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临床试验/NCT02104102
NCT02104102Unknown不适用

Biomedical Instrumentation in the Study of Mirror Therapy in Elderly's Hands Motor Activity

Universidade do Vale do Paraíba2 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2014年1月1日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
60
试验地点
2
主要终点
Electromyography

研究概览

简要总结

Check if the Mirror therapy represents an effective method in improving the motor activity of the hands of institutionalized elderly.

详细描述

Among the various functions impaired by aging there is the muscle function, which indirectly affects the quality of life for seniors, since it is crucial to the progressive increase of the debilitating condition, leading to difficulties in carrying out everyday tasks and often making them dependent on the assistance of others. The possible neural mechanisms underlying this decrease in muscle function associated with aging include changes undefined in Central Nervous System, a delay in conduction velocity of motor nerve fibers and in transmission of the neuromuscular junction. In this context, it is necessary to develop procedures that reduce the functional losses and decrease the negative effects of the aging process, increasing the quality of life for seniors. Mirror Therapy (MT) is the one of those possible procedures, which is based on the activation of mirror neurons from the illusion generated by viewing the reflection of a member in a mirror. When performing a movement with a member who is in your field of vision, generated the reflection in the mirror is able to offer the brain a new, albeit illusory visual stimulus, suggesting that covert member is moving. This illusion promotes the activation of mirror neurons located in the sensorimotor cortex region and the progression of therapy, this activation drives cortical plasticity that promotes the reestablishment of functions, such as motor coordination and increased range of motion. Therefore, MT is a promising technique to reduce the functional losses of aging. It is then suggested the implementation of a protocol for functional recovery of MT hands in institutionalized elderly and the measurement of electromyographic activity of the wrist, the range and speed of movement, the writing skill and the application of a questionnaire to Katz index calculation in order to investigate whether the technique can benefit this public.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
盲法
None

入排标准

年龄范围
60 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 60 years old or more
  • Institutionalized elderly
  • Ability to understand and sign the Informed Consent Form. In case of illiteracy, the term will be read to the volunteer and signed by him in the case of functional illiteracy or by officials of the asylum
  • Ability to perform analysis of writing skills throughout the proposed protocol
  • Cognitive preserved, being able to respond to the examiner's command

排除标准

  • Disabling pain to perform movements with their arms
  • Active infection and rash at the application site of EMG
  • Severe uncorrected visual deficit
  • Deficit uncorrected severe hearing
  • Neurological disorders

结局指标

主要结局

Electromyography

时间窗: 6 weeks

Muscle electrical activity will be assessed at two different times, one related to the collection along with the dynamometer and another related to the simultaneous collection accelerometer.It is expected that after treatment with Mirror Therapy for 2 weeks has been an improvement of sensorimotor functions, gain muscle strength , uniformity of muscle fiber recruitment and improves muscle synergy and gain in speed of movements.

Dynamometry

时间窗: 6 weeks

Manual strength will be assessed with the electromyography, asking the volunteer to perform the maximal volunteer contraction when pressing the portable manual dynamometer. It is expected that after treatment with Mirror Therapy for 2 weeks has been an improvement of muscle strength.

Functionality

时间窗: 6 weeks

The functionality will be measure by the Katz index during the period of the study.

次要结局

  • Range of motion(6 weeks)
  • Writing skill(6 weeks)

研究者

发起方
Universidade do Vale do Paraíba
申办方类型
Other
责任方
Sponsor

研究点 (2)

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