Individuals with hemiparesis after stroke with mildly or moderately Motor impairment of upper limb (Fugl-Meyer Arm > 30/66).
Conditions
Interventions
Participants will be divided at randomly into experimental group and control group. The mirror box used in training is made of wood, open at the top with a mirror arranged perpendicularly to the cente
other
H02.010.625
Sponsors
Universidade do Estado de Santa Catarina
Eligibility
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: This will include individuals who suffered Stroke proven by CT scan or MRI for at least 6 months (chronic phase). Those with motor recovery level > 30 (mild or moderate impairment) in the upper extremity section of the Fugl-Meyer motor assessment, scores on the modified Ashworth scale 2 or less for muscle groups evaluated (horizontal shoulder adductors, elbow flexors and wrist and finger flexors) and those able accomplish a task of handling rough (reach and grab a cylindrical object).
Exclusion criteria
Exclusion criteria: Will be excluded individuals with other neurological diseases, orthopedic problems in the upper limbs that interfere with the function of these, significant visual impairment not correctable, aphasia or difficulty to understanding simple tasks (eg reach and grasp a bottle); visual hemineglect verified through the Bells Test; members of other research or therapy involving the upper limbs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Upper extremity performance test for the elderly (Tempa):The scores obtained by the observer are based on speed of execution, functional level and functional analysis of the tasks performed. The scores refers to the functional independence of each individual task, being graded according to a four-level scale (0= completes the task until 3 = can not complete the task). The analysis of tasks 0 to 3 quantifies the difficulties encountered by the subject, according to five items: strength, range of motion, precision of broad movements, grip and precision of fine movements. This instrument will be evaluated by films by an evaluator blind to the training group and the sequence of films. There will be an assessment before and after training and 2 weeks of follow-up. The bilateral and unilateral tasks of the TEMPA will be considered separately. | — |
Secondary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Motor Assessment(upper limb section, Brazilian version): It consists of a cumulative numerical scoring system that assesses the motor function of upper extremity speed and coordination, totaling 66 points. Will be participated in this study individuals with scores between 50 and 65 that reflect mild impairment, and between 30 and 49 indicating moderate impairment. This instrument will be administered by an evaluator blind to the training group. There will be an assessment before and after training and 2 weeks at follow-up evaluation.;The Modified Ashworth Scale: consists of a scale to verify the tonus of specific muscle groups and grade spasticity. The score ranges from 0 to 4. The groups will be tested: shoulder horizontal adductors, elbow flexors, wrist flexors and fingers. This instrument will be administered by an evaluator blind to the training group. There will be an assessment before and after training and 2 weeks at follow-up evaluation. | — |
Countries
Brazil
Contacts
Public ContactLetícia ;Stella Rodrigues;Michaelsen
Letícia Cardoso Rodrigues;Universidade do Estado de Santa Catarina
Outcome results
None listed