Comparative Study of Action Observation Training Versus Task Oriented Training on Reaching in Patients With Stroke

NCT ID: NCT07143500

Last Updated: 2025-08-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 39 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-06-02
• Study Completion Date: 2025-08-05

Brief Summary

Stroke is characterized by a sudden onset of localized or generalized brain dysfunction, with symptoms persisting for at least 24 hours or resulting in death. In the chronic phase following a stroke, hand dysfunction is commonly observed, often characterized by reduced finger strength and abnormal hand flexion patterns. Reaching is a crucial aspect of daily tasks, including activities like drinking, interacting with a touch screen, or pressing elevator buttons.

Detailed Description

Thirty Nine male chronic stroke patients, aged from 50 to 65 years were included in the study. They were randomly assigned into three equal groups: Group "A" was the control group, Group "B" was the study group I and Group "C" was the study group II). Patients in the control group received a selected physical therapy program for upper limb for 60 minutes, patients in group B received Task Oriented Training for upper limb for 30 minutes and the same selected physical Therapy program for upper limb for 30 minutes, while patients in group C received Action Observation Training for upper limb for 30 minutes and the same selected Physical Therapy Program for upper limb for 30 minutes. The intervention was administered three times weekly over a period of four consecutive weeks. Reaching measurements were done using Reaching Performance Scale for stroke (RPSS) and WolF Motor Function Test (WMFT) pre- and post-treatment.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Group A

Group Type: EXPERIMENTAL

Selected physical therapy program

Intervention Type: OTHER

Passive stretching, active range of motion exercises, isometric strengthening, and functional gripping practice for the hand

Group B

Group Type: EXPERIMENTAL

Selected physical therapy program

Intervention Type: OTHER

Passive stretching, active range of motion exercises, isometric strengthening, and functional gripping practice for the hand

Task Oriented Training for Upper limb

Intervention Type: OTHER

Seated in chair with arm and back support, with forearms resting on a table 73 cm high. Functional movements were trained through task-oriented exercises involving simple activities of daily living(ADL), such as eating (using a plate and spoon), personal hygiene (combing hair, brushing teeth), and tasks using household items (e.g., handling a cup and spoon, or opening a bottle and cap). Each task was repeated five times. Patients were allowed rest periods of five minutes as needed during the exercise sessions.

Group C

Group Type: EXPERIMENTAL

Selected physical therapy program

Intervention Type: OTHER

Passive stretching, active range of motion exercises, isometric strengthening, and functional gripping practice for the hand

Action Observation Training Program

Intervention Type: OTHER

sat comfortably in a chair or wheelchair with both arms resting on a table (73 cm high) positioned 50 cm from a 15.6-inch colored laptop screen. They were instructed to attentively observe action videos displayed on the screen and then imitate the observed movements using their affected upper limb. A total of 30 action videos were used, each lasting approximately 50 seconds and demonstrating specific upper limb movements, such as wrist flexion/extension, abduction/adduction, pronation/supination, ulnar/radial deviation, and various grasping and manipulation tasks (e.g., handling coins, pens, a computer mouse, jar lids, bottle caps, typewriting, dialing a phone, and feeding).

Interventions

Selected physical therapy program

Passive stretching, active range of motion exercises, isometric strengthening, and functional gripping practice for the hand

Intervention Type: OTHER

Task Oriented Training for Upper limb

Seated in chair with arm and back support, with forearms resting on a table 73 cm high. Functional movements were trained through task-oriented exercises involving simple activities of daily living(ADL), such as eating (using a plate and spoon), personal hygiene (combing hair, brushing teeth), and tasks using household items (e.g., handling a cup and spoon, or opening a bottle and cap). Each task was repeated five times. Patients were allowed rest periods of five minutes as needed during the exercise sessions.

Intervention Type: OTHER

Action Observation Training Program

sat comfortably in a chair or wheelchair with both arms resting on a table (73 cm high) positioned 50 cm from a 15.6-inch colored laptop screen. They were instructed to attentively observe action videos displayed on the screen and then imitate the observed movements using their affected upper limb. A total of 30 action videos were used, each lasting approximately 50 seconds and demonstrating specific upper limb movements, such as wrist flexion/extension, abduction/adduction, pronation/supination, ulnar/radial deviation, and various grasping and manipulation tasks (e.g., handling coins, pens, a computer mouse, jar lids, bottle caps, typewriting, dialing a phone, and feeding).

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with Chronic stroke diagnosed and referred by a neurologist.
• Patient's ages ranged from 50-65 years old, Duration of stroke was between six to 12 months, Spasticity grade of the upper limb was from 1 to 1+ according to the modified Ashworth scale (MAS).
• Patients with sufficient cognitive abilities that enabled them to understand and follow instructions (Mini-Mental Scale>24), Fugl-Meyer Assessment scale for upper limb scored between 38 and 63.
• Patients with normal vision and hearing, Medically stable patients.

Exclusion Criteria

• Patients with Upper limb dysfunction due to neurological disorders other than Stroke (e.g, Multiple Sclerosis, Parkinsonism...etc).
• Patients with Severe sensory deficits in the paretic upper limb, Psychological or severe cognitive disorders, Severe cardiovascular disease that can preclude intervention.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: No

Sponsors

Ahmed Alshimy

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Alshimy

Lecturer of Physical Therapy for Neurology and it's Surgery

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/005941

Identifier Type: -

Identifier Source: org_study_id