RecruitingNot ApplicableNCT07523503

Unilateral Versus Bilateral Task-specific Training on Motor Impairment, Upper Extremity Function, and Hand Dexterity in Post-Stroke Rehabilitation

Sponsor

University of Faisalabad

Enrollment

32 participants

Start Date

Apr 5, 2026

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

This randomized clinical trial will examine upper limb rehabilitation in individuals recovering from stroke. The study will compare unilateral and bilateral task-oriented training approaches to determine their relative effectiveness. Thirty-two medically stable participants with active shoulder movement and adequate cognition will be enrolled into two groups. Both groups will receive structured training for four weeks. Outcomes related to motor function and dexterity will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper extremity function after stroke.

Eligibility

Min Age: 40 YearsMax Age: 75 Years

Inclusion Criteria6

Age between 40 and 75 years
Clinically diagnosed stroke (no more than three lifetime episodes)
Stroke duration between 6 to 24 months
Ability to perform antigravity shoulder movement with the paretic limb
Abbreviated Mental Test score ≥ 7
Medically stable and capable of giving consent

Exclusion Criteria6

Uncontrolled systemic conditions (e.g. Unstable cardiac conditions)
Major orthopedic issues affecting the involved upper limb
Hearing deficits
Allergy to electrodes
Receptive aphasia or severe language impairment
Severe joint contracture limiting required upper limb movements

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Interventions

PROCEDUREUnilateral task oriented training (UTOT) with baseline EMS

Baseline: EMS applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Task oriented functional exercises performed only with affected arm. Task progress from simple to complex e.g. drinking form a cup, lifting a glass to 90° flexion of shoulder, polishing a table, and hair combing. Visual, verbal, or proprioceptive feedback provided to support motor learning. Sessions conducted 4 times/week for 4 weeks.

PROCEDUREBilateral task oriented training (BTOT) with baseline EMS

Baseline: EMS applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Same tasks previous group, but performed by both upper limbs, simultaneously in a coordinated manner. Intensity, duration and task complexity matched with UTOT group to ensure comparability. Therapist provides cueing and feedback to maintain proper movement and progression. Sessions conducted 4 times/week for 4 weeks.