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"Reliability of Motricity Index Strength Assessments for Upper Extremity in Post Stroke Hemiparesis- a Correlation Study''

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ClinicalTrials.gov Identifier: NCT02353520
Recruitment Status : Completed
First Posted : February 2, 2015
Last Update Posted : February 2, 2015
Sponsor:
Information provided by (Responsible Party):
ASHIMA ARORA, Maharishi Markendeswar University

Brief Summary:

Initially, a written consent was obtained from each participant. Then they became familiar with the procedure. For intrarater reliability, the first rater assessed the strength of pinch grip, elbow flexion and shoulder abduction in three different sessions at short intervals on same day in same environmental conditions. All the assessments were performed on the same day in three sessions. Assessment duration of all the sessions was 5 minutes.

For inter-rater reliability, Before the beginning of Procedure both the raters were familiarized with the motricity index. The motricity index was administered by two different raters on the same subjects within 2 days who were blind to each others results and heir results were recorded separately.


Condition or disease Intervention/treatment
Stroke Other: motricity index strength assessment

Detailed Description:

Initially, a written consent was obtained from each participant. Then they became familiar with the procedure. For intrarater reliability, the first rater assessed the strength of pinch grip, elbow flexion and shoulder abduction in three different sessions at short intervals on same day in same environmental conditions. All the assessments were performed on the same day in three sessions. Assessment duration of all the sessions was 5 minutes.

For inter-rater reliability, Before the beginning of Procedure both the raters were familiarized with the motricity index. The motricity index was administered by two different raters on the same subjects within 2 days who were blind to each others results and heir results were recorded separately.

PATIENT POSITION The patient was sitting on a chair or on the edge of the bed, but can be tested lying supine if necessary. In the arm the three movements tested were pinch grip, elbow flexion and shoulder abduction.

Pinch grip Assessed by asking the patient to grip a 2.5 cm cube between the thumb and fore finger. The object was on a flat surface (for example, a book).

The tester scored contraction of any forearm or small hand muscles as follows:

0 No movement. 11 Beginnings of prehension (any movement of finger or thumb). 19 Able to grip the cube, but not hold it against gravity (examiner may need to lift the wrist) 22 Able to grip and hold the cube against gravity, but not against a weak pull.

26 Able to grip and hold the cube against a weak pull, but weaker than the other side.

33 Normal pinch grips. Elbow flexion The elbow was tested with the elbow flexed to 90°, forearm horizontal and upper arm vertical. The patient was asked to bend the elbow so that the hand touches the shoulder. The examiner resisted with a hand on the wrist, and monitored the biceps. If there was no movement, the examiner holded the elbow out so that the arm was horizontal, and gave a score of 14 if movement was then seen.

Shoulder abduction The elbow was fully flexed and against the chest and the patient was asked to abduct the arm. The examiner monitored contraction of the deltoid movement of shoulder girdle does not count-there must be movement of humerus in relation to scapula). A score of 19 was given when the shoulder was abducted to more than 90◦ beyond the horizontal against gravity but not against resistance.

According to the quality of muscle contraction the score was recorded. Rater was also aware of any trick motion such as leaning the back during the movement by placing one hand on their back. Finally, all three scores were summed and the Motricity Index for upper extremity was calculated.


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Study Type : Observational
Actual Enrollment : 20 participants
Time Perspective: Cross-Sectional
Official Title: "Reliability of Motricity Index Strength Assessments for Upper Extremity in Post Stroke Hemiparesis- a Correlation Study''
Study Start Date : June 2013
Actual Primary Completion Date : April 2014
Actual Study Completion Date : July 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Health Checkup




Primary Outcome Measures :
  1. Motricity index strength assessment [ Time Frame: 1 month ]

    Initially, a written consent was obtained from each participant. Then they became familiar with the procedure. For intrarater reliability, the first rater assessed the strength of pinch grip, elbow flexion and shoulder abduction in three different sessions at short intervals on same day in same environmental conditions. All the assessments were performed on the same day in three sessions. Assessment duration of all the sessions was 5 minutes.

    For inter-rater reliability, Before the beginning of Procedure both the raters were familiarized with the motricity index. The motricity index was administered by two different raters on the same subjects within 2 days who were blind to each others results and heir results were recorded separately.




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Ages Eligible for Study:   37 Years to 76 Years   (Adult, Older Adult)
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
stroke patients of both sex
Criteria

Inclusion Criteria:

  1. Post stroke hemiparetic patients were included in the study.
  2. Age 37 to 76 years.
  3. Mini mental status examination score ≥ 23.
  4. Individuals having Brunnstrom stage 4 and 5 in upper extremity.
  5. Individuals should not be taking any physiotherapy treatment for stroke

Exclusion Criteria:

  1. Patients at the acute or chronic commonly seen at clinics.
  2. Patient having any musculo-skeletal disorder in upper limb.
  3. Patient having any trauma on their upper extremity.
  4. Patient having any neurological disorder other than stroke.
  5. Any hypersensitivity or hyposensitivity disorder

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02353520


Sponsors and Collaborators
Maharishi Markendeswar University
Investigators
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Study Director: Dr. Senthil P Kumar, PhD MMIPR

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Responsible Party: ASHIMA ARORA, Maharishi Markendeswar University
ClinicalTrials.gov Identifier: NCT02353520     History of Changes
Other Study ID Numbers: RELIBILITY OF MOTRICITY INDEX
First Posted: February 2, 2015    Key Record Dates
Last Update Posted: February 2, 2015
Last Verified: January 2015
Additional relevant MeSH terms:
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Stroke
Paresis
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Neurologic Manifestations
Signs and Symptoms