Effects of Action Observation Treatment on Motor Function in Upper Limb of Patients With Chronic Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Riphah International University
- Enrollment
- 14
- Locations
- 1
- Primary Endpoint
- modified barthal index
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
To determine the effects of action observation treatment on motor functions in upper limb of patients with chronic stroke
Detailed Description
Stroke is one of the major cause of death in Pakistan and also a prime source of disability in older adults.Mirror neuron system depends on motor regions, and its dominant aspect is that,it is activated for implementation of motor activity and also for its observation. This "dual activation" characteristic of mirror neuron helps in improving the observation and execution of different actions. aim of this study is to determine the effects of action observation treatment on motor function in upper limb of patients with chronic stroke. An RCT will be conducted on 14 chronic stroke patients from Omar Hospital and Riphah Rehabilitation Centre Lahore. Patients will be randomly allocated into control group (n=7) and Experimental group (n=7) by lottery method. Control group will be given only conventional treatment that included stretching, strengthening, pinching, gripping, reaching and grasping exercises, while Experimental group received conventional treatment and action observation treatment 3 days/ week for 4 weeks. Treatment outcomes will be assessed on Modified Barthel Index and Fugl-Meyer Assessment for upper extremity (FMA-UE)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Chronic Stroke patients (with more than 6 months- 4 years) illness
- •Patients that were able to communicate and comprehend oral instructions
- •Patients with Mini Mental State Examination (MMSE) score more than 24
Exclusion Criteria
- •Patients having psychiatric histories.
- •Visual and hearing impaired patients
- •Patients with speech impairment
- •Patients with arthritic deformities in upper limb (with or without using assistive device)
- •Patients with diagnosed mental illness.
Outcomes
Primary Outcomes
modified barthal index
Time Frame: 40 minutes
The Modified Barthel Index score was used for practical evaluation in activities of daily living. The MBI comprises of 10 items, 6 out of 10 items scored from 0-2 points, 2 items scored from 0-3 points and other 2 items scored from 0-3 points, giving a highest total score of 20 points.
Fugl-Meyer Assessment test
Time Frame: 40 minutes
Fugl-Meyer Assessment test for Upper extermity.to assess level of motor impairment and its recovery after treatment. The FMA-UE comprises of 7 times.