Effects of Motor Cognitive Training on Functional Loss After Osteoporotic Wrist Fractures
NCT ID: NCT01394809
Last Updated: 2014-12-04
Study Results
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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COMPLETED
NA
27 participants
INTERVENTIONAL
2010-08-31
2014-10-31
Brief Summary
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The pilot is conceived as a controlled, randomised, longitudinal intervention study over 6 weeks with 3 groups. One experimental group imagine movements and actions without executing them. A second experimental group performs mirror training, in which visual feedback through a mirror activates additionally the contralateral hemisphere. The control group receives therapy as usual. There are three key domains to be analysed: function (PRWE), impairment (ROM, strength) and participation in social life/life quality (DASH, EQ5D).
Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Mental Practice
During motor imagery practice a person imagines performing a movement with all its sensory consequences without actually moving. In this study the therapists follow a motor imagery guideline designed for rehabilitation of movement performance. The guideline offers therapists structure and a strategy to deliver subject-specific imagery, and is based on principles of motor learning.
motor cognitive therapies
pre-test; 6 weeks intervention: week 1-3: 5 times per week 60 minutes a day. Week 4-6: 3 times per week 60 minutes a day; post-test; follow-up)
Mirror Therapy
Mirror therapy is thought to work by using vision of the intact or good arm to replace or drive proprioception in the affected arm, and so normalise the afferent segment of the movement process.
motor cognitive therapies
pre-test; 6 weeks intervention: week 1-3: 5 times per week 60 minutes a day. Week 4-6: 3 times per week 60 minutes a day; post-test; follow-up)
Relaxation training
The control group will receive therapy as usual. Currently, this means that patients are immobilized during first 3-4 weeks. The control group will receive additional relaxation training during this period to achieve the same total amount of time the therapist spends with the patients of the experimental groups.
motor cognitive therapies
pre-test; 6 weeks intervention: week 1-3: 5 times per week 60 minutes a day. Week 4-6: 3 times per week 60 minutes a day; post-test; follow-up)
Interventions
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motor cognitive therapies
pre-test; 6 weeks intervention: week 1-3: 5 times per week 60 minutes a day. Week 4-6: 3 times per week 60 minutes a day; post-test; follow-up)
Eligibility Criteria
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Inclusion Criteria
* age 65 and older
Exclusion Criteria
* Patients who do not live independently (nursing home)
* Patients with an open fracture
* Associated soft tissue or skeletal injury to the same limb
* Cognitive impairment (6CIT \< 10)
65 Years
85 Years
FEMALE
No
Sponsors
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German Federal Ministry of Education and Research
OTHER_GOV
University of Stuttgart
OTHER
Responsible Party
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Nadja Schott
Professor
Principal Investigators
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Nadja Schott, phd
Role: PRINCIPAL_INVESTIGATOR
University of Stuttgart
Locations
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Robert Bosch Medical Center
Stuttgart, , Germany
Countries
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References
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Schott N, Korbus H. Preventing functional loss during immobilization after osteoporotic wrist fractures in elderly patients: a randomized clinical trial. BMC Musculoskelet Disord. 2014 Aug 30;15:287. doi: 10.1186/1471-2474-15-287.
Schott, N., Frenkel, M.-O., Korbus, H. & Francis, K. (2013). Mental Practice in Orthopaedic Rehabilitation: Where, What, and How? A case report. Sci-ence et Motricité, 82, 93-103.
Other Identifiers
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01 EC 1007D
Identifier Type: -
Identifier Source: org_study_id