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Action Observation Therapy for Lower Limb in Stroke

R

Riphah International University

Status

Enrolling

Conditions

Stroke

Treatments

Other: Conventional Therapy
Other: Action Observation Therapy (AO)

Study type

Interventional

Funder types

Other

Identifiers

NCT05557968
REC/letter-01246 Kainat

Details and patient eligibility

About

This study focuses on the effects of Action Observation therapy on stair walking, balance and self-efficacy in chronic stroke patients. This study will be conducted in Helping Hands Institute of Rehabilitation Sciences and Shifa Surgical Hospital Mansehra.

It is a Randomized Control Trial. Non probability convenient sampling technique will be used to assess a total number of 40 respondents. Questionnaires and consent forms will be filled by the respondents. Each patient will be screened by using a simple selection Performa relevant to inclusion and exclusion criteria.

Total 30 patients will be included in the study and then divided into two groups i.e. Action observation therapy and Convention Therapy group with 15 individuals in each. Each group will be assessed thrice i.e. pre, post and follow up surveys. Each of them will receive the convention therapy for 30 mins except for the Action Observation therapy (AOT) group, which will also receive the additional 30 minutes session of action observational training. Total 18 sessions, 3 days a week for a total of six weeks will be performed on each patient.

Fugel Meyer Assessment Scale for lower limb, Timed Up and Go test, Timed Stair Test, Step test and self-efficacy scale will be used for the assessment. Baseline assessments of both group will be done on 1st week before the application of protocol, second assessment will be done on 4th week and then final assessment will be done on 6th week of the protocol.

Enrollment

40 estimated patients

Sex

All

Ages

40 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age between 40-60 years.
  • Both male and female.
  • Those who can walk more than 10 steps.
  • More than 6 months since stroke onset.
  • Ability to follow the study instructions-Mini mental state examination (MMSE) score ≥25
  • Baseline score of the Fugel Meyer assessment scale is between20 and 60.
  • Score of 3 on Modified Rankin Scale (MRS).

Exclusion criteria

  • Patients who cannot perform the active movement of upper limb in pre-stroke condition due to musculoskeletal problems.
  • Cardiopulmonary diseases which could hinder their ability to participate in the rehabilitation program in this study.
  • Patients with impaired cognition.
  • Orthopedic injuries

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

40 participants in 2 patient groups

Conventional Therapy
Active Comparator group
Description:
1. Active range of motion exercises. 2. Passive range of motion exercises 3. Balance exercises. 4. On-ground gait training without watching videos
Treatment:
Other: Conventional Therapy
Action Observation Therapy (AO)
Experimental group
Description:
Conventional therapy in addition to observing images related to stair walking will be observed and physical training will performed to imitate tasks with a physical therapist. While observing the image, they will be instructed to think that their body was performing the movement of the image
Treatment:
Other: Action Observation Therapy (AO)

Trial contacts and locations

1

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Central trial contact

Ayesha Afridi, PhD*; Kainat QADEER, MS NMPT*

Data sourced from clinicaltrials.gov

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