Task-Oriented Occupational Therapy Approach in Chronic Stroke: Performance, Balance, Quality of Life

NCT06630468 | Completed DMC

• 2 other identifiers: TOOT_OT_STROKEKayseri city hospital
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic stroke is a neurological disorder that leads to long-term disability and functional impairments in motor, sensory, cognitive, and speech functions, persisting beyond six months after the stroke incident. The purpose of this study was to investigate the effects of task- oriented occupational therapy intervention on occupational performance, occupational balance, and quality of life in individuals with chronic stroke. The study included 30 individuals with chronic stroke aged between 18 and 65, who were divided into two groups: the task-oriented occupational therapy intervention group (TOOT) (n=15) and the control group (n=15). The participants in the TOOT group received task-oriented occupational therapy intervention in 30-minute sessions, five days a week, for four weeks, while the control group received routine upper-extremity-based occupational therapy intervention in a hospital setting.

Conditions

Chronic Stroke; Occupational Therapy; Occupational Balance; Upper Extremity

Outcome Measures

Primary Outcomes (3)

• Canadian Occupational Performance Measure

  The task was used to evaluate occupational performance, developed by the Canadian Association of Occupational Therapists, the Canadian Occupational Performance Measure is used to identify problems in activity performance, measure changes in performance, and determine performance satisfaction. The Turkish cultural adaptation, validity, and reliability of this measurement tool were carried out by Torpil, with an internal consistency coefficient ranging from 0.9 to 1.

  From enrollment to the end of treatment at 4 weeks

• Occupational Balance Questionnaire-11 (OBQ11-T)

  The task was used to evaluate occupational balance. The Occupational Balance Questionnaire is a questionnaire in which a person evaluates their occupational balance in relation to their current situation and daily life.

  From enrollment to the end of treatment at 4 weeks

• Stroke Impact Scale 3.0

  The quality of life was evaluated with The Stroke Impact Scale. It is a self-report questionnaire that evaluates disability and health-related quality of life after stroke

  From enrollment to the end of treatment at 4 weeks

Study Arms (2)

Task-oriented occupational therapy (TOOT)

EXPERIMENTAL

The task-oriented occupational therapy intervention was applied to individuals in the TOOT group in the form of 30-minute sessions, 5 consecutive days a week, over 4 weeks.

Other: Task-oriented occupational therapy (TOOT)

Control group

ACTIVE COMPARATOR

Routine upper-extremity-based occupational therapy intervention was applied to individuals in the TOOT group in the form of 30-minute sessions, 5 consecutive days a week, over 4 weeks.

Other: Control group

Interventions

Task-oriented occupational therapy (TOOT) OTHER

The task-oriented occupational therapy intervention was applied to individuals in the TOOT group in the form of 30-minute sessions, 5 consecutive days a week, over 4 weeks.

Also known as: TOOT

Task-oriented occupational therapy (TOOT)

Control group OTHER

Routine upper-extremity-based occupational therapy intervention was applied to individuals in the TOOT group in the form of 30-minute sessions, 5 consecutive days a week, over 4 weeks.

Control group

Eligibility Criteria

• Age: 24 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged 18-65 years old,
• completed the acute phase of stroke
• experienced ischemic and/or hemorrhagic stroke
• had \<=21 scores of Montreal Cognitive Assessment (MoCA)
• had \<= 15 scores of the Rivermead Motor Assessment (RMA)
• had a motor stage of the hand and upper extremity motor stage level 3 or higher of the Brunnstrom Stages of Motor Recovery
• had scoring 2 or lower on the Modified Ashworth Scale for muscle tone around the shoulder, elbow, and wrist were included into the study.

You may not qualify if:

• Had an orthopedic problem affecting the upper extremity
• had undergone surgery in the past 6 months
• had a diagnosis related to a psychotic disorder.

Sponsors & Collaborators

• Kayseri City Hospital: lead
• Medipol University: collaborator

Study Sites (1)

Kayseri city hospital

Kayseri, 38080, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: Investigator was blinded
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Occupational Therapist

Study Record Dates

• First Submitted: October 3, 2024
• First Posted: October 8, 2024
• Study Start: December 1, 2022
• Primary Completion: April 1, 2023
• Study Completion: April 1, 2023
• Last Updated: October 8, 2024

Record last verified: 2022-12

Locations

TU (1)