Upper Limb Electromyographic Response to Motor Imagery and Action Observation in Acquired Brain Injury Patients.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 28
- 试验地点
- 2
- 主要终点
- Cognitive Impairment - Montreal Cognitive Assessment (MoCA)
研究概览
简要总结
This study focuses on electromyographic analysis of upper limb muscle activation in stroke survivors during Motor Imagery (MI) and Action Observation (AO) rehabilitation techniques. By measuring muscle activity in the wrist and finger flexors and extensors, the research seeks to understand the impact of MI and AO on motor function recovery post-stroke. Conducted at the University of Salamanca, the study involves stroke survivors participating in a series of three experimental sessions. The analysis will correlate electromyographic responses with functional independence, limb functionality, and cognitive factors. The research aims to contribute to the fields of occupational therapy and physiotherapy, offering insights into effective rehabilitation methods for improving quality of life in stroke survivors.
详细描述
This study investigates muscle activation in the upper limbs of stroke survivors using electromyographic analysis during Motor Imagery (MI) and Action Observation (AO). Stroke, a major cause of disability, often results in motor impairments in the upper limb, impacting daily activities. The research focuses on innovative rehabilitation techniques based on neuroplasticity, such as MI and AO, stimulated by the discovery of mirror neurons.
The primary goal is to record upper limb muscle activation during MI and AO, using surface electromyography to measure activation in wrist and finger flexors and extensors. The study will also explore the relationship between electromyographic responses and factors like daily activity independence, limb functionality, quality of life, mental evocation ability, and cognitive impairment.
Conducted at the University of Salamanca, the study will recruit stroke survivors for a three-session experimental protocol involving control, MI, and AO conditions. Data will be analyzed with SPSS Statistics, ensuring anonymity and ethical compliance. The research aims to enhance understanding of effective neurorehabilitation techniques, contributing to the fields of occupational therapy and physiotherapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Patients will receive 3 interventions: placebo, motor imagery and action observation
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being over 18 years of age
- •Diagnoses of established stroke
- •Present limitations or motor response deficiencies in the upper limb
- •Maintain cognitive functions with the ability to follow the instructions of the interventions and evaluations (MOCA>14)
排除标准
- •Diagnosed with mental illness before the stroke
- •Other systemic conditions on the central nervous system
- •Cardiorespiratory system pathologies in severe cases
- •Acute period, fever, muscle inflammation or myopathies
- •Any type of vascular and organic insufficiency
- •Liver disease or skin lesions in the area of application of the electrodes.
结局指标
主要结局
Cognitive Impairment - Montreal Cognitive Assessment (MoCA)
时间窗: takes about 10 minutes for administration.
Evaluates mild cognitive dysfunctions across multiple domains, including attention, memory, language, and executive functions.
Mental Evocation Ability - Mental Evocation of Images, Movements, and Activities Questionnaire (CEMIMA)
时间窗: Duration varies
Measures the ability to mentally form visual and kinesthetic images of the hand/upper limb.
Quality of Life Perception - Stroke Impact Scale 16 (SIS-16)
时间窗: 5-10 minutes.
A self-report measure focusing on physical aspects including strength, hand function, mobility, and ADLs.
Upper Limb Functionality - Action Research Arm Test (ARAT)
时间窗: Administration time ranges from 5 to 15 minutes.
Assesses upper limb functionality post-cortical injury, involving manipulation tasks with various objects.
Electromyographic Activity During MI and AO
时间窗: during the experimental setup
muscle activity using surface electrodes on wrist extensors and flexors.
Perception Impairment - Loewenstein Occupational Therapy Cognitive Assessment (LOTCA)
时间窗: Duration varies based on the number and type of subtests administered.
Specific for occupational therapy in stroke patients, assessing visual, spatial, motor, and cognitive perception.
Disability and Dependence Level - Barthel Index
时间窗: Administered once, typically taking a few minutes.
A general measure assessing patient independence, evaluating performance in basic daily activities (ADLs).
次要结局
- Affected Side(1 minute)
- Education Level(1 minute)
- Time Since Injury(1 minute)
- gender(1 minute)
- Economic Status(1 minute)
- Dominant Side(1 minute)
- Age(1 minute)
- Marital Status(1 minute)
- Type of Lesion(1 minute)
研究者
Ana María Martín Nogueras
Principal Investigator
University of Salamanca