Stroke. Cerebellar stroke syndrome
Conditions
Interventions
Intervention group: Patients diagnosed with stroke: This program consisted of sessions held three times a week, each concentrating on a single-channel EMG biofeedback protocol tailored for extending u
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
50 Years to 70 Years
Inclusion criteria
Inclusion criteria: Age between 50 and 70 years. Confirmed Diagnosis of Stroke by Neurologist. History of motor-related ischemic stroke occurring between 6 months and 2 years prior. Third-degree spasticity according to the Ashworth scale for arm and hand function. Absence of hemineglect symptoms. Mini-Mental State Examination (MMSE) score above 22. Availability for 8 weeks of EMG-biofeedback training. No history of brain stimulation techniques, but participants may have received other rehabilitation therapies such as speech therapy, occupational therapy, or physiotherapy.
Exclusion criteria
Exclusion criteria: Stroke in the pons area. MRI contraindications, such as Implantable pediatric sternal devices, Metallic foreign bodies in the eye, Contact lenses, Gastric reflux devices, Insulin pumps, Temporary transvenous pacing leads. Extreme distress leading to significant head motion during MRI. Severe musculoskeletal deformities or contractures in the affected limb that impede the ability to perform EMG-biofeedback tasks. Severe aphasia or communication barriers preventing engagement with biofeedback instructions. Uncontrolled epilepsy or frequent seizures that pose a safety risk during therapy sessions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensorimotor Evaluation. Timepoint: Exactly before the start of the intervention and then immediately after the completion of all intervention sessions (two times). Method of measurement: Fugl-Meyer Assessment: Upper Extremity.;Structural evaluation using brain imaging techniques (diffusion tensor imaging). Timepoint: Exactly before the start of the intervention and then immediately after the completion of all intervention sessions (two times). Method of measurement: Diffusion Tensor Imaging.;Assessment of Daily Living Activities. Timepoint: Exactly before the start of the intervention and then immediately after the completion of all intervention sessions (two times). Method of measurement: Barthel Index.;Modified Ashworth Scale (MAS). Timepoint: Exactly before the start of the intervention and then immediately after the completion of all intervention sessions (two times). Method of measurement: Measuring spasticity. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Anahita Torkaman-Boutorabi
Tehran University of Medical Sciences
Outcome results
None listed