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Investigation the effect of cognitive and motor exercises on improving the performance of chronic stroke patients

Not Applicable
Recruiting
Conditions
chronic stroke.
Family history of stroke
Registration Number
IRCT20180619040156N1
Lead Sponsor
Iran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
3
Inclusion Criteria

Experience the first stroke
Passed for 6-24 months after lesion
Having ages between 35-65 years
Ability to walk at least 10 meters without auxiliary equipment
No history of falling over the past 6 months according to the patient's own report
Having an acceptable level of cognitive performance means a score of over 24 in the Mini Mental Status Examination (MMSE) test.
Not having hemi neglect using the Star Cancellation test
Not having any history of other neurological problems, orthopedics and upper limb surgeries involved according to medical records, patient's or patient's report or observation of the examiner
Having the criteria for receiving and consuming Atorvastatin drug on the basis of a neurologist's diagnosis
Central cerebral artery injury as the cause of stroke
Ability to read and write
Having understandable speech
The lack of vision problems has not been resolved

Exclusion Criteria

Falling during assessments and exercises
Failure to cooperate properly and correct implementation of the instructions during the tests and exercises.

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Balance and upper and lower extremity mobility assessments (behavioral tests). Timepoint: Before interventions, immediately after intervention, 3 months after intervention. Method of measurement: Timed up go test, functional reach test, berg test, fugl meyer test.;Cognitive Assessments (Behavioral Tests). Timepoint: Before interventions, immediately after intervention, 3 months after intervention. Method of measurement: Wechsler test, Wisconsin test, Stroop test.;Serum levels of brain-derived growth factor (molecular laboratory tests). Timepoint: Before interventions, immediately after intervention, 3 months after intervention. Method of measurement: Brain derived neurotrophic factor analysis.;Structural changes in various brain regions (laboratory imaging test). Timepoint: Before interventions, immediately after intervention, 3 months after intervention. Method of measurement: magnetic resonance imaging.
Secondary Outcome Measures
NameTimeMethod
Changes in fear of falling. Timepoint: Before and after intervention and 3 months after intervention. Method of measurement: Activities-based balance confidence scale (ABC).;Quality of life score. Timepoint: Before and after intervention and 3 months after intervention. Method of measurement: Short Form (36) Health Survey (SF-36).;Changes in fatigue levels. Timepoint: Before and after intervention and 3 months after intervention. Method of measurement: Multidimensional Fatigue Symptom Inventory-Short Form.
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