Effects of Action Observation Therapy on Fine Motor Skills of Upper Limb Functions in Chronic Stroke Patients.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Stroke
- Sponsor
- Riphah International University
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Fugl-Meyer Assessment (FMA):
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This study will be conducted to evaluate the outcomes of action observation therapy on fine motor skills of affected upper limb among patients with chronic stroke.
Detailed Description
The data for study will be collected for the duration of 5 months, data will be collected at 1st, 4th, 8th, 12th and then at 16th week of follow up. It is a Randomized Control Trial. Patients will be selected by Consecutive Sampling from Ittefaq Hospital Trust, Lahore. All patients were right handed prior to stroke. Screening tools used will be Canadian Neurological Scale, the Mini-Mental State Examination (MMSE), the Bell Barrage test, and the ideomotor apraxia test (SpinnlerRognoni).Tests for assessment will be Fugl-Meyer test (FM) (of the upper limb), Frenchay Arm test (FAT), Box and Block test (BBT), Modified Ashworth Scale (AS) and Functional Independence Measure Motor items (FIMM). The SPSS version 21 will be used for analyzing data. The descriptive data will be expressed in Frequency and Percentages, while within the group differences will be measured by Mixed Model Anova.
Investigators
Eligibility Criteria
Inclusion Criteria
- •First-ever stroke,
- •Enrolled 6 months after the event onset with ischemia or primary hemorrhage.
- •All patients were right handed prior to stroke.
Exclusion Criteria
- •Posterior circulation infarction,
- •Subarachnoid hemorrhage,
- •Severe forms of neglect and anosognosia (number of errors in Bell Barrage test≥15)
- •Impaired comprehension (Token test score ≤ 17)
- •History of endogenous depression or serious psychiatric disorders, and
- •Severe visual deficits (restricting the access to visual stimuli).
Outcomes
Primary Outcomes
Fugl-Meyer Assessment (FMA):
Time Frame: 2 months
Scoring. The Fugl-Meyer Assessment scale is an ordinal scale that has 3 points for each item. A zero score is given for the item if the subject cannot do the task. A score of 1 is given when the task is performed partially and a score of 2 is given when the task is performed fully.
Box and Block Test (BBT)
Time Frame: 2 months
Scoring The score is the number of blocks carried from one compartment to the other in one minute. Score each hand separately.
Frenchay Arm Test (FAT):
Time Frame: 2months
The Frenchay Arm Test (FAT) is devised for measuring the motor control in proximal joints and dexterity of the upper limb during ADL performance in patients with impairments caused by neurological conditions.Scoring and Score Interpretation Each item is scored as either pass (=1) or fail (=0). Total scores range from 0 to 5.