Mental Practice in Post-stroke Subjects

NCT03251209 | Unknown

• 1 other identifier: 1.978.586/2017
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Among the limitations caused by cerebrovascular accident (CVA), the upper limb (MS) undergoes changes that limit the individual in his ability to maintain an active social life. Mental Practice (MP) consists of the internal reproduction of an event, which is repeated extensively in order to learn or improve an already known skill. The objective of the study is evaluate the effects of the physical practice associated with PM, on paretic MS. Subjects with unilateral stroke over 6 months, age\> 18 years and who were able to hold objects will be selected. Subjects with painful conditions that affected exercise performance,\> 3 spasticity by Ashworth, and cognitive deficit suggested by the Mini Mental State Examination will be excluded.

Conditions

Stroke Sequelae; Stroke

Outcome Measures

Primary Outcomes (5)

• Fugl-Meyer Scale

  Sensory-motor impairment of upper limb

  Change from baseline sensory-motor impairmente at 8 weeks and 3 months (follow-up).

• surface electromyography

  Short radial extensor of the carpus and superficial flexor of the fingers

  change from baseline muscle activity at 8 weeks and 3 months (follow-up)

• Functional independence measure (FIM)

  assess the dependence of others for activities of daily living

  change from baseline functional independence at 8 weeks and 3 months (follow-up)

• Action Research Arm Test (ARAT)

  functional test of upper limb

  change from baseline dexterity at 8 weeks and 3 months (follow-up)

• Box and Block test (BBT)

  manual dexterity

  change from baseline dexterity at 8 weeks and 3 months (follow-up)

Secondary Outcomes (5)

• Movement Imagery Questionnaire-Revised second version (MIQ-RS)

  change from baseline ability to imagine at 8 weeks

• Kinesthetic and Visual Imagery Questionnaire (KVIQ - 10)

  change from baseline capacity of imagination at 8 weeks

• Mini-mental State Examination

  baseline

• Theory of Mind Task Battery (ToM)

  change from mental function baseline at 8 weeks

• Modified ashworth scale (MAS)

  change fom baseline muscle tone at 8 weeks and 3 months (follow-up)

Study Arms (3)

Group 1

EXPERIMENTAL

Post-stroke participants receive the mental practice before the physical practice. The activities will be presented in a videotherapy way.

Other: Physical practice; Other: Mental practice; Other: Videotherapy

Group 2

EXPERIMENTAL

Post-stroke participants receive the mental practice after the physical practice. The activities will be presented in a videotherapy way.

Other: Physical practice; Other: Mental practice; Other: Videotherapy

Group 3

ACTIVE COMPARATOR

Post-stroke participants receive only physical practice. The activities will be presented in a videotherapy way.

Other: Physical practice; Other: Videotherapy

Interventions

Physical practice OTHER

Physical Practice: reproduce through the motor execution (4 distinct tasks: stacking cubes, opposition of fingers with precision gripping, passing water from one glass to another, sequencing of bottles), the activities assisted in the video (5 minutes / task).

Group 1; Group 2; Group 3

Mental practice OTHER

Mental practice: think about the tasks watched in the videotherapy (4 distinct tasks: stacking cubes, opposition of fingers with precision gripping, passing water from one glass to another, sequencing of bottles) for 5 minutes / task.

Group 1; Group 2

Videotherapy OTHER

Videotherapy, being 2 minutes per task (4 distinct tasks: stacking cubes, opposition of fingers with precision gripping, passing water from one glass to another, sequencing of bottles)

Group 1; Group 2; Group 3

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical diagnosis of stroke, ischemic or hemorrhagic, for more than 6 months, age above 18 years, unilateral involvement and are able to hold objects

You may not qualify if:

• Painful conditions that affect the ability to perform the proposed exercises, spasticity greater than 3 by the Ashworth Scale and cognitive deficits that will be evaluated by the Mini Mental State Examination (MMSE)

Sponsors & Collaborators

• Universidade Federal do Rio Grande do Norte: lead

Study Sites (1)

Faculty of Health Science - Facisa/UFRN

Santa Cruz, Rio Grande do Norte, 59200000, Brazil

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Roberta O Cacho, PhD

  Universidade Federal do Rio Grande do Norte

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: August 7, 2017
• First Posted: August 16, 2017
• Study Start: April 20, 2017
• Primary Completion: June 10, 2017
• Study Completion: December 1, 2017
• Last Updated: August 16, 2017

Record last verified: 2017-08

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)