Clinical trial NCT04832334: Investigation Of The Relationship Between Imagery Ability, Balance And Functionality After Stroke
Official title: Is There a Relationship Between Imagination Ability, Balance and Functionality After Stroke?
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stroke
Motor İmagery Ability
Mental Chronometry
Balance
Functionality
Keywords: stroke
motor imagery
mental chronometry
balance
functionality
Lead sponsor: Medipol University
Sponsor class: OTHER
First posted: 2021-04-05
Enrollment: 40
Sex: ALL
Minimum age (years): 40
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: In this study, we will enroll patients based on the statistics of the articles titled "Motor imagery in stroke patients or plegic patients with spinal cord or peripheral diseases" and "Effects of a single mental chronometry training session in subacute stroke patients - a randomized controlled trial". We calculated the power analysis from this article. According to this calculated; α=0.05, 1-β=0.90, effect size=0.96.

Stroke patients treated at Istanbul Medipol University Pendik Hospital Physical Medicine and Rehabilitation Clinic Neurology Rehabilitation Unit and healthy individuals matching them will be included.

Brief summary: It was aimed to determine the relationship between post-stroke imagination ability, balance, and functionality, and to compare the motor imagery skills of those who had stroke with compatible healthy individuals.

Detailed description: İn the study, 20 individuals with hemiplegic or chronic hemiparesis who agreed to participate by signing the voluntary consent form, who meet the inclusion criteria, and 20 healthy individuals who are similar in terms of age, gender and education level will be included.

The individuals included in the study will be divided into two groups:

Group 1: Stroke Patients Group 2: Control Group

Eligibility criteria: Inclusion Criteria:

* Post-stroke hemiplegia or chronic hemiparesis
* Not having any neurological disorder other than stroke
* Not having vision problems that will affect the materials to be used during the treatment.
* To be able to communicate enough to understand the orders given
* Standardized Mini Mental Test (SMMT) score of 24 and above
* Not having seen a visualization application before

Inclusion Criteria for Healthy Participants:

* Being between the ages of 40-80
* To be similar in terms of age, gender, education level of individuals with stroke

Exclusion Criteria:

* Having an advanced degree of aphasia
* Unilateral neglect
* Standardized Mini Mental Test (SMMT) score below 24 points
* Multiple stroke history
* Having pain and limitation of joint motion that will interfere with functional activity
* Walking restriction
* Serious communication or understanding problems
* Presence of serious cardiovascular, respiratory, metabolic or orthopedic problems
* Presence of a secondary neurological disease

Primary outcomes:
measure: Fugl - Meyer Motor Recovery Assessment Form
timeFrame: Day 0
measure: Mini-Mental State Test
timeFrame: Day 0
measure: Clock Drawing Test
timeFrame: Day 0
measure: Digit Span Test
timeFrame: Day 0
measure: Kinesthetic and Visual Imaging Questionnaire
timeFrame: Day 0
measure: Box and Block Test
timeFrame: Day 0
measure: Functional Independence Scale
timeFrame: Day 0
measure: Berg Balance Scale
timeFrame: Day 0
measure: Time Up and Go Test
timeFrame: Day 0
measure: Functional Reach Test
timeFrame: Day 0
measure: Hand Lateralization Test
timeFrame: Day 0
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Medipol University
state: Beykoz
Study officials:
affiliation: İstanbul Medipol University
name: Fatma Mutluay, Professor
role: STUDY_DIRECTOR
References:
citation: Cho HY, Kim JS, Lee GC. Effects of motor imagery training on balance and gait abilities in post-stroke patients: a randomized controlled trial. Clin Rehabil. 2013 Aug;27(8):675-80. doi: 10.1177/0269215512464702. Epub 2012 Nov 5.
citation: Amesz S, Tessari A, Ottoboni G, Marsden J. An observational study of implicit motor imagery using laterality recognition of the hand after stroke. Brain Inj. 2016;30(8):999-1004. doi: 10.3109/02699052.2016.1147600. Epub 2016 Jun 13.
citation: Liepert J, Greiner J, Nedelko V, Dettmers C. Reduced upper limb sensation impairs mental chronometry for motor imagery after stroke: clinical and electrophysiological findings. Neurorehabil Neural Repair. 2012 Jun;26(5):470-8. doi: 10.1177/1545968311425924. Epub 2012 Jan 13.
citation: Morioka S, Osumi M, Nishi Y, Ishigaki T, Ishibashi R, Sakauchi T, Takamura Y, Nobusako S. Motor-imagery ability and function of hemiplegic upper limb in stroke patients. Ann Clin Transl Neurol. 2019 Feb 17;6(3):596-604. doi: 10.1002/acn3.739. eCollection 2019 Mar.
citation: Sharma N, Pomeroy VM, Baron JC. Motor imagery: a backdoor to the motor system after stroke? Stroke. 2006 Jul;37(7):1941-52. doi: 10.1161/01.STR.0000226902.43357.fc. Epub 2006 Jun 1.