stroke patient with mild cognitive impairment and upper extremity impairment Stroke upper extremity function cognition motor imagery
Conditions
Interventions
experimental group will receive Action observation followed by motor imagery and execution of action ,control group will receive action observation followed by execution
action observation, motor imagery and execution ,action observation and execution
Sponsors
Faculty of physiotherapy, Mahidol university
Eligibility
Sex/Gender
All
Age
18 Years to 66 Years
Inclusion criteria
Inclusion criteria: Inclusion Criteria Both ischemic and hemorrhagic unilateral first ever stroke Both male and female with age between 18-66 years old sub acute post stroke Normal or correct vision Right hand dominant pre stroke Diagnosed and confirmed by CT scan or MRI by physician Able to follow the commands and can speak and understand Nepalese language Motor deficit severity should be mild to moderate impairments Mild cognitive deficit with attention score of 3 Movement Imagery Questionnaire 3 will be used to measure the ability of kinesthetic Imagery. Patient need to score between 3 to 7 (total scoring is 1to 7). Only item number 7 that is arm movement will be included as it measures kinesthetic imagery ability of upper extremity.
Exclusion criteria
Exclusion criteria: Severe pain on UE Severely restricted joint motion Aphasia Cognitive impairment prior stroke Inability to sit independently for at least one hour Previous history of neurological lesions, any existing psychiatric and neurological diagnoses that affect cognition Neglect
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| upper extremity function baseline, post 1 assessment after 4 weeks of intervention, post 2 assessment: 1 month after completion of intervention wolf motor function test | — |
Secondary
| Measure | Time frame |
|---|---|
| cognitive function baseline, post 1 assessment after 4 weeks of intervention, post 2 assessment: 1 month after completion of intervention Montreal Cognitive Assessment (MoCA) | — |
Countries
Nepal
Contacts
Public ContactManju Gyawali
Nepal Mediciti Hospital
Outcome results
None listed