The Effect of Task-oriented Training on Upper Extremity Motor Functions in Chronic Stroke Patients

NCT06701370 | Completed

• 1 other identifier: BiruniUnive.
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of our study was to investigate the effects of task-oriented training added to conventional rehabilitation on upper extremity muscle thickness and upper extremity motor functions.

Conditions

Stroke Patients; Chronic Stroke Patients

Keywords

task oriented training, stroke, exercise, upper extremity

Outcome Measures

Primary Outcomes (3)

• Fugl Meyer Upper extremity assessment

  It is a disease-specific, objective motor impairment scale designed especially for the evaluation of recovery in hemiplegic patients after stroke. It includes subsections evaluating joint movements, coordination and reflex activities related to the shoulder, elbow, forearm, wrist and hand. The highest score that can be obtained from this assessment is 66. The assessment is applied to the affected upper extremities of individuals in the sitting position. The evaluated joint movements are scored as 0: no movement, 1: partial movement and 2: normal movement. Reflex activity is assessed using a reflex hammer and scored as 0: no reflex activity, 2: reflex activity can be elicited.

  5 minutes

• Wolf Motor Function Scale

  It is an assessment method developed to evaluate motor skills and used in patients with moderate to severe upper extremity motor deficits. The original version was developed by Wolf et al. The modified version was used in our study and the validity and internal consistency of the WMFT have been proven. The test includes 17 activities. For 15 of the 17 activities, data are collected in two areas: "Functional Skill" and 'Performance Time". The other 2 activities evaluating muscle strength were not used in our study. The duration of the test is 30-45 minutes. Each activity was scored by the physiotherapist on a 0-5 point scale (0= Never used the affected hand during the activity, 5= Normal movement) using the "Functional skill scale". An average score should be calculated for the functional skills scale. Accordingly, the patient can score between 0-5 points in this evaluation and a high score indicates good functional skills. "Performance Time" is recorded in seconds. The

  5 minutes

• Examination of muscle thickness by ultrasound

  Muscle thickness of the biceps, triceps and anterior deltoid muscles on the hemiplegic and intact side will be measured and recorded by ultrosound before and after treatment.

  10 minutes

Secondary Outcomes (4)

• Motor Activity Log-28

  5 minutes

• 2 minutes walking test

  5 minutes

• Grip strength

  3 minutes

• Functional Independence Measurements

  10 minutes

Study Arms (2)

Task oriented Training Group

EXPERIMENTAL

Conventional rehabilitation + Upper arm Ergometer \+ Task oriented Training

Other: Task Oriented Training; Other: Conventional Rehabilitation; Other: Upper arm ergometer

Conventional Rehabilitation Group

ACTIVE COMPARATOR

Conventional rehabilitation + Upper arm Ergometer

Other: Conventional Rehabilitation; Other: Upper arm ergometer

Interventions

Task Oriented Training OTHER

Task oriented training consists of opening the bottlecap, stacking cubes on different sizes, buttoning,screwing, wearing a coat.

Task oriented Training Group

Conventional Rehabilitation OTHER

Bobath weightbearing and mobility exercises for upper extremity and 15 minutes Neuromuscular Electrical Stimulation.

Conventional Rehabilitation Group; Task oriented Training Group

Upper arm ergometer OTHER

The patients will be rode 5 minutes forwardly and 5 minutes backwardly

Conventional Rehabilitation Group; Task oriented Training Group

Eligibility Criteria

• Age: 30 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• History of cerebrovascular accident at least 6 months ago;
• Score at least 20 points on the mini mental test;
• Not having pain with tension or severe weakness in the shoulder muscles;
• Active shoulder flexion movement of at least 30 degrees
• Having a stroke for the first time
• The level of motor function is Stage 3 or Stage 4 in Brunnstrom Staging according to the proximal function of the upper extremity
• Not receiving botulinum toxin treatment for the last 3 months

You may not qualify if:

• Presence of concomitant neurological, orthopedic, cardiovascular diseases and severe comorbidities
• Severe spasticity of the elbow flexors more than 2 on the Modified Ashworth Scale

Sponsors & Collaborators

• Biruni University: lead

Study Sites (1)

Biruni University

Istanbul, Turkey (Türkiye)

Location

Related Publications (3)

• Chang JJ, Tung WL, Wu WL, Su FC. Effect of bilateral reaching on affected arm motor control in stroke--with and without loading on unaffected arm. Disabil Rehabil. 2006 Dec 30;28(24):1507-16. doi: 10.1080/09638280600646060.

  PMID: 17178614 RESULT

• Yoo DH, Kim SY. Effects of upper limb robot-assisted therapy in the rehabilitation of stroke patients. J Phys Ther Sci. 2015 Mar;27(3):677-9. doi: 10.1589/jpts.27.677. Epub 2015 Mar 31.

  PMID: 25931706 RESULT

• Michaelsen SM, Dannenbaum R, Levin MF. Task-specific training with trunk restraint on arm recovery in stroke: randomized control trial. Stroke. 2006 Jan;37(1):186-92. doi: 10.1161/01.STR.0000196940.20446.c9. Epub 2005 Dec 8.

  PMID: 16339469 RESULT

MeSH Terms

Conditions

Stroke; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist.Prof.Dr.

Study Record Dates

• First Submitted: November 20, 2024
• First Posted: November 22, 2024
• Study Start: October 30, 2024
• Primary Completion: December 15, 2024
• Study Completion: March 30, 2025
• Last Updated: September 17, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: september 30- march 30

Locations

TU (1)