Chronic Stroke, Occupational Balance, Occupational Therapy, Upper Extremity
Conditions
Brief summary
Chronic stroke is a neurological disorder that leads to long-term disability and functional impairments in motor, sensory, cognitive, and speech functions, persisting beyond six months after the stroke incident. The purpose of this study was to investigate the effects of task- oriented occupational therapy intervention on occupational performance, occupational balance, and quality of life in individuals with chronic stroke. The study included 30 individuals with chronic stroke aged between 18 and 65, who were divided into two groups: the task-oriented occupational therapy intervention group (TOOT) (n=15) and the control group (n=15). The participants in the TOOT group received task-oriented occupational therapy intervention in 30-minute sessions, five days a week, for four weeks, while the control group received routine upper-extremity-based occupational therapy intervention in a hospital setting.
Interventions
OTHERTask-oriented occupational therapy (TOOT)
The task-oriented occupational therapy intervention was applied to individuals in the TOOT group in the form of 30-minute sessions, 5 consecutive days a week, over 4 weeks.
OTHERControl group
Routine upper-extremity-based occupational therapy intervention was applied to individuals in the TOOT group in the form of 30-minute sessions, 5 consecutive days a week, over 4 weeks.
Sponsors
Medipol University
Kayseri City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
Investigator was blinded
Eligibility
Sex/Gender
ALL
Age
24 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* aged 18-65 years old, * completed the acute phase of stroke * experienced ischemic and/or hemorrhagic stroke * had \<=21 scores of Montreal Cognitive Assessment (MoCA) * had \<= 15 scores of the Rivermead Motor Assessment (RMA) * had a motor stage of the hand and upper extremity motor stage level 3 or higher of the Brunnstrom Stages of Motor Recovery * had scoring 2 or lower on the Modified Ashworth Scale for muscle tone around the shoulder, elbow, and wrist were included into the study.
Exclusion criteria
* Had an orthopedic problem affecting the upper extremity * had undergone surgery in the past 6 months * had a diagnosis related to a psychotic disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Canadian Occupational Performance Measure | From enrollment to the end of treatment at 4 weeks | The task was used to evaluate occupational performance, developed by the Canadian Association of Occupational Therapists, the Canadian Occupational Performance Measure is used to identify problems in activity performance, measure changes in performance, and determine performance satisfaction. The Turkish cultural adaptation, validity, and reliability of this measurement tool were carried out by Torpil, with an internal consistency coefficient ranging from 0.9 to 1. |
| Occupational Balance Questionnaire-11 (OBQ11-T) | From enrollment to the end of treatment at 4 weeks | The task was used to evaluate occupational balance. The Occupational Balance Questionnaire is a questionnaire in which a person evaluates their occupational balance in relation to their current situation and daily life. |
| Stroke Impact Scale 3.0 | From enrollment to the end of treatment at 4 weeks | The quality of life was evaluated with The Stroke Impact Scale. It is a self-report questionnaire that evaluates disability and health-related quality of life after stroke |
Countries
Turkey (Türkiye)
Outcome results
None listed