Effectiveness of Action Observation Therapy in Stroke Patients
NCT Number: NCT06501014
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Stroke|Rehabilitation
Interventions: OTHER: Action Observation Therapy-Experimental Group|OTHER: Conventional Exercises-Control Group
Sponsor: KTO Karatay University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 40
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (PARTICIPANT)|Primary Purpose: TREATMENT
Start Date: 2024-07-16
Completion Date: 2024-09-23
Locations: KTO Karatay University, Konya, Turkey

Summary:
The goal of this clinical trial is to learn the effectiveness of action observation therapy in patients with stroke.

The main questions it aims to answer are:

Is action observation therapy an effective method in stroke patients?

Researchers will compare the results of two action observation-based exercises with conventional exercise to see whether action observation therapy works in the rehabilitation of stroke patients.

Participants:

Participants in one group will do action observation-based exercise for 24 sessions, while participants in the other group will do conventional exercise.

Primary Outcome Measures: 2 minute walk test, Patients will be asked to walk 30 meters long on a flat surface for 2 minutes. When the time is up, the distance the patient can walk will be recorded., The evaluation will be applied at the baseline and after study completion, an average of 2 months.|Fugl-Meyer Assessment, The FMA motor assessments for the lower extremity (minimum score:0 and maximum score 34 points) will be applied. A higher score means the patient's motor movements are better., The evaluation will be applied at the baseline and after study completion, an average of 2 months.|Berg Balance Scale, The Berg Balance Scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of funcion., The evaluation will be applied at the baseline and after study completion, an average of 2 months.|Muscle Strength Testing, Handheld dynamometer will be used for lower extremity muscle strength evaluation., The evaluation will be applied at the baseline and after study completion, an average of 2 months.|Spasticity Assessment, Modified Modified Ashworth Scale (MMAS) will be applied to evaluate muscle tone in lower extremity muscles.Minimum score:0 and maximum score is 4 for every muscle/muscle group. In this study, whether the Matthew effect makes a difference in writing skills and the effects of sensoriomotor parameters on writing were investigated. The results revealed that the Matthew effect caused a significant difference in writing skills. The writing speed of individuals in the disadvantaged group was found to be significantly lower than that of the advantaged group. The results of the part of the study related to sensoriomotor parameters are; It showed that the increase in PFT-proprioception and lateral grip strength positively affected the writing speed, while the increase in gross grip strength negatively affected the writing speed.

While a low score indicates that the severity of spasticity is less, a high score indicates that the severity of spasticity is increased., The evaluation will be applied at the baseline and after study completion, an average of 2 months.