The Application of a Mental Practice Protocol in the Acute Inpatient Rehabilitation Setting
1 other identifier
interventional
18
1 country
1
Brief Summary
The purpose of this randomized controlled trial is to compare the effect of audio-guided mental practice (MP) and video-guided MP on the impairment and functional abilities of upper extremity (UE) hemiparesis following a stroke. Participants are recruited from Adventist Healthcare Rehabilitation Hospital. All participants must be less than one-month post-stroke with moderate UE hemiparesis. Eligible participants are randomly assigned to an experimental group, (MP or repetitive-task practice (RTP)), or the control group. The MP groups will perform either audio-guided MP or video-guided MP, five days a week, with 20 repetitions of the following tasks: wiping a table, picking up a cup, brushing hair, and turning the pages of a book. The RTP group physically performed the same tasks. The control group received traditional stroke rehabilitation. The investigators hypothesize that video MP will have greater improvements in UE impairments and functional abilities than audio MP, RTP, and/or traditional therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable stroke
Started Jan 2019
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 28, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 25, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 25, 2020
CompletedFirst Submitted
Initial submission to the registry
June 1, 2021
CompletedFirst Posted
Study publicly available on registry
June 16, 2021
CompletedJune 16, 2021
June 1, 2021
1.8 years
June 1, 2021
June 9, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Fugl Meyer Assessment-Upper Extremity Portion (FMA-UE) (Measuring pre/post intervention change)
The Fugl Meyer Assessment-upper extremity(FMA-UE) portion will be administered to measure the impairment of the upper extremity. Upper extremity movements are rated on 3-point ordinal scale where 0= unable to perform, 1= performs partially, 2= performs fully. Cumulative scores range from 0-66 where a lower score indicates increased impairment.
Within 3 days of admission and within 3 days prior to discharge
Wolf Motor Function Test (WMFT) (Measuring pre/post intervention change)
The Wolf Motor Function Test (WMFT) is used to measure the functional abilities of the UE. 15 tasks are performed including six timed joint-segment movements and eight timed integrative functional movements. Tasks are rated on a 6-point ordinal scale where 0= does not attempt to 5=movement appears to be normal. Timed and functional ability scores are calculated to indicate the functional abilities of the UE.
Within 3 days of admission and within 3 days prior to discharge
Study Arms (4)
Audio MP
EXPERIMENTALParticipants of the audio mental practice (MP) group will complete MP via audio-guided multisensory cues of one of four tasks: (1) wiping a table (2) picking up a cup (3) brushing hair and/or (4) turning the page of a book. The assigned motor task is based upon the functional abilities of the patient. MP will be performed followed by physical practice of the same task with a research therapist 3x/week and independent MP 2 days/week. Each audio recording consists of 20 repetitions of the task.
Video MP
EXPERIMENTALParticipants of the video mental practice (MP) group will complete MP via video-guided multisensory cues of one of four tasks: (1) wiping a table (2) picking up a cup (3) brushing hair and/or (4) turning the page of a book. The assigned motor task is based upon the functional abilities of the patient. MP will be performed followed by physical practice of the same task with a research therapist 3x/week and independent MP 2 days/week. Each audio recording consists of 20 repetitions of the task.
Repetitive-Task Practice
EXPERIMENTALParticipants of the repetitive-task practice group will complete repetitive practice of one of four tasks: (1) wiping a table (2) picking up a cup (3) brushing hair and/or (4) turning the page of a book. The assigned motor task is based upon the functional abilities of the patient. MP will be performed followed by physical practice of the same task with a research therapist 3x/week and independent MP 2 days/week. Each participant completed at least 20 repetitions of the task.
Traditional Therapy
ACTIVE COMPARATORThe control group received traditional occupational therapy stroke rehabilitation.
Interventions
MP is the cognitive rehearsal of a motor task without physical movement, with the intent to improve motor performance. Mental practice can be completed via audio or video recording, visual prompts, written instructions, self-initiated or recorded pictures.
Repetitive-Task Practice is the repetitive rehearsal of a motor task with the intent to improve motor performance.
Traditional therapy includes traditional interventions completed in occupational therapy for patients following a stroke. These interventions include but are not limited to, range of motion, weight-bearing, massage, modalities, self-care training, and transfer training.
Eligibility Criteria
You may qualify if:
- Primary diagnosis of stroke
- Less than one-month post-stroke
- Hemiparesis of one upper extremity
- Moderate upper extremity impairment
You may not qualify if:
- History of prior stroke
- Comorbidities (severe neurological, orthopedic, rheumatoid, or cardiac impairments)
- Severe spasticity
- Severe cognitive impairments
- Inability to perform mental imagery
- Severe aphasia based on speech therapist evaluation
- Low English proficiency
- Severe pain
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Adventist HealthCarelead
- Texas Woman's Universitycollaborator
Study Sites (1)
Adventist Healthcare Rehabilitation
Rockville, Maryland, 20850, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 1, 2021
First Posted
June 16, 2021
Study Start
January 28, 2019
Primary Completion
November 25, 2020
Study Completion
November 25, 2020
Last Updated
June 16, 2021
Record last verified: 2021-06