The Effect of ıntensified Sensory-based Therapy on Upper Extremity Functions and Activities of Daily Living

NCT ID: NCT05133219

Last Updated: 2022-09-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-05-23
• Study Completion Date: 2022-09-02

Brief Summary

Sensory dysfunction following stroke is a common condition. The deficiency in the somatosensory system negatively affects the learning of new motor skills by preventing feedback from the sensory system, and it can also cause problems in daily life, personal care, productivity, and leisure activities. Somatosensory impairment is often overlooked, as rehabilitation often focuses on motor abilities in the affected extremity. In the studies reviewed, it is stated that sensory dysfunction is seen in approximately 50% of stroke patients.

The aim of this study is to examine the effects of intensified sensory-based therapy applied to the affected upper extremity sensory functions in individuals with chronic stroke on the upper extremity functions, quality of life, and independence of daily living activities.

Detailed Description

Sensory dysfunction following stroke is a common condition. The deficiency in the somatosensory system negatively affects the learning of new motor skills by preventing feedback from the sensory system, and it can also cause problems in daily life, personal care, productivity, and leisure activities. Somatosensory impairment is often overlooked, as rehabilitation often focuses on motor abilities in the affected extremity. In the studies reviewed, it is stated that sensory dysfunction is seen in approximately 50% of stroke patients.

The aim of the study; The aim of this study is to examine the effects of intensified sensory-based therapy applied to the affected upper extremity sensory functions in individuals with chronic stroke on the upper extremity functions, quality of life, and independence of daily living activities.

Thirty patients with chronic stroke will be randomized 1:1 to study (n:15) and control (n=12). Thumb localization test, finger swipe test, stereognosis test, and two-point discrimination test will be used to evaluate the sensory functions of individuals. Demographic information of individuals will be recorded with a sociodemographic information form. Before the treatment, the sensory levels of all patients will be determined by thumb localization, finger scrolling and stereognosy tests. Jebsen Taylor Hand Function Test (JTHFT), Modified Frenchay Scale (MFS), Canadian Occupational Performance Measure (COPM), Goal Attainment Scale (GAS) and Stroke-Specific Quality of Life Scale (SSQOL) will be administered before and after treatment.

Conditions

Stroke; Sensory Defect

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Research Group

Participants will be received Intensified sensory therapy.

Other: Occupational Therapy Activities of Daily Living Training

Intervention: Other: Occupational therapy intervention

Group Type: EXPERIMENTAL

Occupational Therapy

Intervention Type: OTHER

Occupational therapy is the only profession that helps people across the lifespan to do the things they want and need to do through the therapeutic use of daily activities (occupations). Occupational therapy practitioners enable people of all ages to live life to its fullest by helping them promote health, and prevent-or live better with-injury, illness, or disability.

Control Group

Participants will be received Occupational Therapy.

Other: Activities of Daily Living Training

Group Type: EXPERIMENTAL

Occupational Therapy

Intervention Type: OTHER

Occupational therapy is the only profession that helps people across the lifespan to do the things they want and need to do through the therapeutic use of daily activities (occupations). Occupational therapy practitioners enable people of all ages to live life to its fullest by helping them promote health, and prevent-or live better with-injury, illness, or disability.

Interventions

Occupational Therapy

Occupational therapy is the only profession that helps people across the lifespan to do the things they want and need to do through the therapeutic use of daily activities (occupations). Occupational therapy practitioners enable people of all ages to live life to its fullest by helping them promote health, and prevent-or live better with-injury, illness, or disability.

Intervention Type: OTHER

Other Intervention Names

Activities of Daily Living Training; İntensified Sensory Therapy

Eligibility Criteria

Inclusion Criteria

• Stroke duration more than 6 months,
• To be able to communicate
• 10 degrees of wrist dorsiflexion starting from full palmar flexion of the wrist
• To initiate finger extension

Exclusion Criteria

• Joint contracture in the upper and lower extremities that will affect functionality other than stroke,
• Having a significant uncontrolled health problem and a history of epileptic seizures,
• Having 3 or more spasticity according to the Modified Ashworth Scale (MAS),
• Unable to communicate and cooperate,
• With marked ataxia and dystonia,
• Lack of movement and function in the wrist and fingers
• Having a diagnosis of bilateral stroke

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kocaeli University

OTHER

Sponsor Role: lead

Responsible Party

Muhammed Rohat YAZICI

Researcher Assistant

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Çiğdem ÇEKMECE, PhD

Role: STUDY_CHAIR

Kocaeli University

Locations

Kocaeli Üniversitesi

Kocaeli, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

KOU-MRYAZİCİ-001

Identifier Type: -

Identifier Source: org_study_id