Comparative Effects of Action Observation and Motor Imagery on Upper Limb in Chronic Stroke Patients

NCT ID: NCT06108440

Last Updated: 2024-03-15

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

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-03

Study Completion Date

2024-02-01

Brief Summary

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To Compare effects of action observation and motor imagery training on upper limb function in chronic stroke patients.

Detailed Description

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The study is Randomized controlled trial. The study will be conducted on 44 stroke patients. The study will be conducted in Civil Hospital Shujaabad and Riphah rehabilitation centre Lahore. Patients will be divided into Group A (n = 20) and Group B (n = 20) using a randomization through computer generated numbers program. Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks. Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks. For the pre- and post-evaluation of all participants, Fugl-Meyer Assessment Upper Extremity (FMA UE) and Wolf Motor Function Test (WMFT) will be used. Data will be analyzed by using SPSS (Statistical package for Social Sciences) 25 version.

Conditions

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Stroke Upper Extremity Paresis Motor Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be divided into Group A (n = 20) and Group B (n = 20) using a randomization through computer generated numbers program. Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks. Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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action observation training group

Patients in Group A will receive action observation training with conventional treatment.

Group Type EXPERIMENTAL

action observation training

Intervention Type OTHER

Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks.

motor imagery training group

Patients in Group B will receive motor imagery with conventional treatment.

Group Type ACTIVE_COMPARATOR

motor imagery training

Intervention Type OTHER

Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.

Interventions

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action observation training

Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks.

Intervention Type OTHER

motor imagery training

Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with chronic stroke by a neurologist
* 03 months post stroke
* Score 1+ on modified ashworth scale
* Having a score of 24 or higher in the Mini-Mental State Examination

Exclusion Criteria

* Patient with neurological condition other than stroke e.g. Parkinson's or multiple sclerosis
* Presence of an attached artificial pacemaker
* Presence of a metal implant in the brain
* Presence of visual impairment
* Presence of unilateral neglect in Line bisection test (25)
* Use of antipsychotic drugs
Minimum Eligible Age

40 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Zeest Hashmi, MSNMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Riphah International University

Lahore, Fedral, Pakistan

Site Status

Countries

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Pakistan

References

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Demartino AM, Rodrigues LC, Gomes RP, Michaelsen SM. Hand function and type of grasp used by chronic stroke individuals in actual environment. Top Stroke Rehabil. 2019 May;26(4):247-254. doi: 10.1080/10749357.2019.1591037. Epub 2019 Mar 23.

Reference Type BACKGROUND
PMID: 30907287 (View on PubMed)

Veldema J, Nowak DA, Gharabaghi A. Resting motor threshold in the course of hand motor recovery after stroke: a systematic review. J Neuroeng Rehabil. 2021 Nov 3;18(1):158. doi: 10.1186/s12984-021-00947-8.

Reference Type BACKGROUND
PMID: 34732203 (View on PubMed)

Kuriakose D, Xiao Z. Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. Int J Mol Sci. 2020 Oct 15;21(20):7609. doi: 10.3390/ijms21207609.

Reference Type BACKGROUND
PMID: 33076218 (View on PubMed)

Serlin Y, Shelef I, Knyazer B, Friedman A. Anatomy and physiology of the blood-brain barrier. Semin Cell Dev Biol. 2015 Feb;38:2-6. doi: 10.1016/j.semcdb.2015.01.002. Epub 2015 Feb 11.

Reference Type BACKGROUND
PMID: 25681530 (View on PubMed)

Other Identifiers

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REC/RCR & AHS/23/0232

Identifier Type: -

Identifier Source: org_study_id

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