Investigation of the Effects of Visual-Motor Based Training on Upper Extremity Functions in Individuals With Stroke
NCT ID: NCT07055945
Last Updated: 2025-09-04
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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RECRUITING
NA
38 participants
INTERVENTIONAL
2025-08-28
2025-12-30
Brief Summary
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Detailed Description
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The Light Trainer system allows for the repetitive and non-repetitive practice of an activity. It enables goal-oriented, active participation, providing an enjoyable experience that engages the whole body. The difficulty level can be adjusted and is tailored to the individual's response ability. With these features, it supports motor learning. Given these characteristics, the Light Trainer system is considered suitable for use in patients with sensory-motor-cognitive disorders, such as those with stroke, multiple sclerosis, and Parkinson's disease. A literature review reveals that task-oriented exercises and virtual reality are commonly used for visual-motor training; however, no studies have been found involving this new system
The first aim of this study is to investigate the effects of visual-motor based training and physiotherapy program on upper extremity functions in individuals with stroke and to compare with physiotherapy program.
The second aim of this study is to investigate the effects of visual-motor based training and physiotherapy program on cognitive functions and trunk in individuals with stroke and to compare with physiotherapy program.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Visual-motor based training and physiotherapy program
The physiotherapy group will take a physiotherapy program for 3 sessions per week, 60 minutes per day, for a total of 8 weeks. The program will consist of functional exercises for trunk, upper and lower extremities.
In addition to the functional exercises individuals will receive visual-motor training targeting the upper extremity. This training will be conducted using the Light Trainer, a branded light-based training system. The light training system consists of 6 laser sensor-equipped blue, red, and green light emitters.The system is operated through a smartphone application.The training will utilize four different games, progressing from easy to difficult: Sequential, random standard, multiple light, and different color. Participants will receive training via a 12-minute session utilizing the Light Trainer device.
Experimental group
Individuals in both groups will receive a physiotherapy program for 3 sessions per week, 60 minutes per day, for a total of 8 weeks.The study consists of two groups: the experimental group and the control group. Both groups will receive a physiotherapy program of 3 sessions per week, each lasting 60 minutes, for a total of 8 weeks. Within the 60-minute physiotherapy session, patients from both groups will undergo 30 minutes of exercises based on the Neurodevelopmental Treatment (NDT) method. In addition, a 12-minute training session will be conducted using a light-based trainer system (Light Trainer® Exercise System).
Physiotherapy group
The physiotherapy group will take a physiotherapy program for 3 sessions per week, 60 minutes per day, for a total of 8 weeks.
The program will consist of functional exercises for trunk, upper and lower extremities (same as experimental group).
Functional reaching activities at the table in a sitting position, ball sliding on the wall in a standing position, touching different targets on the wall in a standing position and drawing shapes on the wall in a standing position will also added to the program.
Control group
In addition to the full-body exercises mentioned, individuals in the control group will also receive upper extremity exercises based on the Neurodevelopmental Treatment approach. These exercises are as follows:
* Functional reaching activities at the table in a sitting position (e.g., pushing objects, wiping the table, touching various points)
* Ball sliding on the wall in a standing position
* Touching different targets on the wall in a standing position
* Drawing shapes on the wall in a standing position
These exercises will be performed bilaterally and on the hemiparetic side. The exercises will be given for approximately 12 minutes, in line with the exercises given to the experimental group. The difficulty level will not be increased during the training.
Interventions
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Experimental group
Individuals in both groups will receive a physiotherapy program for 3 sessions per week, 60 minutes per day, for a total of 8 weeks.The study consists of two groups: the experimental group and the control group. Both groups will receive a physiotherapy program of 3 sessions per week, each lasting 60 minutes, for a total of 8 weeks. Within the 60-minute physiotherapy session, patients from both groups will undergo 30 minutes of exercises based on the Neurodevelopmental Treatment (NDT) method. In addition, a 12-minute training session will be conducted using a light-based trainer system (Light Trainer® Exercise System).
Control group
In addition to the full-body exercises mentioned, individuals in the control group will also receive upper extremity exercises based on the Neurodevelopmental Treatment approach. These exercises are as follows:
* Functional reaching activities at the table in a sitting position (e.g., pushing objects, wiping the table, touching various points)
* Ball sliding on the wall in a standing position
* Touching different targets on the wall in a standing position
* Drawing shapes on the wall in a standing position
These exercises will be performed bilaterally and on the hemiparetic side. The exercises will be given for approximately 12 minutes, in line with the exercises given to the experimental group. The difficulty level will not be increased during the training.
Eligibility Criteria
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Inclusion Criteria
* Aged between 18 and 75 years
* First-time stroke
* Scoring 24 or higher on the Standardized Mini Mental Test (SMMT)
* Upper extremity functioning at Stage 4 or above according to the Brunnstrom Staging
* Shoulder, elbow, wrist, and finger muscle tone at or below a score of 2 on the Modified ---Ashworth Scale (MAS)
* Shoulder joint range of motion of at least 120°
* Ability to stand independently
Exclusion Criteria
* Ataxia due to posterior circulatory ischemia
* Bilateral involvement (bilateral hemiparesis)
* Botulinum toxin injection in the last three months
* Physiotherapy treatment within the last 6 months
* Orthopedic problems such as shoulder subluxation, shoulder pain, or contractures in the hand or wrist
* Previous upper extremity or thoracic surgery
* Vision problems related to stroke (hemianopsia)
* Color blindness
18 Years
75 Years
ALL
No
Sponsors
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Baskent University Ankara Hospital
OTHER
Baskent University
OTHER
Responsible Party
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Ayşegül Aykul
Principal Investigator, MSc
Principal Investigators
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Sevgi İkbali Afşar, Prof Dr
Role: STUDY_DIRECTOR
Baskent University
Locations
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Başkent University
Ankara, Türkiye, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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BUAYKUL-001
Identifier Type: -
Identifier Source: org_study_id
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