The Effects of Motor Imagery Training and Physical Practice on Upper Extremity Motor Function in Patients With Stroke

NCT05526612 | Unknown

• 1 other identifier: B-SOYSAL-001
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to compare the effects of specific functional task-oriented motor imagery training combined with the Bobath Therapeutic Approach and physical practice after imagery on upper extremity motor function in stroke patients.

Conditions

Stroke

Keywords

Stroke; Motor imagery; Physical practice; Bobath therapeutic approach

Outcome Measures

Primary Outcomes (4)

• The Fugl-Meyer Upper Extremity Scale (FMUE)

  Fugl-Meyer upper extremity (FMUE) Scale scores is an index to assess the sensorimotor impairment in individuals who had stroke. The motor section score ranges from 0 to 66, and the score related to exteroceptive and proprioceptive sensitivity ranges from 0 to 12. The lowest and highest scores correspond to worse and better function.

  The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation

• Time in minutes to perform a motor task

  The video will be recorded while the patient is performing the eating activity.

  The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation

• The Motor Activity Log-28 (MAL-28)

  Motor Activity Log is developed to determine the frequency and quality of use of the affected arm It consists of two scales that question how often the affected side's upper extremity is used for each activity during the 28-day activity (Usage Quantity Scale) and how well it can perform the activity if it uses it. On both scales, the patient scores between 0-5. The score that can be obtained is between 0-5 points and the high score indicates good frequency of use and good quality of movement.

  The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation

• Wolf Motor Function Test (WMFT)

  The Wolf Motor Function Test (WMFT) quantifies upper extremity (UE) motor ability through timed and functional tasks. When administering the WMFT, the examiner should test the less-affected UE followed by the most affected side. Items should be performed as quickly as possible; a maximum of 120 second per task is allowed . The first 6 items involve timed functional tasks, items 7-14 are measures of strength, and the remaining 9 items consist of analyzing movement quality when completing various tasks.

  The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation

Secondary Outcomes (5)

• Demographic Characteristic of Participants

  1 week before the first treatment session

• Assessment of Quality of Life

  The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation

• The Brunnstrom Stages

  Baseline

• Spasticity Evaluation

  Baseline

• The Kinesthetic and Visual Imagery Questionnaire (KVIQ)

  The first assessment was evaluated at baseline and the second assessment evaluated change after 8 weeks of rehabilitation

Study Arms (2)

Group 1

ACTIVE COMPARATOR

Motor imagery and Bobath Therapeutic Approach (BTA+MI)

Other: Group 1 Motor imagery and Bobath Therapeutic Approach (BTA+MI)

Group 2

EXPERIMENTAL

Motor imagery, Bobath Therapeutic Approach and Physical practice (BTA+MI+PP)

Other: Group 2 Motor imagery, Bobath Therapeutic Approach and Physical practice (BTA+MI+PP)

Interventions

Group 1 Motor imagery and Bobath Therapeutic Approach (BTA+MI) OTHER

Motor imagery (MI) is the mental rehearsal of motor abilities to improve function. Without revealing any movement in the body, the representation of the movement is created in the mind, the person imagines that he/she is performing the movement. Eating activity will be applied in motor imagery. Individualized therapy sessions in the Bobath Therapeutic Approach will also be received by the Physiotherapist along with Motor imagery. 2 days a week, 30 minutes session will be applied for a total of 8 weeks.

Group 1

Group 2 Motor imagery, Bobath Therapeutic Approach and Physical practice (BTA+MI+PP) OTHER

Individualized therapy sessions in the Bobath Therapeutic Approach with motor imagery will be performed by the physiotherapist, and in addition to these, 5 repetitions of the eating activity used in motor imagery will be practiced. 2 days a week, 30 minutes session will be applied for a total of 8 weeks.

Group 2

Eligibility Criteria

• Age: 50 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• A maximum of 24 months have passed since the stroke,
• Unilateral involvement,
• Getting a score of 21 and above in the Mini Mental Test,
• Getting a score of 22 and above in the Fugl-Meyer Test,
• Ability to understand and follow simple verbal commands,
• Stage 4 or 5 according to Brunnstrom Upper Extremity Stages,
• Spasticity 1 or 1+ according to the Modified Ashworth Scale,
• Having signed the Informed Consent Form.

You may not qualify if:

• Patients with visual and hearing impairments that would interfere with work.
• Having pain and limitation of joint movement that may prevent performing the given tasks.
• Having any neurological disorder other than stroke.

Sponsors & Collaborators

• Biruni University: lead

Study Sites (1)

Biruni University

Istanbul, 34010, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator,Physical Therapist

Model Details: Parallel Assignment (Outcomes Assessor)

Study Record Dates

• First Submitted: August 31, 2022
• First Posted: September 2, 2022
• Study Start: July 13, 2022
• Primary Completion: August 13, 2022
• Study Completion: January 1, 2023
• Last Updated: September 7, 2022

Record last verified: 2022-09

Locations

TU (1)