Clinical trial NCT05526612: The Effects of Motor Imagery Training and Physical Practice on Upper Extremity Motor Function in Patients With Stroke
Official title: The Effects of Motor Imagery Training and Physical Practice on Upper Extremity Motor Function in Patients With Stroke
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Stroke
Keywords: Stroke
Motor imagery
Physical practice
Bobath therapeutic approach
Lead sponsor: Biruni University
Sponsor class: OTHER
First posted: 2022-09-02
Enrollment: 32
Sex: ALL
Minimum age (years): 50
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Parallel Assignment (Outcomes Assessor)
Primary purpose: TREATMENT

Brief summary: The aim of the study is to compare the effects of specific functional task-oriented motor imagery training combined with the Bobath Therapeutic Approach and physical practice after imagery on upper extremity motor function in stroke patients.

Detailed description: Motor imagery (MI) is the mental rehearsal of motor abilities to improve function. Thus, imagery provides both the learning of the new movement and the improvement of the quality of movement by repeating the known activities.the investigators These neurophysiological findings obtained in recent years have popularized the use of motor imagery approach in the rehabilitation of stroke patients.

32 stroke patients aged 50-75 years will be included in the study. Cases will be randomized into 2 groups.

In our study, a treatment program will be applied with a physiotherapist for a total of 8 weeks, 2 days a week. The first group in the treatment program; Motor imagery will be performed with the Bobath Therapeutic Approach (BTA+MI) and the second group will be physical practice of imagery activities after motor imagery with the Bobath Therapeutic Approach (BTA+MI+PP). Motor imagery activity was determined as 'eating activity'.

The desired goal as a result of our work; the investigators think that motor imagery training on eating activity of stroke patients and physical practice used together will improve both the achievement of eating activity and upper extremity motor function.

Eligibility criteria: Inclusion Criteria:

* A maximum of 24 months have passed since the stroke,
* Unilateral involvement,
* Getting a score of 21 and above in the Mini Mental Test,
* Getting a score of 22 and above in the Fugl-Meyer Test,
* Ability to understand and follow simple verbal commands,
* Stage 4 or 5 according to Brunnstrom Upper Extremity Stages,
* Spasticity 1 or 1+ according to the Modified Ashworth Scale,
* Having signed the Informed Consent Form.

Exclusion Criteria:

* Patients with visual and hearing impairments that would interfere with work.
* Having pain and limitation of joint movement that may prevent performing the given tasks.
* Having any neurological disorder other than stroke.

Primary outcomes:
measure: The Fugl-Meyer Upper Extremity Scale (FMUE)
timeFrame: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
measure: Time in minutes to perform a motor task
timeFrame: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
measure: The Motor Activity Log-28 (MAL-28)
timeFrame: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
measure: Wolf Motor Function Test (WMFT)
timeFrame: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
Secondary outcomes:
measure: Demographic Characteristic of Participants
timeFrame: 1 week before the first treatment session
measure: Assessment of Quality of Life
timeFrame: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
measure: The Brunnstrom Stages
timeFrame: Baseline
measure: Spasticity Evaluation
timeFrame: Baseline
measure: The Kinesthetic and Visual Imagery Questionnaire (KVIQ)
timeFrame: The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Biruni University
Study officials:
References: