Stroke, Rehabilitation, Autonomy, Mental Practice, Movement Imagery CVA, Revalidatie, Autonomie, mentale training (voorstellingsvermogen)
Conditions
Interventions
All patients included in the study will receive 6 weeks of multi professional approach interventions. The control group will receive therapy as usual. The experimental group will receive therapy as us
Sponsors
Dr. A. Beurskens, Hogeschool Zuyd, lector kenniskring Autonomie & Participatie, Nieuw Eyckholt 300, 6400 AN Heerlen, Nederland, tel: 045-4006295 (s.beurskens@hszuyd.nl)
Prof. Derick T. Wade, iRv, Zandbergsweg 111, 6432CC Hoensbroek, The Netherlands (d.wade@irv.nl)
Eligibility
Inclusion criteria
Inclusion criteria: 1.Clinically diagnosed adult stroke patient; there is no evidence that MP only works in first ever strokes. (Moreover, it is not certain whether a clinically diagnosed first stroke is indeed the first.); 2. Sufficient cognitive level and communication skills to engage in mental practice; this is a clinical judgement. Patients need to be able to follow simple instructions.
Exclusion criteria
Exclusion criteria: 1. Severe additional impairments prior to stroke.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is hypothesised that MP has the most effects on the movement that is actually mentally rehearsed. Improvement of these activities should therefore be assessed. To measure if MP improves the performance of activities in the experimental group more than in the control group an 11-point Likert scale will be used: 11 point Likert scale assesses changes in the performance of the activities 'drinking' and 'walking' ranging from 10 ('excellent') to 0 ('poor') as perceived by the patient and the therapist. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Motricity Index (MI ¡V function (impairment) level) The Motricity Index evaluates voluntary movement activity and the maximum muscle strength with a 6 point Likert Scale. Reliability and Validity are sufficient in stroke populations.(43) This is a staff-completed index of limb movement aiming to measure general motor impairment. Three movements for each limb are assessed based on the MRC strength grades and weighted; 0 for no movement, 9 for palpable movement, 14 for movement seen, 19 for full range against gravity, 25 for movement against resistance and 33 for normal movement. The side score is the sum of the arm and leg score, divided by two. The minimum score is 0 and the maximum score is 100. The higher the score the less motor impaired; 2. Barthel Index (BI ¡V activity level) With the Barthel Index the degree of independent performance of daily activities is measured.(44) Several versions exist. In this study an assessment form with a 20 points scale will be used.(44) The BI has 10 items. Scores per item vary from a 2- (0-1) to a 4-point (0-3) Likert Scale. The BI is a reliable and valid test. The test is known to have a ceiling effect.(43) Therefore, it seems more useful in the first 6 months post stroke. Values are assigned to each item based the need for physical assistance to perform the activity. The minimum score is 0 and the maximum score is 20. The higher the score the greater the independence. 3. Nine Hole Peg Test (NHPT ¡V function (activity) level). The NHPT is a measuring instrument in which the speed of the fine hand coordination is assessed. The patient has to take nine little pins from a tray, one at a time, as fast as possible and place them in a pegboard. The time needed to complete the attempt is recorded. Only the hand that is being assessed may be used. The reliability and validity are sufficient. (45-47); 4. Rivermead Mobility Index (RMI ¡V activity level). This is a staff-completed questionnaire to measure mobility disability after he | — |
Contacts
Public ContactSusy Braun
Centre of Expertise in Life Sciences, Kenniskring Autonomie & Participatie, Fac. Gezondheid & Techniek, HsZuyd
Outcome results
None listed