The Effects of Motor Imagery Training and Physical Practice on Upper Extremity Motor Function in Patients With Stroke
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- The Fugl-Meyer Upper Extremity Scale (FMUE)
研究概览
简要总结
The aim of the study is to compare the effects of specific functional task-oriented motor imagery training combined with the Bobath Therapeutic Approach and physical practice after imagery on upper extremity motor function in stroke patients.
详细描述
Motor imagery (MI) is the mental rehearsal of motor abilities to improve function. Thus, imagery provides both the learning of the new movement and the improvement of the quality of movement by repeating the known activities.the investigators These neurophysiological findings obtained in recent years have popularized the use of motor imagery approach in the rehabilitation of stroke patients.
32 stroke patients aged 50-75 years will be included in the study. Cases will be randomized into 2 groups.
In our study, a treatment program will be applied with a physiotherapist for a total of 8 weeks, 2 days a week. The first group in the treatment program; Motor imagery will be performed with the Bobath Therapeutic Approach (BTA+MI) and the second group will be physical practice of imagery activities after motor imagery with the Bobath Therapeutic Approach (BTA+MI+PP). Motor imagery activity was determined as 'eating activity'.
The desired goal as a result of our work; the investigators think that motor imagery training on eating activity of stroke patients and physical practice used together will improve both the achievement of eating activity and upper extremity motor function.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A maximum of 24 months have passed since the stroke,
- •Unilateral involvement,
- •Getting a score of 21 and above in the Mini Mental Test,
- •Getting a score of 22 and above in the Fugl-Meyer Test,
- •Ability to understand and follow simple verbal commands,
- •Stage 4 or 5 according to Brunnstrom Upper Extremity Stages,
- •Spasticity 1 or 1+ according to the Modified Ashworth Scale,
- •Having signed the Informed Consent Form.
排除标准
- •Patients with visual and hearing impairments that would interfere with work.
- •Having pain and limitation of joint movement that may prevent performing the given tasks.
- •Having any neurological disorder other than stroke.
结局指标
主要结局
The Fugl-Meyer Upper Extremity Scale (FMUE)
时间窗: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
Fugl-Meyer upper extremity (FMUE) Scale scores is an index to assess the sensorimotor impairment in individuals who had stroke. The motor section score ranges from 0 to 66, and the score related to exteroceptive and proprioceptive sensitivity ranges from 0 to 12. The lowest and highest scores correspond to worse and better function.
Time in minutes to perform a motor task
时间窗: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
The video will be recorded while the patient is performing the eating activity.
The Motor Activity Log-28 (MAL-28)
时间窗: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
Motor Activity Log is developed to determine the frequency and quality of use of the affected arm It consists of two scales that question how often the affected side's upper extremity is used for each activity during the 28-day activity (Usage Quantity Scale) and how well it can perform the activity if it uses it. On both scales, the patient scores between 0-5. The score that can be obtained is between 0-5 points and the high score indicates good frequency of use and good quality of movement.
Wolf Motor Function Test (WMFT)
时间窗: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
The Wolf Motor Function Test (WMFT) quantifies upper extremity (UE) motor ability through timed and functional tasks. When administering the WMFT, the examiner should test the less-affected UE followed by the most affected side. Items should be performed as quickly as possible; a maximum of 120 second per task is allowed . The first 6 items involve timed functional tasks, items 7-14 are measures of strength, and the remaining 9 items consist of analyzing movement quality when completing various tasks.
次要结局
- Demographic Characteristic of Participants(1 week before the first treatment session)
- The Brunnstrom Stages(Baseline)
- Spasticity Evaluation(Baseline)
- The Kinesthetic and Visual Imagery Questionnaire (KVIQ)(The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation)
- Assessment of Quality of Life(The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation)
研究者
Nisa Nur SOYSAL
Principal Investigator,Physical Therapist
Biruni University