Comparative Study of Action Observation Training Versus Task Oriented Training on Reaching in Patients With Stroke

NCT07143500 | Completed

• 1 other identifier: P.T.REC/012/005941
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is characterized by a sudden onset of localized or generalized brain dysfunction, with symptoms persisting for at least 24 hours or resulting in death. In the chronic phase following a stroke, hand dysfunction is commonly observed, often characterized by reduced finger strength and abnormal hand flexion patterns. Reaching is a crucial aspect of daily tasks, including activities like drinking, interacting with a touch screen, or pressing elevator buttons.

Conditions

Stroke

Keywords

Stroke; Action Observation Training; Task Oriented Training; Reaching Performance Scale for Stroke; Wolf Motor Function Test

Outcome Measures

Primary Outcomes (2)

• Reaching Performance Scale for Stroke (RPSS)

  Evaluates the performance of two reaching and grasping tasks

  4 Weeks

• Wolf Motor Function Test (WMFT)

  Designed to assess upper limb motor function following stroke or traumatic brain injury

  4 Weeks

Study Arms (3)

Group A

EXPERIMENTAL

Other: Selected physical therapy program

Group B

EXPERIMENTAL

Other: Selected physical therapy program; Other: Task Oriented Training for Upper limb

Group C

EXPERIMENTAL

Other: Selected physical therapy program; Other: Action Observation Training Program

Interventions

Selected physical therapy program OTHER

Passive stretching, active range of motion exercises, isometric strengthening, and functional gripping practice for the hand

Group A; Group B; Group C

Task Oriented Training for Upper limb OTHER

Seated in chair with arm and back support, with forearms resting on a table 73 cm high. Functional movements were trained through task-oriented exercises involving simple activities of daily living(ADL), such as eating (using a plate and spoon), personal hygiene (combing hair, brushing teeth), and tasks using household items (e.g., handling a cup and spoon, or opening a bottle and cap). Each task was repeated five times. Patients were allowed rest periods of five minutes as needed during the exercise sessions.

Group B

Action Observation Training Program OTHER

sat comfortably in a chair or wheelchair with both arms resting on a table (73 cm high) positioned 50 cm from a 15.6-inch colored laptop screen. They were instructed to attentively observe action videos displayed on the screen and then imitate the observed movements using their affected upper limb. A total of 30 action videos were used, each lasting approximately 50 seconds and demonstrating specific upper limb movements, such as wrist flexion/extension, abduction/adduction, pronation/supination, ulnar/radial deviation, and various grasping and manipulation tasks (e.g., handling coins, pens, a computer mouse, jar lids, bottle caps, typewriting, dialing a phone, and feeding).

Group C

Eligibility Criteria

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

You may qualify if:

• Patients with Chronic stroke diagnosed and referred by a neurologist.
• Patient's ages ranged from 50-65 years old, Duration of stroke was between six to 12 months, Spasticity grade of the upper limb was from 1 to 1+ according to the modified Ashworth scale (MAS).
• Patients with sufficient cognitive abilities that enabled them to understand and follow instructions (Mini-Mental Scale\>24), Fugl-Meyer Assessment scale for upper limb scored between 38 and 63.
• Patients with normal vision and hearing, Medically stable patients.

You may not qualify if:

• Patients with Upper limb dysfunction due to neurological disorders other than Stroke (e.g, Multiple Sclerosis, Parkinsonism...etc).
• Patients with Severe sensory deficits in the paretic upper limb, Psychological or severe cognitive disorders, Severe cardiovascular disease that can preclude intervention.

Sponsors & Collaborators

• Ahmed Alshimy: lead

Study Sites (1)

Al Ryada University for Science and Technology

Sadat, Menoufia, 32897, Egypt

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: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer of Physical Therapy for Neurology and it's Surgery

Study Record Dates

• First Submitted: August 20, 2025
• First Posted: August 27, 2025
• Study Start: June 2, 2025
• Primary Completion: July 25, 2025
• Study Completion: August 5, 2025
• Last Updated: August 27, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)