Efficacy of Early Task-Oriented Rehabilitation in Acute Stroke Recovery
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAssiut University
About this trial
Stroke is one of the leading causes of long-term disability worldwide, and early rehabilitation is considered crucial for improving functional recovery. Traditional physiotherapy mainly focuses on mobility, strength, and general exercises, while task-oriented rehabilitation emphasizes practicing meaningful, goal-directed activities related to daily life. This randomized controlled trial aims to evaluate the efficacy of early task-oriented rehabilitation compared to traditional rehabilitation in acute stroke patients. Patients admitted with ischemic or hemorrhagic stroke within 48 hours will be randomly assigned to either a task-oriented rehabilitation program or conventional physiotherapy. Interventions will be delivered 3-4 times per week, 45-60 minutes per session, during hospitalization and continued in outpatient follow-up. The primary outcome will be functional independence assessed at 3 months. Secondary outcomes will include stroke severity, quality of life, and patient-reported outcomes. The findings are expected to provide evidence for improving rehabilitation strategies in Egypt.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Acute ischemic or hemorrhagic stroke diagnosed clinically and confirmed by imaging.
Admission to hospital or referral to outpatient clinic within 48 hours after stroke onset.
Age ≥ 18 years.
Both sexes.
Disqualifiers
Severe stroke not suitable for rehabilitation.
Severe comorbidities (e.g., vital organ failure, malignancy).
Severe aphasia, or severe visual or auditory impairment interfering with training.
Severe upper limb spasticity (Modified Ashworth Scale > 3).
Trial design
Design model
Parallel
Treatments tested in this trial
Task-Oriented Rehabilitation
BehavioralA structured program of repetitive, purposeful practice of everyday functional tasks (see Arm description). Delivered by trained physiotherapists 3-4 times/week, 45-60 min/session. Assigned Arm(s): Experimental: Task-Oriented Rehabilitation.
Traditional Physiotherapy Rehabilitation
BehavioralStandard physiotherapy focusing on stretching, strength activation, balance and functional mobility exercises. Delivered 3-4 times/week, 45-60 min/session. Assigned Arm(s): Active Comparator: Traditional Physiotherapy Rehabilitation.
Treatment groups
158 Participants
are divided into 2 treatment groupsGroup A: Experimental: Task-Oriented RehabilitationExperimental treatment 1 intervention
Group B: Active Comparator: Traditional Physiotherapy RehabilitationActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Fugl-Meyer Assessment (FMA, Motor Domain)
Stroke-specific, performance-based scale assessing motor recovery after stroke. Score range: 0-100 (higher scores = better motor function). Unit of Measure: Score on a scale..
Time frame
Baseline (pre-intervention) At hospital discharge (Day 7-14 after admission) 3 months after hospital dischargeSecondary outcomes
1
Stroke Impact Scale (SIS)
Patient-reported scale assessing physical, emotion, memory, communication, and social function. Score range: 0-100 (higher scores = better quality of life). Unit of Measure: score on a scale.
Time frame
Baseline (pre-intervention) At hospital discharge (Day 7-14 after admission) 3 months after hospital discharge2
Modified Rankin Scale (mRS)
Global disability scale assessing degree of dependence in daily activities. Score range: 0-6 (0 = no symptoms; 6 = death). Unit of Measure: Score on a scale.
Time frame
Baseline (pre-intervention) At hospital discharge (Day 7-14 after admission) 3 months after hospital dischargeLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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