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IRCT201407228717N3 IRCT 2014-08-23 Vice chancellor for research and technology, Semnan University of Medical Sciences The effect of electroacupressure on motor function and muscular power of pelagic upper extremity in patient with stroke - The effect of electroacupressure on motor function and muscular power of pelagic upper extremity in patient with stroke 2014-08-23 anticipated 60 Complete https://irct.ir/trial/9214 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Other design features: In this study, subjects are assigned randomly and using the randomized block to the experimental, placebo, and controll groups. 2-3 Stroke. Intervention 1: First intervention (Routine care): In the control group patients receive routine care, after the doctor's orders to start physiotherapy, routine physiotherapy is performed for all patients. motor function and muscular power of pelagic upper extremity are measured by researcher before start intervention at the first session and after the intervention at the last session by using Fugl Meyer checklist and manually dynamometer. Intervention 2: The second intervention (use of electroacupressure): In the intervention group, to applying the electroacupressure, the wristbands is closed on patients’ wrists so that its button is placed on the P6 point (Nei guan) on the inner surface of the forearm, about 2 inches (three fingers width) above the internal groove of wrist. Pressure is applied so that the patient does not feel pain or discomfort. Electrical stimulation is applied with wave length 200μs, frequency 20Hz, and intensity 2.5 times the threshold of patient sense by a metal button attached to the active electrode of TENS devices on the P6 (Neiguan) point. The intervention is performed for 10 minutes immediately after physiotherapy, five days per week and during two consecutive weeks. Motor function and muscular power of pelagic upper extremity are measured by researcher before start intervention at the first session and after the intervention at the last session by using Fugl Meyer checklist and manually dynamometer. Intervention 3: The third intervention (use of placebo): In the intervention group using placebo, wristbands is closed on patients’ wrists so that its button is placed on opposite of P6 point (Nei guan) on the back of the forearm. Active electrode (positive) of TENS device is connected to the metal buttons, device is turned on but does not give electrical stimulation. The intervention is performed for 10 minutes immediately after physiotherapy, five days per week and during two consecutive weeks. Motor function and muscular power of pelagic upper extremity are measured by researcher before start intervention at the first session and after the intervention at the last session by using Fugl Meyer checklist and manually dynamometer.
public Dr. Mohammad Reza Asgari
Faculty of nursing and allied, Semnan University of Medical Sciences, Semnan, Iran
Semnan Iran (Islamic Republic of) 3514743365 +98 23 3345 3365 asgari5000@gmail.com Semnan University of Medical Sciences scientific ِDr. Mohammad Reza Asgari
Faculty of nursing and allied, Semnan University of Medical Sciences, Semnan, Iran
Semnan Iran (Islamic Republic of) 3514743365 +98 23 3345 3365 asgari5000@gmail.com Semnan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: (1) being over 35 years old; (2) Upper extremity paralysis due to stroke; (3) No other musculoskeletal disorders on the upper limb; (4) Patients with cognitive status so that they could have cooperated; (5) having no skin problem such as allergies and ulcers at the wrist strap site; (6) physiotherapy should be started for them; (7) maximum a week passed they strokes; (8) no recurrent stroke; (9) the patient did not receive thrombolytic drugs; (10) not in cerebellum and brain stem stroke; (11) is not revarsible ischemic neurologic deficit (RIND). Exclusion criteria: (1) Patients with cardiac pacemakers; (2) Patients with sensory aphasia; (3) Patients with a history of drug addiction. 35 years 90 years Both 164 Stroke Other Rehabilitation Placebo First intervention (Routine care): In the control group patients receive routine care, after the doctor's orders to start physiotherapy, routine physiotherapy is performed for all patients. motor function and muscular power of pelagic upper extremity are measured by researcher before start intervention at the first session and after the intervention at the last session by using Fugl Meyer checklist and manually dynamometer. The second intervention (use of electroacupressure): In the intervention group, to applying the electroacupressure, the wristbands is closed on patients’ wrists so that its button is placed on the P6 point (Nei guan) on the inner surface of the forearm, about 2 inches (three fingers width) above the internal groove of wrist. Pressure is applied so that the patient does not feel pain or discomfort. Electrical stimulation is applied with wave length 200μs, frequency 20Hz, and intensity 2.5 times the threshold of patient sense by a metal button attached to the active electrode of TENS devices on the P6 (Neiguan) point. The intervention is performed for 10 minutes immediately after physiotherapy, five days per week and during two consecutive weeks. Motor function and muscular power of pelagic upper extremity are measured by researcher before start intervention at the first session and after the intervention at the last session by using Fugl Meyer checklist and manually dynamometer. The third intervention (use of placebo): In the intervention group using placebo, wristbands is closed on patients’ wrists so that its button is placed on opposite of P6 point (Nei guan) on the back of the forearm. Active electrode (positive) of TENS device is connected to the metal buttons, device is turned on but does not give electrical stimulation. The intervention is performed for 10 minutes immediately after physiotherapy, five days per week and during two consecutive weeks. Motor function and muscular power of pelagic upper extremity are measured by researcher before start intervention at the first session and after the intervention at the last session by using Fugl Meyer checklist and manually dynamometer. Motor function of pelagic upper extremity. Timepoint: Before start intervention at the first session and after the intervention at the last session. Method of measurement: Part of evaluation of upper limb motor function and Hand of Fugl Meyer scale. Muscular power of pelagic upper extremity. Timepoint: Before start intervention at the first session and After the intervention, at the last session. Method of measurement: By manually dynamometer. Vice chancellor for research and technology, Semnan University of Medical Sciences Approved 2014-07-08 Ethics committee in biomedical researches of Semnan University of Medical Sciences Semnan University of Medical Sciences, Semnan, Semnan Province, Iran Semnan Iran (Islamic Republic of)