Action Observation Treatment on Motor Function in Upper Limb of Patients With Chronic Stroke
Condition: Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      To determine the effects of action observation treatment on motor functions in upper limb of
      patients with chronic stroke
    

Detailed description: 
      Stroke is one of the major cause of death in Pakistan and also a prime source of disability
      in older adults.Mirror neuron system depends on motor regions, and its dominant aspect is
      that,it is activated for implementation of motor activity and also for its observation. This
      "dual activation" characteristic of mirror neuron helps in improving the observation and
      execution of different actions.

      aim of this study is to determine the effects of action observation treatment on motor
      function in upper limb of patients with chronic stroke.

      An RCT will be conducted on 14 chronic stroke patients from Omar Hospital and Riphah
      Rehabilitation Centre Lahore. Patients will be randomly allocated into control group (n=7)
      and Experimental group (n=7) by lottery method. Control group will be given only conventional
      treatment that included stretching, strengthening, pinching, gripping, reaching and grasping
      exercises, while Experimental group received conventional treatment and action observation
      treatment 3 days/ week for 4 weeks. Treatment outcomes will be assessed on Modified Barthel
      Index and Fugl-Meyer Assessment for upper extremity (FMA-UE)
    

Intervention name(s): Action observation treatment; conventional treatment
Intervention type(s): Combination Product; Combination Product
Intervention description(s): Participants will watch 5 videos of motor tasks; each video is of 30 sec and watch for 4 times (i.e. for 2 minutes). Then patient will execute the motor act, soon after the observation with an affected limb for 2 minutes, with total rest time of 5 minutes for this treatment. Conventional treatment of muscle stretching, strengthening and ROM exercises will be given for 15 minutes including rest. Total treatment time is 40 minutes.; conventional treatment of 40 minutes in total will be performed including Stretching (for 8-10 sec with set of 5 repetitions/ session on each side for 3 minutes total with rest), strengthening (weighted bicep curls, side arm raise and open arm movement exercises with set of 5 repetitions/ session for 9 minutes total with rest), Range of motion exercises active and passive with set of 5 repetitions/ session for 3 minutes total with rest and gripping,reaching, grasping exercises (on each side for total 25 minutes including rest) with assistance of physiotherapist
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: each participant will be requested to draw either number one or two from a box.number one refers to group A and number two refers to group B. Group A patients will receive conventional treatment of 40 minutes in total. group B is experimental group , patients will watch videos of 5 common motor tasks that implicit the usage of items to be used for action observation treatment.
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: stroke; action observation treatment