Stroke
Conditions
Keywords
stroke, upper extremity, rehabilitation, perfetti
Brief summary
The cognitive sensory motor training therapy (Perfetti's technique) might be more effectiveness than conventional occupational therapy on upper extremity function recovery after acute stroke patients.
Detailed description
Globally, stroke is the second leading cause of death above the age of 60 years, and the fifth leading cause of death in people aged 15 to 59 years old. Upper extremities problem is still faced with poor prognosis for recovery. Cognitive sensory motor training therapy (Perfetti's technique) might be better helped for recovery of upper extremity function in stroke than conventional therapy.
Interventions
training method that emphasis on cognition/ sensation/ and motor movement together train every working day 45 minutes per day for 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* First ever stroke * Impaired upper extremity function * Given signed inform consent
Exclusion criteria
* Unstable medical condition * Any upper extremity functional impairment prior to stroke * Can not adequately cooperate in training * Severe communication problems * Severe cognitive - perceptual deficits * Fixed contracture more than 30 degree in every upper extremity joint
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Action research arm test | 4 weeks | The Action research arm test used for assess the impairment of upper limb function. ARAT has ordinal 4-point scale (0-3) in 19 items. Totally 57 scores. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Box and block test | 4 weeks. | For evaluated gross manual dexterity, consist of two adjacent boxes of the same size. Between the two boxes, there is a partition. It is recorded the number of wooden block that can be transported from one compartment of a box to another within 60 seconds |
| Extended Barthel Index | 4 weeks. | Basic activity of daily living and degree of independence from any form of help. |
Countries
Thailand