Stroke
Conditions
Keywords
Stroke, Action Observation Training, Task Oriented Training, Reaching Performance Scale for Stroke, Wolf Motor Function Test
Brief summary
Stroke is characterized by a sudden onset of localized or generalized brain dysfunction, with symptoms persisting for at least 24 hours or resulting in death. In the chronic phase following a stroke, hand dysfunction is commonly observed, often characterized by reduced finger strength and abnormal hand flexion patterns. Reaching is a crucial aspect of daily tasks, including activities like drinking, interacting with a touch screen, or pressing elevator buttons.
Detailed description
Thirty Nine male chronic stroke patients, aged from 50 to 65 years were included in the study. They were randomly assigned into three equal groups: Group A was the control group, Group B was the study group I and Group C was the study group II). Patients in the control group received a selected physical therapy program for upper limb for 60 minutes, patients in group B received Task Oriented Training for upper limb for 30 minutes and the same selected physical Therapy program for upper limb for 30 minutes, while patients in group C received Action Observation Training for upper limb for 30 minutes and the same selected Physical Therapy Program for upper limb for 30 minutes. The intervention was administered three times weekly over a period of four consecutive weeks. Reaching measurements were done using Reaching Performance Scale for stroke (RPSS) and WolF Motor Function Test (WMFT) pre- and post-treatment.
Interventions
OTHERSelected physical therapy program
Passive stretching, active range of motion exercises, isometric strengthening, and functional gripping practice for the hand
OTHERTask Oriented Training for Upper limb
Seated in chair with arm and back support, with forearms resting on a table 73 cm high. Functional movements were trained through task-oriented exercises involving simple activities of daily living(ADL), such as eating (using a plate and spoon), personal hygiene (combing hair, brushing teeth), and tasks using household items (e.g., handling a cup and spoon, or opening a bottle and cap). Each task was repeated five times. Patients were allowed rest periods of five minutes as needed during the exercise sessions.
OTHERAction Observation Training Program
sat comfortably in a chair or wheelchair with both arms resting on a table (73 cm high) positioned 50 cm from a 15.6-inch colored laptop screen. They were instructed to attentively observe action videos displayed on the screen and then imitate the observed movements using their affected upper limb. A total of 30 action videos were used, each lasting approximately 50 seconds and demonstrating specific upper limb movements, such as wrist flexion/extension, abduction/adduction, pronation/supination, ulnar/radial deviation, and various grasping and manipulation tasks (e.g., handling coins, pens, a computer mouse, jar lids, bottle caps, typewriting, dialing a phone, and feeding).
Sponsors
Ahmed Alshimy
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
MALE
Age
50 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients with Chronic stroke diagnosed and referred by a neurologist. * Patient's ages ranged from 50-65 years old, Duration of stroke was between six to 12 months, Spasticity grade of the upper limb was from 1 to 1+ according to the modified Ashworth scale (MAS). * Patients with sufficient cognitive abilities that enabled them to understand and follow instructions (Mini-Mental Scale\>24), Fugl-Meyer Assessment scale for upper limb scored between 38 and 63. * Patients with normal vision and hearing, Medically stable patients.
Exclusion criteria
* Patients with Upper limb dysfunction due to neurological disorders other than Stroke (e.g, Multiple Sclerosis, Parkinsonism...etc). * Patients with Severe sensory deficits in the paretic upper limb, Psychological or severe cognitive disorders, Severe cardiovascular disease that can preclude intervention.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reaching Performance Scale for Stroke (RPSS) | 4 Weeks | Evaluates the performance of two reaching and grasping tasks |
| Wolf Motor Function Test (WMFT) | 4 Weeks | Designed to assess upper limb motor function following stroke or traumatic brain injury |
Countries
Egypt
Outcome results
None listed