Stroke
Conditions
Keywords
Stroke, Task-oriented training, Bobath training, Motor functions, Cognitive functions
Brief summary
The aim of the randomized controlled study is to investigate the effects of task-oriented training on motor and cognitive functions combined with Bobath training in patients with stroke.
Detailed description
Patients who meet the criteria will be informed about the study and volunteers will be included. When initial assessments will be completed, patients will be assigned to one of two possible sequences by simple randomization: study group (SG) or control group (CG). All volunteers will recieve Bobath training program with the duration of 8 weeks. Additionally, task oriented training will be applied in SG, 5 days a week for 8 weeks. All patients will be assessed in terms of motor functions and orientation, awareness, spatial perception, visuomotor construction, visual perception, praxis and thinking operations domains of cognitive funtions at the baseline and at the end of the study. Data will be collected from all the patients at baseline and at the end of the study (8 weeks) by the same physiotherapist who also will supervise the exercise sessions.
Interventions
BEHAVIORALTask-oriented Training
Task-oriented training will be applied to study group 5 days a week, for a total of 6 weeks, in addition to Bobath training. Task-oriented training will consist of performing the lying, sitting, standing and walking exercises by performing tasks for specific goals. Exercises will be perform by accomplishing tasks such as touching the ball with the upper or lower extremities, reaching for the ball, crossing various tracks to move blocks from one place to another, walking through obstacles or climbing stairs.
BEHAVIORALBobath Training
Bobath Concept includes sensory, perceptual and adaptive exercises aimed at improving function through mobilisation, weight-bearing, practicing more normal movement patterns and performing more efficient, less effortful tasks.
Sponsors
Yeditepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Volunteering to participate in the study 2. Be in the age range of 18-80 years 3. Clinical diagnosis of hemiplegia following stroke 4. Time since stroke between 2 and 8 weeks 5. Having stable vital signs 6. A score between 18-23 on the Mini Mental State Examination (MMSE)
Exclusion criteria
1. Having global aphasia and/or severe apraxia 2. Diagnosis of dementia or Alzheimer's prior to stroke 3. Participants who discontinued treatment 4. Receiving rehabilitation service before
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mini Mental State Examination (MMSE) | 8 weeks | The Mini Mental State Examination will be used for evaluating cognitive functions. |
| Dynamic Loewenstein Occupational Therapy Cognitive Assessment- Geriatric Version (DLOTCA-G) | 8 weeks | DLOTCA-G is a battery test with a test booklet and test kits including 28 items in seven cognitive domains which are orientation, awareness, spatial perception, visuomotor construction, visual perception, praxis and thinking operations. |
| Functional Independence Measure (FIM) | 8 weeks | FIM will be used to assess and rate motor and cognitive functional status in patients with stroke. |
| Barthel Index (BI) | 8 weeks | BI will be used to assess motor functions. |
Countries
Turkey (Türkiye)
Outcome results
None listed