The Effects of Motor Imagery Training and Physical Practice on Upper Extremity Motor Function in Patients With Stroke

NCT ID: NCT05526612

Last Updated: 2022-09-07

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-13
• Study Completion Date: 2023-01-31

Brief Summary

The aim of the study is to compare the effects of specific functional task-oriented motor imagery training combined with the Bobath Therapeutic Approach and physical practice after imagery on upper extremity motor function in stroke patients.

Detailed Description

Motor imagery (MI) is the mental rehearsal of motor abilities to improve function. Thus, imagery provides both the learning of the new movement and the improvement of the quality of movement by repeating the known activities.the investigators These neurophysiological findings obtained in recent years have popularized the use of motor imagery approach in the rehabilitation of stroke patients.

32 stroke patients aged 50-75 years will be included in the study. Cases will be randomized into 2 groups.

In our study, a treatment program will be applied with a physiotherapist for a total of 8 weeks, 2 days a week. The first group in the treatment program; Motor imagery will be performed with the Bobath Therapeutic Approach (BTA+MI) and the second group will be physical practice of imagery activities after motor imagery with the Bobath Therapeutic Approach (BTA+MI+PP). Motor imagery activity was determined as 'eating activity'.

The desired goal as a result of our work; the investigators think that motor imagery training on eating activity of stroke patients and physical practice used together will improve both the achievement of eating activity and upper extremity motor function.

Conditions

Stroke

Study Design

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

Study Groups

Group 1

Motor imagery and Bobath Therapeutic Approach (BTA+MI)

Group Type: ACTIVE_COMPARATOR

Group 1 Motor imagery and Bobath Therapeutic Approach (BTA+MI)

Intervention Type: OTHER

Motor imagery (MI) is the mental rehearsal of motor abilities to improve function. Without revealing any movement in the body, the representation of the movement is created in the mind, the person imagines that he/she is performing the movement. Eating activity will be applied in motor imagery. Individualized therapy sessions in the Bobath Therapeutic Approach will also be received by the Physiotherapist along with Motor imagery. 2 days a week, 30 minutes session will be applied for a total of 8 weeks.

Group 2

Motor imagery, Bobath Therapeutic Approach and Physical practice (BTA+MI+PP)

Group Type: EXPERIMENTAL

Group 2 Motor imagery, Bobath Therapeutic Approach and Physical practice (BTA+MI+PP)

Intervention Type: OTHER

Individualized therapy sessions in the Bobath Therapeutic Approach with motor imagery will be performed by the physiotherapist, and in addition to these, 5 repetitions of the eating activity used in motor imagery will be practiced. 2 days a week, 30 minutes session will be applied for a total of 8 weeks.

Interventions

Group 1 Motor imagery and Bobath Therapeutic Approach (BTA+MI)

Motor imagery (MI) is the mental rehearsal of motor abilities to improve function. Without revealing any movement in the body, the representation of the movement is created in the mind, the person imagines that he/she is performing the movement. Eating activity will be applied in motor imagery. Individualized therapy sessions in the Bobath Therapeutic Approach will also be received by the Physiotherapist along with Motor imagery. 2 days a week, 30 minutes session will be applied for a total of 8 weeks.

Intervention Type: OTHER

Group 2 Motor imagery, Bobath Therapeutic Approach and Physical practice (BTA+MI+PP)

Individualized therapy sessions in the Bobath Therapeutic Approach with motor imagery will be performed by the physiotherapist, and in addition to these, 5 repetitions of the eating activity used in motor imagery will be practiced. 2 days a week, 30 minutes session will be applied for a total of 8 weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• A maximum of 24 months have passed since the stroke,
• Unilateral involvement,
• Getting a score of 21 and above in the Mini Mental Test,
• Getting a score of 22 and above in the Fugl-Meyer Test,
• Ability to understand and follow simple verbal commands,
• Stage 4 or 5 according to Brunnstrom Upper Extremity Stages,
• Spasticity 1 or 1+ according to the Modified Ashworth Scale,
• Having signed the Informed Consent Form.

Exclusion Criteria

• Patients with visual and hearing impairments that would interfere with work.
• Having pain and limitation of joint movement that may prevent performing the given tasks.
• Having any neurological disorder other than stroke.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Biruni University

OTHER

Sponsor Role: lead

Responsible Party

Nisa Nur SOYSAL

Principal Investigator,Physical Therapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Biruni University

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Provided Documents

Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

B-SOYSAL-001

Identifier Type: -

Identifier Source: org_study_id