Comparative Effects of Telerehabilitation Based Motor Relearning Program and Telerehabilitation Based Conventional Physical Therapy on Motor Function and Balance in Stroke Patients.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Fugl-Meyer Assessment (FMA) Motor Function Score
研究概览
简要总结
This study aims to compare the effects of telerehabilitation based motor relearning program and telerehabilitation based conventional physical therapy on motor function and balance in stroke patients.
详细描述
Several recent studies have demonstrated the effectiveness of telerehabilitation in stroke rehabilitation. An umbrella review published in 2024 evaluated systematic reviews and meta-analyses conducted between 2010 and 2023 and concluded that telerehabilitation is effective in enhancing mobility, upper limb function, and balance in post-stroke patients. The review also emphasized the technology's role in increasing access to rehabilitation services and reducing treatment delays, especially in rural or underserved areas. The findings support the integration of telerehabilitation into standard stroke care practices.
A randomized controlled trial conducted in 2023 on 60 post-stroke patients compared home-based telerehabilitation with traditional outpatient therapy over an 8-week period. Participants in both groups demonstrated significant improvements in the Berg Balance Scale (BBS) and Fugl-Meyer Assessment (FMA) scores. However, the telerehabilitation group reported slightly higher patient satisfaction and adherence, indicating that home-based telerehabilitation is a feasible and effective alternative for improving motor function and balance in stroke survivors.
A longitudinal observational study published in 2022 involving 120 individuals in the subacute and chronic phases of stroke recovery explored balance recovery mechanisms. The findings showed that balance impairments are most responsive to intervention within the first six months after stroke, corresponding with a heightened period of neuroplasticity. The study highlighted the importance of early, structured, and task-specific rehabilitation during this critical phase, supporting the potential application of the Motor Relearning Program (MRP).
A pilot study published in 2021 evaluated the feasibility of delivering task-specific therapy through telerehabilitation using video conferencing. The intervention included functional training exercises for 25 stroke patients aged 45-70 years over six weeks. Significant improvements were observed in trunk control, sit-to-stand transfers, and walking ability, with positive participant feedback and no reported adverse events. The findings suggest that telerehabilitation can effectively deliver neurophysiological principles such as motor learning.
A clinical trial conducted in 2020 involving 40 subacute stroke patients assessed the effectiveness of task-specific training based on the Motor Relearning Program (MRP). Participants performed repetitive, goal-oriented functional tasks, including transfers and walking. After four weeks, the intervention group demonstrated significant improvements in trunk control and balance compared with the group receiving standard physiotherapy, indicating that MRP is highly effective in improving motor control and coordination when delivered in person.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
盲法说明
Blinding
入排标准
- 年龄范围
- 40 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •* Adults aged 40-70 years.
- •Male or female participants.
- •Diagnosed with ischemic or hemorrhagic stroke 3-12 months prior to enrollment.
- •Medically stable and cleared to participate in physical rehabilitation.
- •Mini-Mental State Examination (MMSE) score ≥
- •Able to understand and follow verbal instructions.
- •Have access to a smartphone, tablet, or computer with a stable internet connection for telerehabilitation sessions.
- •Willing and able to provide written informed consent.
排除标准
- •* MMSE score <24 or severe cognitive impairment.
- •Presence of other neurological disorders (e.g., Parkinson's disease or multiple sclerosis).
- •Uncontrolled hypertension or recent cardiac event.
- •Severe visual, auditory, or communication impairments that prevent participation.
- •Currently enrolled in another structured rehabilitation program.
- •Any musculoskeletal or medical condition that would interfere with safe participation in the intervention.
结局指标
主要结局
Fugl-Meyer Assessment (FMA) Motor Function Score
时间窗: Baseline and after 6 weeks of intervention
Change in motor function will be assessed using the Fugl-Meyer Assessment (FMA). The FMA evaluates motor recovery of the upper and lower extremities, with higher scores indicating better motor function.
Berg Balance Scale (BBS) Score
时间窗: Baseline and after 6 weeks of intervention
Balance performance will be assessed using the Berg Balance Scale (BBS). The scale consists of 14 functional balance tasks, with higher scores indicating better balance.
次要结局
- Timed Up and Go (TUG) Test(Baseline and after 6 weeks of intervention)