The Effects of Cognitive Rehabilitation on Motor Performance, Balance and Fear of Falling in Stroke Patients

NCT ID: NCT05490628

Last Updated: 2022-08-05

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-30

Study Completion Date

2022-12-31

Brief Summary

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One of the most common complications in stroke patients is cognitive impairment. Cognitive impairment affects a large part of the life of stroke patients. However, the relationship between cognitive impairment and fear of falling in stroke patients has not been investigated in any study yet. Various treatment approaches have been developed to improve cognitive function. While some of these approaches focus on improving cognitive function, others aim to reach the maximum functional level with various compensation methods taught to the patient in the current cognitive situation. As a result of cognitive interventions, stroke patients' participation in daily life, adherence to treatment and quality of life increase. The aim of this study is to investigate the effects of cognitive interventions on motor performance, balance and fear of falling. This study will contribute to the literature by investigating these effects of cognitive rehabilitation.

Detailed Description

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Participants will be randomized into two groups as control and experimental groups. The control group will receive traditional rehabilitation intervention, while the experimental group will receive additional cognitive intervention to traditional rehabilitation. Two groups will be evaluated before and after the study. Participants' motor performance, balance and fear of falling will be determined by evaluation criteria.

Conditions

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Stroke Cognition Disorder Fear Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly divided into intervention and control groups. Both groups will be treated for 6 weeks. Each participant will be treated for a total of thirty hours, one hour a day, five days a week.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Control Group

Traditional exercises:

stretching exercises, strengthening exercises, balance exercises, walking exercises and fine motor skill exercises.

Group Type ACTIVE_COMPARATOR

Conventional Therapy

Intervention Type OTHER

Strengthening, walking, balance and coordination exercises are performed according to the needs of the participants.

Cognitive Rehabilitation Group

Cognitive rehabilitation; memory, executive function, attention, concentration and calculation exercises.

Group Type EXPERIMENTAL

Cognitive Rehabilitation

Intervention Type OTHER

Language, memory, attention and executive function exercises are performed for the participants' deficient cognitive functions.

Conventional Therapy

Intervention Type OTHER

Strengthening, walking, balance and coordination exercises are performed according to the needs of the participants.

Interventions

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Cognitive Rehabilitation

Language, memory, attention and executive function exercises are performed for the participants' deficient cognitive functions.

Intervention Type OTHER

Conventional Therapy

Strengthening, walking, balance and coordination exercises are performed according to the needs of the participants.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having been diagnosed with stroke
* The duration of the disease is in the range of 1-24 months
* Having a score of 21 or lower on the mini mental state test
* Having received 3 or more according to the Functional Ambulation Scale
* Not having a vision problem that will affect the vision of the materials to be used during the treatment
* Being able to communicate sufficiently to understand the simple orders given

Exclusion Criteria

* Having been diagnosed with bilateral stroke
* Having a neurological disease other than the diagnosis of stroke
* Development of aphasia after stroke
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istanbul University - Cerrahpasa

OTHER

Sponsor Role lead

Responsible Party

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Rüstem Mustafaoğlu

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rüstem Mustafaoğlu

Role: STUDY_DIRECTOR

IstanbulUniversity-Cerrahpasa

Central Contacts

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Ömer Faruk Akan

Role: CONTACT

+90 (531) 495 51 38

Rüstem Mustafaoğlu, PhD

Role: CONTACT

+90 (555) 417 85 35

References

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Hoffmann T, Bennett S, Koh CL, McKenna KT. Occupational therapy for cognitive impairment in stroke patients. Cochrane Database Syst Rev. 2010 Sep 8;2010(9):CD006430. doi: 10.1002/14651858.CD006430.pub2.

Reference Type BACKGROUND
PMID: 20824849 (View on PubMed)

Miller EL, Murray L, Richards L, Zorowitz RD, Bakas T, Clark P, Billinger SA; American Heart Association Council on Cardiovascular Nursing and the Stroke Council. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke. 2010 Oct;41(10):2402-48. doi: 10.1161/STR.0b013e3181e7512b. Epub 2010 Sep 2. No abstract available.

Reference Type BACKGROUND
PMID: 20813995 (View on PubMed)

Niemeijer M, Svaerke KW, Christensen HK. The Effects of Computer Based Cognitive Rehabilitation in Stroke Patients with Working Memory Impairment: A Systematic Review. J Stroke Cerebrovasc Dis. 2020 Dec;29(12):105265. doi: 10.1016/j.jstrokecerebrovasdis.2020.105265. Epub 2020 Sep 11.

Reference Type BACKGROUND
PMID: 32992171 (View on PubMed)

Liu TW, Ng GYF, Chung RCK, Ng SSM. Cognitive behavioural therapy for fear of falling and balance among older people: a systematic review and meta-analysis. Age Ageing. 2018 Jul 1;47(4):520-527. doi: 10.1093/ageing/afy010.

Reference Type BACKGROUND
PMID: 29471428 (View on PubMed)

Other Identifiers

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IstanbulUC-omerfarukakan-001

Identifier Type: -

Identifier Source: org_study_id

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