Stroke, Upper Extremity Paresis
Conditions
Keywords
mental practice, stroke, upper extremity, hemiparesis, rehabilitation interventions
Brief summary
The purpose of this randomized controlled trial is to compare the effect of audio-guided mental practice (MP) and video-guided MP on the impairment and functional abilities of upper extremity (UE) hemiparesis following a stroke. Participants are recruited from Adventist Healthcare Rehabilitation Hospital. All participants must be less than one-month post-stroke with moderate UE hemiparesis. Eligible participants are randomly assigned to an experimental group, (MP or repetitive-task practice (RTP)), or the control group. The MP groups will perform either audio-guided MP or video-guided MP, five days a week, with 20 repetitions of the following tasks: wiping a table, picking up a cup, brushing hair, and turning the pages of a book. The RTP group physically performed the same tasks. The control group received traditional stroke rehabilitation. The investigators hypothesize that video MP will have greater improvements in UE impairments and functional abilities than audio MP, RTP, and/or traditional therapy.
Interventions
OTHERMental Practice
MP is the cognitive rehearsal of a motor task without physical movement, with the intent to improve motor performance. Mental practice can be completed via audio or video recording, visual prompts, written instructions, self-initiated or recorded pictures.
OTHERRepetitive-Task Practice
Repetitive-Task Practice is the repetitive rehearsal of a motor task with the intent to improve motor performance.
OTHERTraditional Therapy
Traditional therapy includes traditional interventions completed in occupational therapy for patients following a stroke. These interventions include but are not limited to, range of motion, weight-bearing, massage, modalities, self-care training, and transfer training.
Sponsors
Texas Woman's University
Adventist HealthCare
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Primary diagnosis of stroke * Less than one-month post-stroke * Hemiparesis of one upper extremity * Moderate upper extremity impairment
Exclusion criteria
* History of prior stroke * Comorbidities (severe neurological, orthopedic, rheumatoid, or cardiac impairments) * Severe spasticity * Severe cognitive impairments * Inability to perform mental imagery * Severe aphasia based on speech therapist evaluation * Low English proficiency * Severe pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fugl Meyer Assessment-Upper Extremity Portion (FMA-UE) (Measuring pre/post intervention change) | Within 3 days of admission and within 3 days prior to discharge | The Fugl Meyer Assessment-upper extremity(FMA-UE) portion will be administered to measure the impairment of the upper extremity. Upper extremity movements are rated on 3-point ordinal scale where 0= unable to perform, 1= performs partially, 2= performs fully. Cumulative scores range from 0-66 where a lower score indicates increased impairment. |
| Wolf Motor Function Test (WMFT) (Measuring pre/post intervention change) | Within 3 days of admission and within 3 days prior to discharge | The Wolf Motor Function Test (WMFT) is used to measure the functional abilities of the UE. 15 tasks are performed including six timed joint-segment movements and eight timed integrative functional movements. Tasks are rated on a 6-point ordinal scale where 0= does not attempt to 5=movement appears to be normal. Timed and functional ability scores are calculated to indicate the functional abilities of the UE. |
Countries
United States
Outcome results
None listed