Stroke. Stroke, not specified as haemorrhage or infarction
Conditions
Interventions
Intervention 1: Intervention Group1: In occupation based group, “cognitive orientation to daily occupational performance” will be used. This is a client-centered problem-solving protocol which focuses
Rehabilitation
Intervention Group1: In occupation based group, “cognitive orientation to daily occupational performance” will be used. This is a client-centered problem-solving protocol which focuses directly on imp
Intervention Group2: Intervention in exercise-based group will be a structured exercise protocol including the range of motion and strengthening exercises, balance and endurance training and functiona
Control Group: Participants in this group, will receive traditional occupational therapy including neurodevelopmental methods, stretching and strengthening programs, positioning, training of balance a
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
24 Years to 80 Years
Inclusion criteria
Inclusion criteria: Stroke survivors who are experiencing first occurrence of stroke. Are 24 to 80 years old. Are in chronic phase of stroke (6 months to 5 years). Acquire a score equitable or higher than 24 in Mini-Mental State Exam. Have no history of other neurological disabilities. Have the ability to grasp and release a block of Box and Bloc Test. Are able to walk at least 3 meter with or without assistive devices. Understand the global strategy of the occupation-based intervention (Cognitive Orientation to Daily Occupational Performance). Have no history of depressin before stroke onset.
Exclusion criteria
Exclusion criteria: Patients who experience two or more stroke.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Participation in Occupational Areas. Timepoint: Pre-test, 12 Sessions after onset of intervention, Post-test and Follow up. Method of measurement: Canadian Occupational Performance Measure, Goal Attainment Scale, Stroke Impact Scale, Community Integration Questionaire, Barthel and Katz Index, Lawton Instrumental Activity of Daily Living Scale.;Upper Extremity Function. Timepoint: Pre-test, 12 Sessions after onset of intervention, Post-test and Follow up. Method of measurement: Fugl-Meyer assessment, Motor Activity Log, Wolf Motor Function, Box and Block Test.;Functional Mobility and Balance. Timepoint: Pre-test, 12 Sessions after onset of intervention, Post-test and Follow up. Method of measurement: Timed Up and Go, Dynamic Gait Index, Functional Reach Test and Timed 10 Meter Walk Test.;Cognitive Function. Timepoint: Pre-test, 12 Sessions after onset of intervention, Post-test and Follow up. Method of measurement: Stroop Test, Wisconsin Card Sorting Test, Trail Making and Digit Span Subtest of Wechsler Memory Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Parameters of Motor Control Strategies of Upper Limb in Reach and Grasp of a subject on Single and Dual Tasks. Timepoint: Pre-test and Post-test. Method of measurement: Clinical and Laboratory Aseessment of Single and Dual Task. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactLaleh Lajevardi
Iran University of Medical Sciences
Outcome results
None listed