Recovery of Hand Function Through Mental Practice.

NCT ID: NCT00355836

Last Updated: 2015-11-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Study Completion Date

2007-02-28

Brief Summary

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The purpose of this study is to assess the therapeutic benefits of motor imagery training in stroke patients with persistent motor weakness.

Detailed Description

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Stroke is a common and highly debilitating illness. Many patients (41-45%) experience chronic motor impairments (Dijkerman et al., 1996) and limitations in activities of daily living (Wade \& Langton Hewer, 1987) even after extensive neurological rehabilitation. They often result in long-term dependence at a considerable cost to the carers and the health service. It is therefore crucial to optimise motor recovery after stroke. This study investigates the therapeutic benefits of motor imagery training in stroke patients with a motor weakness.

Evidence for the idea that motor imagery training could enhance the recovery of hand function comes from several separate bases of evidence: the sports literature; neurophysiological evidence; evidence from health psychology research; as well as preliminary findings using motor imagery techniques in stroke patients.

There is evidence to suggest that mental rehearsal of movement can produce effects normally attributed to practising the actual movements. Imagining hand movements could stimulate the redistribution of brain activity, which accompanies recovery of hand function, thus resulting in a reduced motor deficit. Patients are assessed before and after a four-week evaluation period. In this randomised controlled trial 45 patients daily mentally rehearse movements with their affected hand under close supervision. Their recovery is compared to 45 patients who perform closely supervised non-motor mental rehearsal, and 45 patients who are not engaged in a training program.

Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Mental Imagery

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Confirmed diagnosis of stroke in the last 1-6 months Persisting upper limb weakness -

Exclusion Criteria

Alcohol/ Drug abuse Psychiatric history Previous illness that has impacted on individuals Activity of Daily living

\- Dementia (assessed by MSQ) Severe Aphasia
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chief Scientist Office of the Scottish Government

OTHER_GOV

Sponsor Role collaborator

University of Aberdeen

OTHER

Sponsor Role lead

Principal Investigators

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Marie Johnston, Prof

Role: PRINCIPAL_INVESTIGATOR

University of Aberdeen

Locations

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University of Aberdeen

Aberdeen, , United Kingdom

Site Status

Ninewells Hospital

Dundee, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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CZH/4/153

Identifier Type: -

Identifier Source: org_study_id

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