Health TrialsbyHealthPanel

Action Observation Therapy in Chronic Stroke Via Telerehabilitation

ConditionChronic Stroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKarabuk University

About this trial

Stroke, a leading cause of disability worldwide, particularly affects upper extremity function, rendering individuals dependent on others for daily living activities and reducing their quality of life. To mitigate these effects, Action Observation Therapy (AOT), which has gained prominence in recent years, activates the mirror neuron system, triggering learning processes in the motor cortex and supporting functional recovery through the imitation of observed movements. Furthermore, telerehabilitation offers a significant advantage in facilitating access to rehabilitation services for these patients requiring long-term treatment, eliminating barriers such as transportation and cost. The absence of studies in the literature comparing the effectiveness of combining these two methods on hand skills and quality of life in individuals with chronic stroke with conventional physiotherapy makes investigating the clinical value of this approach academically unique and necessary.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Being over 18 years of age,

Diagnosis of left hemiparetic stroke,

Having passed between 6 months since the onset of stroke,

Being in stage 4 or 5 of the hand and stage 4, 5 or 6 of the upper extremity according to Brunnstrom staging,

Disqualifiers

Unwillingness to participate in the study,

Having spasticity that prevents grasping and releasing an object (levels 3 and 4 on the Modified Ashworth Scale),

Having a contracture in any of the affected upper extremity joints,

Having severe neglect disorder (scoring 21 or higher on the Catherine Bergego Scale),

Trial design

Design model

Parallel

Treatments tested in this trial

  • Conventional physiotherapy

    Other intervention

    All participants will receive conventional physiotherapy, including stretching, strengthening, core mobility, balance, electrotherapy, and endurance exercises in the clinic. These traditional sessions will be administered by physiotherapists three times a week, each lasting 45 minutes.

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Action observation TherapyExperimental treatment 1 intervention
Group B: controlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Spasticity

Spasticity will assessed using the Modified Ashworth Scale. As the score increases, spasticity increases. The minimum score for this scale is 1 and the maximum score is 5.

Time frame
Baseline
2

Stage of hemiplegia

"Brunnstrom Hemiplegia Recovery Staging" will be used to determine the hemiplegic stage of the patients. This scale is scored between 1 and 6. As the score increases, the patient improves.

Time frame
Baseline
3

Motor function

The "Fugl-Meyer Upper Extremity Motor Assessment Scale" will be used to evaluate upper extremity motor functions. This scale ranges from 0 to 66 points. As the score increases, motor function improves.

Time frame
Baseline, five week later (after intervention)
4

Dominant side

The "Edinburgh Hand Preference Test" will be used to determine the dominant side used by the patient in daily life. It will be used to determine which hand the patient uses more in daily life (Score range: -100 to +100; high positive scores indicate right-handedness, high negative scores indicate left-handedness).

Time frame
Baseline

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Karabuk University

Lead sponsor

Source ClinicalTrials.gov
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