Stroke is the leading cause of death and long-term disability in those who survive. Approximately 90% of stroke victims suffer from a sequela of stroke, mainly weakness of the muscles and sensory deficits on the affected side which leads to poor performance in the upper extremity (UE) function for these individuals. Depression is a substantial consequence of a stroke. Post-stroke depression (PSD) delays the effects of therapy and slows down the recovery process due to the patient'
Conditions
Interventions
The intervention programme for stroke participants was the umbrella painting activity, which included background painting and drawing pictures with colours. Equipment for umbrella painting consisted o
2) acrylic colour
3) paintbrushes, both round and flat types with different sizes
4) chair with back support with no armrest
5) table for laying colour jars. Before starting the umbrella painting session, therapists allowed stroke participants to warm up for 5 minutes by using their unaffected hand to hold the affected one,
2) reaching out an arm to drop a paintbrush into the colour jar
3) moving arm back towards the umbrella canopy
and 4) painting or drawing pictures on the umbrella canopy. The intervention programme was conducted during regularly scheduled occupational and physical therapy sessions, which are the only two treat
Experimental Behavioral,No Intervention Behavioral
Umbrella Painting Activity plus standard rehabilitation,Standard rehabilitation
Sponsors
Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang-Mai University
Eligibility
Sex/Gender
All
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Clinical diagnosis of a first stroke 2. Age between 20 and 70 years old 3. Hemiparesis for 6 - 24 months after onset 4. The ability to reach Brunnstrom stages III to V in the proximal and distal arm 5. No significant cognitive deficits (as determined by the Mental State Examination - Thai version) 6. No excessive spasticity in the affected UE (Modified Ashworth Scale score at least 2 in any joint) that might preclude the functional movements 7. Risk of depression (as measured by The Two Questions Screening Test for Depression) 8. No other neuromuscular or orthopedic diseases exist 9. Willing to participate in the study
Exclusion criteria
Exclusion criteria: The patients would have been removed from the study if they had joined another institute's rehabilitation program and participated in the intervention program less than 80% of the time.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Upper-Extremity Function within 7 days after end of the intervention The Functional Test for Hemiplegic Upper Extremity in Persons with Hemiplegia - Thai Version | — |
Secondary
| Measure | Time frame |
|---|---|
| Depression within 7 days after end of the intervention The Patient Health Questionnaire (PHQ-9) - Thai version | — |
Countries
Thailand
Contacts
Public ContactKawin Sirimuengmoon
Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang-Mai University
Outcome results
None listed