Perfetti Method in Upper Extremity of Stroke Patients

Study Overview
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Brief Summary
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The cognitive sensory motor training therapy (Perfetti's technique) might be more effectiveness than conventional occupational therapy on upper extremity function recovery after acute stroke patients.

Detailed Description
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Globally, stroke is the second leading cause of death above the age of 60 years, and the fifth leading cause of death in people aged 15 to 59 years old. Upper extremities problem is still faced with poor prognosis for recovery. Cognitive sensory motor training therapy (Perfetti's technique) might be better helped for recovery of upper extremity function in stroke than conventional therapy.

Official Title
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A Randomized Controlled Trial of Cognitive Sensory Motor Training Therapy on the Recovery of Upper Extremity Function in Acute Stroke Patients

Conditions
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Stroke

Intervention / Treatment
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* Other: cognitive sensory motor training therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: First ever stroke Impaired upper extremity function Given signed inform consent Exclusion Criteria: Unstable medical condition Any upper extremity functional impairment prior to stroke Can not adequately cooperate in training Severe communication problems Severe cognitive - perceptual deficits Fixed contracture more than 30 degree in every upper extremity joint

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Perfetti<br>Cognitive sensory motor training method for upper extremities rehabilitation every working day, totally training not less than 600 minutes within 4 weeks. | Other: cognitive sensory motor training therapy<br>* training method that emphasis on cognition/ sensation/ and motor movement together train every working day 45 minutes per day for 4 weeks.<br>* Other names: Upper extremity;|
| No Intervention: conventional rehabilitation<br>conventional occupational therapy method for upper extremities rehabilitation every working day, totally training not less than 600 minutes within 4 weeks. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Action research arm test | The Action research arm test used for assess the impairment of upper limb function. ARAT has ordinal 4-point scale (0-3) in 19 items. Totally 57 scores. | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Box and block test | For evaluated gross manual dexterity, consist of two adjacent boxes of the same size. Between the two boxes, there is a partition. It is recorded the number of wooden block that can be transported from one compartment of a box to another within 60 seconds | 4 weeks. | 
| Extended Barthel Index | Basic activity of daily living and degree of independence from any form of help. | 4 weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stroke, upper extremity, rehabilitation, perfetti