Health conditions: Patients with first ever unilateral right MCA ischemic stroke both cortical and sub cortical at sub acute stage (1 to 6 months),
Conditions
Interventions
Regular discharge home program,
which are home programs that usually given by medical and rehabilitation team when the stroke patient discharge from hospital.,Physical therapy home rehabilitation program (PT-
HRP)are:(1)Passive mobilizing and flexibility exercise.
This exercise is for affected side of upper extremity and lower extremity and flexibility of trunk. It will include the tone management if the p
for affected side of upper extremity,
lower extremity and trunk.
(3)Balance training.
This balance training will be exercised on sitting,
standing,
and stepping.
(4)Functional exercise
This functional exercise is for upper extremity and lower extremity. Functional exercises of affected upper extremity include the using of the upper extremity in
life tasks with an emphasis on increasing coordination requirements,
such as opening drawers,
putting away dishes,
folding towels,
closing blinds,
counting change,
and writing.
,Physical therapy home rehabilitation program (PT-
HRP) with Action Observation Execution (AOE) are:
(1)PT HRP cover four exercises as in Arm 2 study above
(2)AOE consist of observing 3 activities on video continued with executing 3 activities as seen
Regular discharge home program,Physical therapy home rehabilitation program (PT-
HRP),Physical therapy home rehabilitation program (PT-
HRP) with Action Observation Execution (AOE)
Sponsors
Asst.Prof.Dr. Pakaratee Chaiyawat
Assoc. Prof. Dr. Jarugool Tretriluxana,Assoc. Prof. Dr. Arthorn Riewpaiboon
Eligibility
Sex/Gender
All
Age
45 Years to 80 Years
Inclusion criteria
Inclusion criteria: (1) Age between 45 – 80 years. (2) Impaired upper extremity motor function indicating ‘mild to moderate’ level (motor and coordination scores 31 to 55 out of max 66 on Fugl-Meyer assessment (FMA) for upper extremity (UE) (88). (3) Right handed prior to stroke (Edinburgh handedness inventory score right handed ≥ 7 out of 10) (108). (4) Normal or corrected vision (NIHSS-visual field = 0 out of 0-3) (109). (5) Willingness to participate and able to provide informed consent. (6) Family/care giver available. (7) Living in or around (20 km radius area) Surakarta, Central Java, Indonesia.
Exclusion criteria
Exclusion criteria: (1) Severe pain on upper extremity that interferes activities of daily living as indicated by FMA-UE pain = 0 (marked pain) on ≥ 3 out of 5 joints (88). (2) Evidence of visual neglect or anosognosia (NIHSS neglect item ≥ 1 out of 0-2) (109). (3) Severely restricted passive range of motion at shoulder and elbow (FMA-UE passive joint motion = 0 out of 0-2 on shoulder and elbow) (88). (4) Severe to total sensory loss in UE (NIHSS-sensory = 2 out of 0-2) (109). (5) Cognitive impairments (MMSE < 24 out of 0-30) (107). (6) Unstable participants due to severe concomitant disease, such as psychiatric (depression, anxiety) pulmonary, cardiovascular or other systemic diseases (severe hypertension, diabetes), verification from the medical record. (7) Aphasia, verification from the medical record.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wolf motor function test pre, post and follow up time (second) and functional (rating scale) | — |
Secondary
| Measure | Time frame |
|---|---|
| Barthel Index pre, post and follow up Rating scale,Euro Qol 5D - 3L pre, post and follow up Rating scale | — |
Countries
Indonesia
Contacts
Public ContactSetiawan Setiawan
Health Politechnic of Surakarta, Indonesia
Outcome results
None listed