Chronic Stroke
Conditions
Brief summary
The purpose of this study was to compare the treatment effects of home-based or clinic-based bilateral training with and without mirror feedback programon on physiological markers, sensorimotor, cognition, daily functions, and participation among patients with chronic stroke.
Interventions
BEHAVIORALbilateral training with and without mirror feedback
Sponsors
Chang Gung Memorial Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* The most recent stroke was between 1 month and 5 years * No serious cognitive impairment (MMSE≥21) * FMA score =18-62 * No serious muscle spasticity in shoulder, elbow, wrist and finger (MAS≤3) * Modified rankin Scale=2 to 4
Exclusion criteria
* Aphasia that might interfere with understanding instructions * Stroke in areas other than the brain and brainstem, such as the cerebellum * other neurological disease, such as dementia * Muscle and joint have serious pain and inflammatory swelling in affected side. * Cannot control hypertension, heart disease and serious throbosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lawton-Brody IADL Scale | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Canadian Occupational Performance Measure, COPM | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Nottingham Extended Activities of Daily Living, NEADL | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| ABILHAND Questionnaire | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Motor Activity Log, MAL | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Actigraphy | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Stroke Impact Scale, SIS | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| The World Health Organization Quality of Life -Brief version, WHOQOL-BRE | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Medical Research Council scale,MRC | Change from baseline up to 4 weeks immediately after the completion of intervention |
| 6 minute walk test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| The Euroqol Quality of Life Scale | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Pittsburg Sleep Quality Index | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Fugl-Myer Assessment, FMA | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Mini-Mental State Exam, MMSE | Change from baseline up to 4 weeks immediately after the completion of intervention |
| pinch and grasp dynamometer | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Modified Ashworth Scale, MAS | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Revised Nottingham Sensory Assessment | Change from baseline up to 4 weeks immediately after the completion of intervention |
| 10-Meter Walking Test, 10MWT | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Box and Block Test, BBT | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Wolf Motor Function Test, WMFT | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Chedoke Arm and Hand Activity Inventory | Change from baseline up to 4 weeks immediately after the completion of intervention |
Secondary
| Measure | Time frame |
|---|---|
| Minnesota Rate of Manipulation Test during dual Task | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Stroop Test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Movement Imagery Questionnaire- Revised, Second Edition, MIQ-RS | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Kinesthetic and Visual Imagery Questionnaire-10, KVIQ-10 | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Modified Rankin Scale, mRS | baseline |
| 30 second sit-to-stand test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Timed up and go test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| The stroke self-efficacy questionnaire | Change from baseline up to 4 weeks immediately after the completion of intervention |
| BDI-II，Beck Depression Inventory II | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Montreal Cognitive Assessment, MoCA | Change from baseline up to 4 weeks immediately after the completion of intervention |
Countries
Taiwan
Outcome results
None listed