Abdul Rehman
Street address
chungi no #6 itfaq colony rajpoot street house no16 boasan road multan
City
multan
Postal code
60700
Phone
+92 307 7136100
Email
rafiarehman096@gmail.com
Grant name
No
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
self funding
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Other
Person responsible for general inquiries
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Rafia Abdul Rehman
Position
Student
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Chungi no #6 itfaq colony rajpoot street house no16 boasan road Multan
City
Multan
Province
Punjab
Postal code
60700
Phone
+92 307 7136100
Email
rafiarehman096@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Multan college of physiotherapy, Multan
Full name of responsible person
Prof. Dr. Sajid Rashid, PT
Position
Physiotherapist
Latest degree
Ph.D.
Other areas of specialty/work
Physiotherapy
Street address
6HC8+P2H, Northern Bypass, Block A Model Town, Multan, Punjab
City
Multan
Province
Punjab
Postal code
60700
Phone
+92 300 6309825
Email
sajid.rashid@mcpm.edu.pk
Person responsible for updating data
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Rafia Abdul Rehman
Position
Student
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Chungi no #6 Itfaq Colony Rajpoot Street House No16 Boasan Road Multan
City
Multan
Province
Punjab
Postal code
60700
Phone
+92 307 7136100
Email
rafiarehman096@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Effects of Proprioceptive Neuromuscular Facilitation Technique on Scapular Dyskinesis in Patients with Subacute Stroke
When the data will become available and for how long
Data will be available for other people almost 6 months after the completion of study
To whom data/document is available
Data will be available for other people almost 6 months after the completion of study
Under which criteria data/document could be used
The data/document could be used by communicating with the principle investigator Rafia Abdul Rehman; email rafiarehman096@gmail.com
From where data/document is obtainable
Rafia Abdul Rehman; Gmail rafiarehman096@gmail.com
What processes are involved for a request to access data/document
The data/document could be used by communicating with the principle investigator Rafia Abdul Rehman; Gmail rafiarehman096@gmail.com