Activity Daily Living Performance in Patients With Stroke
Investigation of Activity Daily Living Performance in Patients With Chronic Stroke
1 other identifier
observational
26
1 country
2
Brief Summary
In the rehabilitation of stroke patients, the emphasis is on the treatment of physical pathologies such as increased range of motion and muscle strength, reduction of spasticity and pain. All these treatments provide increased physical capacity of the patient. But these are not enough for perform the activity daily living. In order to be successful in activity daily living of the patient, performance based treatment methods should also be applied. The use of Canadian Occupational Performance Measurement (COPM), which measures patients' defined problem areas in daily practice should contribute to the patient-oriented approach process.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Oct 2018
Shorter than P25 for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 23, 2018
CompletedStudy Start
First participant enrolled
October 24, 2018
CompletedFirst Posted
Study publicly available on registry
October 29, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 12, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 11, 2019
CompletedFebruary 15, 2019
October 1, 2018
4 months
October 23, 2018
February 13, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
canadian occupational performance measure (COPM)
COPM has a client-centered design and measures outcomes according to three occupational performance areas (self-care, productivity, and leisure), examining self-perceived changes in the occupational performance of patients through a semistructured interview. The COPM prompts discussion between interviewees and therapists on factors such as different areas of activity, their concerns, and problems to be resolved. At the beginning, patients start by identifying their difficulties according to the three occupational performance areas. They subsequently use a 10-point Likert-type scale, ranging from not at all crucial (1) to extremely crucial (10), to identify the intensity of certain difficulties. For the top five problems or tasks selected by patients, the interviewer asks them to continue identifying their performance and satisfaction with their performance by using the same 10-point rating scale. Accordingly, therapists focus on these main problems or tasks.
3 weeks interval
Secondary Outcomes (5)
Modified Ashworth Scale (MAS)
3 weeks interval
Brunnstrom's Hemiplegia Recovery Staging
3 weeks interval
Mini Mental Stage Examination
3 weeks interval
The Barthel Activity Daily Living Index
3 weeks interval
The Frenchay Activities Index (FAI)
3 weeks interval
Eligibility Criteria
In this study we will take patients depends on a article's statistics that called "Combined Cognitive-Strategy and TaskSpecific Training Improve Transfer to Untrained Activities in Subacute Stroke: An Exploratory Randomized Controlled Trial". We calculated the power analysis from this article. According to this calculated; α=0.05, 1-β=0.20, influence quantity=0.69. Between September 10, 2018 and February 11, 2019, 26 stroke patients between the ages of 18-65 who applied for rehabilitation treatment in Kocaeli University Faculty of Medicine Department of Physical Medicine and Rehabilitation will be included.
You may qualify if:
- Being 18 between 65 years of age,
- To be volunteer,
- Stability of medical conditions of patients,
- Have a sufficient communication skills,
- There will be not severe pain that will affect the treatment
- At least three months after cerebrovascular disease,
- Hemiplegia depends on cerebrovascular disease
- There will be not serious cognitive defect \[Mini Mind Test (MMT) score of 24 and above\],
- The patients have to have Stage of Brunnstrom is III or more appropriate,
- Modified Ashworth Scale (MAS) score has to be 2 and below
- Independent seating balance
You may not qualify if:
- To be an acute term stroke
- Patient consciousness is closed,
- Having a history of stroke before,
- Having a history of spinal cord lesion, traumatic brain injury, other accompanying neurological disease (multiple sclerosis, Parkinson's disease, dementia) or lower motor neuron disease,
- Having a history of tumor, convulsion,
- An important comorbid disease, such as severe heart disease (aortic stenosis, angina, arrhythmia, pacemaker) and uncontrolled hypertension, which may prevent rehabilitation, epileptic seizure history,
- No volunteer
- Excessive spasticity in the affected upper extremity joints (shoulder, elbow, wrist, fingers) \[Modified Ashworth Scale (MAS) score is ≥ 3,
- Lack of sitting balance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Cigdem Cekmece
Kocaeli, İzmit, 41040, Turkey (Türkiye)
Cigdem Cekmece
Kocaeli, Yahya Kaptan, 41040, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
elif ozcan
Kocaeli University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Target Duration
- 5 Months
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- assistant professor
Study Record Dates
First Submitted
October 23, 2018
First Posted
October 29, 2018
Study Start
October 24, 2018
Primary Completion
February 12, 2019
Study Completion
October 11, 2019
Last Updated
February 15, 2019
Record last verified: 2018-10
Data Sharing
- IPD Sharing
- Will not share