Effects of Home-based vs. Clinic-based Rehabilitation on Sensorimotor, Cognition, Daily Function, and Participation: Bilateral Training With and Without Mirror Feedback Program
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Chronic Stroke
- Sponsor
- Chang Gung Memorial Hospital
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Mini-Mental State Exam, MMSE
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The purpose of this study was to compare the treatment effects of home-based or clinic-based bilateral training with and without mirror feedback programon on physiological markers, sensorimotor, cognition, daily functions, and participation among patients with chronic stroke.
Investigators
Eligibility Criteria
Inclusion Criteria
- •The most recent stroke was between 1 month and 5 years
- •No serious cognitive impairment (MMSE≥21)
- •FMA score =18-62
- •No serious muscle spasticity in shoulder, elbow, wrist and finger (MAS≤3)
- •Modified rankin Scale=2 to 4
Exclusion Criteria
- •Aphasia that might interfere with understanding instructions
- •Stroke in areas other than the brain and brainstem, such as the cerebellum
- •other neurological disease, such as dementia
- •Muscle and joint have serious pain and inflammatory swelling in affected side.
- •Cannot control hypertension, heart disease and serious throbosis
Outcomes
Primary Outcomes
Mini-Mental State Exam, MMSE
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Wolf Motor Function Test, WMFT
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Chedoke Arm and Hand Activity Inventory
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Motor Activity Log, MAL
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
Lawton-Brody IADL Scale
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
10-Meter Walking Test, 10MWT
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Actigraphy
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
The World Health Organization Quality of Life -Brief version, WHOQOL-BRE
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
6 minute walk test
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Pittsburg Sleep Quality Index
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
pinch and grasp dynamometer
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
Box and Block Test, BBT
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
ABILHAND Questionnaire
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
Medical Research Council scale,MRC
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Fugl-Myer Assessment, FMA
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
Revised Nottingham Sensory Assessment
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Modified Ashworth Scale, MAS
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
Canadian Occupational Performance Measure, COPM
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention
Nottingham Extended Activities of Daily Living, NEADL
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
Stroke Impact Scale, SIS
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
The Euroqol Quality of Life Scale
Time Frame: Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention.
Secondary Outcomes
- Montreal Cognitive Assessment, MoCA(Change from baseline up to 4 weeks immediately after the completion of intervention)
- Minnesota Rate of Manipulation Test during dual Task(Change from baseline up to 4 weeks immediately after the completion of intervention)
- Kinesthetic and Visual Imagery Questionnaire-10, KVIQ-10(Change from baseline up to 4 weeks immediately after the completion of intervention)
- BDI-II，Beck Depression Inventory II(Change from baseline up to 4 weeks immediately after the completion of intervention)
- Modified Rankin Scale, mRS(baseline)
- 30 second sit-to-stand test(Change from baseline up to 4 weeks immediately after the completion of intervention)
- Timed up and go test(Change from baseline up to 4 weeks immediately after the completion of intervention)
- Movement Imagery Questionnaire- Revised, Second Edition, MIQ-RS(Change from baseline up to 4 weeks immediately after the completion of intervention)
- Stroop Test(Change from baseline up to 4 weeks immediately after the completion of intervention)
- The stroke self-efficacy questionnaire(Change from baseline up to 4 weeks immediately after the completion of intervention)