Effects of the Action Observation Therapy and Robotic Rehabilitation on the Upper-Limb Motor Function in Stroke
NCT ID: NCT05590156
Last Updated: 2024-04-19
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
30 participants
INTERVENTIONAL
2022-12-12
2023-12-12
Brief Summary
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After the conventional rehabilitation, one of the groups will receive action observation therapy, while the other will receive robotic rehabilitation. Both additional treatment methods will also be applied for 60 minutes. Treatment durations of both additional treatments are the same (60x3x8 minutes/day/week). Assessments will be made three times (Beginning, 4th week, 8th week).
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Detailed Description
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Blinding: Due to the nature of the study, patient-practitioner blinding is not possible. But an independent expert will perform the statistical analysis, and single-blind will be provided.
Estimating Sample Size: Gpower 3.1.9.7 software was used for sample size calculation. To calculate the effect size, the study of Lima and Christofoletti was taken as a reference, and the effect size was calculated as 1.29. The alpha error was accepted as 5% and the power of the study was 80%. Accordingly, considering that there may be missing data in the study, it was planned to include a minimum of 30 stroke patients.
Statistical Analysis: Statistical Package for the Social Sciences (SPSS v11.5) program will be used for analysis. Whether the data is normally distributed or not will be questioned by the Shapiro-Wilks test and histogram curves. When the data are normally distributed, Independent Sample T-test will be used for comparisons between groups, and Paired-Sample T-test will be used for comparisons within groups. When the data do not show normal distribution, Mann-Whitney U Test will be used for intergroup comparisons and Wilcoxon Signed Rank Test will be used for in-group comparisons.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Action Observation Therapy (AOT)
AOT is a method based on the principle that the patient watches the movements of a healthy individual and then tries to imitate them. AOT consists of a monitoring-imitation cycle. A cycle consists of 3 minutes of observation, and 3 minutes of imitation. The intervention will consist of 10 cycles for simple functions. Complex movements will be applied by separating them into their components. The cycle time for each component is the same. Take for example, the cup-reaching function: The first component is the cup-reaching activity. The second component is the glass grip. One cycle will be completed on the first component (6 minutes), then one cycle will be completed for the second component (6 minutes) and one cycle (6 minutes) will be completed for the entire movement. Cycles will follow each other for 60 minutes.
For the AOT, 31 different videos were prepared for the shoulder, elbow, and wrist. Applications will be made in the hospital under the supervision of a physiotherapist.
Conventional Rehabilitation
Conventional treatment for the upper extremity will be applied according to the patient's individual needs. A physiotherapist will apply this method in the clinic for 60 minutes. The duration of treatment is 60x3x8 minutes/day/week. Other methods will be applied in addition to the conventional treatment program.
Action Observation Therapy (AOT)
Action Observation Therapy (AOT)
Robotic Rehabilitation
The robotic rehabilitation application will be performed with the ExoRehab X (HoustonBionics, Inc.) device. There is no engine to create any repulsive-pulling force in this device. It is a system that works entirely with the patient's active movement.
Active movements of the shoulder, elbow, and wrist in all directions can be performed with the device. Motion is detected with the help of the device's censor, and the avatar moves on the screen. There are 10 different purposeful games embedded in the device. The device also allows resistance exercise thanks to resistance modules.
Which joint will be trained will be determined according to the potential of the patient. For example, if programming will be done for the shoulder, elbow and wrist, the treatment time will be 20 minutes for each joint.
Applications will be made in the hospital under the supervision of a physiotherapist.
Conventional Rehabilitation
Conventional treatment for the upper extremity will be applied according to the patient's individual needs. A physiotherapist will apply this method in the clinic for 60 minutes. The duration of treatment is 60x3x8 minutes/day/week. Other methods will be applied in addition to the conventional treatment program.
Robotic Rehabilitation (ExoRehab X)
Robotic Rehabilitation
Interventions
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Conventional Rehabilitation
Conventional treatment for the upper extremity will be applied according to the patient's individual needs. A physiotherapist will apply this method in the clinic for 60 minutes. The duration of treatment is 60x3x8 minutes/day/week. Other methods will be applied in addition to the conventional treatment program.
Robotic Rehabilitation (ExoRehab X)
Robotic Rehabilitation
Action Observation Therapy (AOT)
Action Observation Therapy (AOT)
Eligibility Criteria
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Inclusion Criteria
* Stroke history in last six months
* Mini-Mental Status Evaluation \>24 points,
* Having an Ability to sit independently,
* Presence of at least half of the range of motion of all joints for the upper extremity,
* Spasticity ≤ 2 according to the Modified Ashworth Scale,
* The Fugl-Meyer Assessment for Upper Extremity score between 20-60,
* Individuals without visual impairment,
* Individuals with normal communication and cooperation skills.
Exclusion Criteria
* Having any orthopedic problems that may affect the upper extremity,
* Taking neuropsychiatric treatment,
* Individuals who had a botox history or tendon surgery,
* Using neuroleptic drugs,
* Having an ataxia,
* Individuals who attended less than 80% of the total number of sessions.
18 Years
80 Years
ALL
No
Sponsors
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Emre Şenocak
OTHER
Responsible Party
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Emre Şenocak
Research Assistant
Principal Investigators
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Emre Şenocak, MSc
Role: STUDY_DIRECTOR
Marmara University
Aysel Yildiz Ozer, PhD
Role: STUDY_CHAIR
Marmara University
Elif Korkut, PhD
Role: STUDY_DIRECTOR
Bağcılar Education and Research Hospital
Adem Aktürk, PhD
Role: STUDY_DIRECTOR
İstanbul Gelişim University
Locations
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Marmara University
Istanbul, , Turkey (Türkiye)
Countries
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Other Identifiers
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09.2022.649
Identifier Type: -
Identifier Source: org_study_id
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