Combination of motor relearning program and action observation therapy for improving function of upper extremity after a stroke
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- FUGL – MEYER ASSESSMENT SCALE -UPPER EXTREMITY
研究概览
简要总结
Stroke is one of the most frequently occurring disabling diseases in the world.
Upper limb paralysis is a common and undesirable consequence of all types of stroke that leads to functional limitations such as dressing, bathing, self-care, writing etc. Even though there are many rehabilitation methods to improve upper limb function, it is necessary to investigate an effective method to improve upper extremity function for stroke survivors. Thus, this study is to find out the changes that occur with the combination of motor relearning programme and Action Observation Therapy on improving the upper limb functions.
Motor Relearning programme focuses on task specific learning through effective use of feedback and practice. The studies have shown that it is effective in enhancing motor function recovery of post stroke paretic limb.
Action observation approach has demonstrated an important role in stroke motor recovery by activating the neural system of the brain. AO forms the basis of learning through imitation and consists of one person observing the performance of a motor task, either on a video or a real demonstration.
This research will help us to evaluate the combined effect of the Motor Relearning Program and Action observation therapy for improving function of the upper extremity in stroke survivors and to see motor recovery and improvement in functionality of paretic limb and better independence in daily life activities.
Subjects will be divided into 2 groups : One group (Experimental 1) will made to perform combination of MRP and AOT for 5 times a week for 4 weeks. The second group (Experimental 2) will receive MRP along with general exercises.
The outcome measurements which will be used to assess:
- FUGL – MEYER ASSESSMENT SCALE
- WOLF MOTOR FUNCTION TEST
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 90.00 Year(s)（—）
- 性别
- All
入选标准
- •first onset of stroke with six months of recovery period hemiparetic stroke with ischemic or hemorrhagic stroke motor recovery of hand- brunnstrom stages four and five MMSE more than 24.
排除标准
- •Comorbidities that influenced upper extremity usage or cause severe pain Subjects have severe neglect of the affected part Subjects having severe spasticity of upper extremity (grade 3 and 4 in modified ashworth scale) Subjects having apraxia, hemianopia.
结局指标
主要结局
FUGL – MEYER ASSESSMENT SCALE -UPPER EXTREMITY
时间窗: Measure at baseline(Pre-Test) | Measure at 4 weeks(Post-Test)
次要结局
- Wolf motor Functional test(Measure at baseline(Pre-Test))
研究者
Divya
Indian Spinal Injuries Centre Institute of Rehabilitation