Functional Rehabilitation of Upper Limb Apraxia in Patients Poststroke

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2018-09-30

Brief Summary

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The purpose of this study is to analyze the effects of a mixed intervention of occupational therapy (rehabilitative and compensatory approach) at home to upper limb apraxia in mild and moderate patients post stroke in comparison to a control group with a traditional health educative protocol.

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Detailed Description

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Apraxia is a neurological disorder characterized by a loss of ability to execute and carry out skilled movements and gestures despite intact motor and sensory systems, coordination and comprehension.

Upper limb apraxia comprises a wide spectrum of higher motor disorders caused by acquired brain disease, affecting the performance of skilled movements carried out by the upper limbs.

Few data are available on the effectiveness of interventions in this disorder and no exists studies that implement a mixed intervention (rehabilitative and compensatory ) of Occupational Therapy in these patients at home.

Conditions

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Stroke Apraxias

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Functional Rehabilitation of apraxia

The participants will be randomly assigned to an experimental group, to receive intervention in upper limb apraxia at home since two approaches, a rehabilitative and another compensatory (providing adaptive strategies at home). The treatment will be performed three times a week, 30 minutes a day, during a 4-week period.

Group Type EXPERIMENTAL

Functional Rehabilitation of apraxia

Intervention Type OTHER

The intervention will cover every type of approaches related with upper limb apraxia.

We will use different kinds of tools to activate cerebral networks implied on apraxia, for facilitating the cerebral neuroplasticity in the recovering of the patient.

On the other hand, when the function can not be improved, we will provide skills and strategies for enhance the environment adaptation and increasing the autonomy and independence.

Traditional health educative protocol

Control group will receive treatment with a traditional health educative protocol to improve his functionality in activities of daily living. The treatment will be performed twice in two month.

Group Type ACTIVE_COMPARATOR

Traditional health educative protocol

Intervention Type OTHER

The traditional health educative protocol consist in an educational workshop for patients and caregivers where they are taught the implications of apraxia in their daily live, kind of errors of apraxia for gaining consciousness of the syndrome, and some strategies to facilitate the adaptation of the patient in her house.

Interventions

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Functional Rehabilitation of apraxia

The intervention will cover every type of approaches related with upper limb apraxia.

We will use different kinds of tools to activate cerebral networks implied on apraxia, for facilitating the cerebral neuroplasticity in the recovering of the patient.

On the other hand, when the function can not be improved, we will provide skills and strategies for enhance the environment adaptation and increasing the autonomy and independence.

Intervention Type OTHER

Traditional health educative protocol

The traditional health educative protocol consist in an educational workshop for patients and caregivers where they are taught the implications of apraxia in their daily live, kind of errors of apraxia for gaining consciousness of the syndrome, and some strategies to facilitate the adaptation of the patient in her house.

Intervention Type OTHER

Other Intervention Names

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Intervention of occupational therapy in apraxia Traditional intervention in apraxia

Eligibility Criteria

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Inclusion Criteria

* Mild-moderate stroke after two month of the cerebrovascular attack.
* Upper limb apraxia lasting at least 2 months.
* Less than 9 points in validated Apraxia Screen of TULIA (AST) following Vanbellingen et al., 2010.
* Voluntary participation.
* The neurologist, the occupational therapist and the patient judge the intervention to be necessary.

Exclusion Criteria

* History of apraxia before current stroke.
* Stroke had occurred less than two months or more than twenty four month ago.
* Cognitive impairment (\< 23 in normal school population and \< 20 points with a low education or illiteracy, in Spanish validation of Mini-Mental State Examination (MMSE)).
* Severe aphasia.
* Previous brain tumour.
* History of other previous neurologic disorders.
* Mother tongue different to Spanish.
* Drugs addiction.
* Intellectual or learning disorders.
* Brain damage for traumatism or neurodegenerative process.
* A history of serious consciousness impairments
* Uncooperativeness, presence of orthopedic or other disabling disorders.

Minimum Eligible Age

25 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No