Comparative Effects of Action Observation and Motor Imagery on Upper Limb in Chronic Stroke Patients With Vertigo.

Study Overview
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Brief Summary
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To Compare effects of action observation and motor imagery training on upper limb function in chronic stroke patients.

Detailed Description
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The study is Randomized controlled trial. The study will be conducted on 44 stroke patients. The study will be conducted in Civil Hospital Shujaabad and Riphah rehabilitation centre Lahore. Patients will be divided into Group A (n = 20) and Group B (n = 20) using a randomization through computer generated numbers program. Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks. Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks. For the pre- and post-evaluation of all participants, Fugl-Meyer Assessment Upper Extremity (FMA UE) and Wolf Motor Function Test (WMFT) will be used. Data will be analyzed by using SPSS (Statistical package for Social Sciences) 25 version.

Official Title
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Comparative Effects of Action Observation and Motor Imagery Training on Upper Limb Function in Chronic Stroke Patients

Conditions
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Stroke, Upper Extremity Paresis, Motor Activity

Intervention / Treatment
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* Other: action observation training
* Other: motor imagery training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed with chronic stroke by a neurologist 03 months post stroke Score 1+ on modified ashworth scale Having a score of 24 or higher in the Mini-Mental State Examination Exclusion Criteria: Patient with neurological condition other than stroke e.g. Parkinson's or multiple sclerosis Presence of an attached artificial pacemaker Presence of a metal implant in the brain Presence of visual impairment Presence of unilateral neglect in Line bisection test (25) Use of antipsychotic drugs

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 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
Interventional Model Description: Patients will be divided into Group A (n = 20) and Group B (n = 20) using a randomization through computer generated numbers program. Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks. Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: action observation training group<br>Patients in Group A will receive action observation training with conventional treatment. | Other: action observation training<br>* Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks.<br>|
| Active Comparator: motor imagery training group<br>Patients in Group B will receive motor imagery with conventional treatment. | Other: motor imagery training<br>* Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fugl-Meyer Assessment Upper Extremity (FMA UE): | Fugl-Meyer Assessment Upper Extremity (FMA UE): FMA UE is a detailed evaluation tool that quantitatively measures motor function, balance, sensation, joint range of motion, and pain in stroke hemiplegic patients | 6 months | 
| Wolf Motor Function Test (WMFT): | Wolf Motor Function Test (WMFT): The Wolf motor function test is a tool to evaluate upper extremity motor function in hemiplegic patients. It has 17 tasks with a score range from 0-5. The inter-rater reliability of the function score is 0.88 and the inter-rated reliability of performance time is 0.97 | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stroke, Upper Extremity Paresis, Motor Activity