Effect of Multisensory Stimulation on Upper Extremity Motor Recovery in Stroke Patient: a Preliminary Testing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Change from baseline Fugl-Meyer Assessment of Motor Recovery at 3 months
研究概览
简要总结
Despite the advances in stroke rehabilitation, post-stroke upper extremity impairment is still a major challenge. Increasing evidence can be found supporting stimulation of the afferent receptor enhances neuroplasticity in the brain. Studies have suggested multisensory stimulation could promote motor learning by re-establishing the disrupted sensorimotor loop due to stroke and enhance neuroplasticity.
The objective of the study was to examine the effect of multisensory stimulation on upper-extremity motor recovery and self-care function in stroke patients.
详细描述
Stroke patients referred to occupational therapy division of geriatric day hospital will be recruited and randomly assigned to a multisensory therapy group or a conventional training group. The Multisensory therapy group received 12 weeks (two sessions/ week; 90 minutes/session) training. Each session began with 15 minutes of sensory stimulation (cold and vibration), 45 minutes of motor training and 30 minutes of self-care training. The conventional training group included 12 weeks (two sessions/ week; 90 minutes/session) training. Each session included 60 minutes of upper extremity motor practice and 30 minutes of self-care training.
Outcome measures included: Brunnstrom's stage, Fugl-Meyer Assessment Scale and Functional Test for the Hemiplegic Upper Extremity were used for upper limb motor control and function; and Manual muscle testing was used for muscle strength. The modified Barthel Index was used for self-care performance
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •First-time ischemic or hemorrhagic stroke;
- •Stroke onset > 4 weeks and < 6 months
- •Single lesion
- •Upper extremity motor deficit
- •No severe cognitive impairment and able to follow verbal instructions.
排除标准
- •Skin conditions/ injuries over the stimulation application areas
- •Contraindication for cold or vibration application
- •Speech disorder or global aphasia
- •Musculoskeletal or cardiac disorders
- •Other neurological conditions
- •History of diabetes or sensory impairment attributable to peripheral vascular disease or neuropathy
结局指标
主要结局
Change from baseline Fugl-Meyer Assessment of Motor Recovery at 3 months
时间窗: Baseline and post intervention at week 12
The Fugl-Meyer Assessment was used to assess the progress in synergistic and voluntary movement at baseline and post intervention.
Change from baseline Functional Test for the Hemiplegic Upper Extremity at 3 months
时间窗: Baseline and post intervention at week 12
The Functional Test for the Hemiplegic Upper Extremity was used to evaluate the recovery of the hemiplegic upper extremity functions at baseline and post intervention.
次要结局
- Change from baseline Manual Muscle testing at 3 months(Baseline and post intervention at week 12)
- Change from baseline Modified Barthel Index at 3 months(Baseline and post intervention at week 12)
研究者
Ray KF Li
Principal Investigator, Adjunct Lecturer
Tung Wah College