Effects of Action Observation Therapy on Fine Motor Skills of Upper Limb Functions in Chronic Stroke Patients.

Riphah International University

Status: Completed

Conditions: Chronic Stroke

Treatments: Other: Neurodevelopmental Techniques; Other: Action observation Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04574687

REC/LHR//19/029 Sidra Sikander

Details and patient eligibility

About

This study will be conducted to evaluate the outcomes of action observation therapy on fine motor skills of affected upper limb among patients with chronic stroke.

Full description

The data for study will be collected for the duration of 5 months, data will be collected at 1st, 4th, 8th, 12th and then at 16th week of follow up. It is a Randomized Control Trial. Patients will be selected by Consecutive Sampling from Ittefaq Hospital Trust, Lahore. All patients were right handed prior to stroke. Screening tools used will be Canadian Neurological Scale, the Mini-Mental State Examination (MMSE), the Bell Barrage test, and the ideomotor apraxia test (SpinnlerRognoni).Tests for assessment will be Fugl-Meyer test (FM) (of the upper limb), Frenchay Arm test (FAT), Box and Block test (BBT), Modified Ashworth Scale (AS) and Functional Independence Measure Motor items (FIMM). The SPSS version 21 will be used for analyzing data. The descriptive data will be expressed in Frequency and Percentages, while within the group differences will be measured by Mixed Model Anova.

Enrollment: 20 patients

Sex: All

Ages: 30 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First-ever stroke,
• Enrolled 6 months after the event onset with ischemia or primary hemorrhage.
• All patients were right handed prior to stroke.

Exclusion criteria

• Posterior circulation infarction,
• Subarachnoid hemorrhage,
• Severe forms of neglect and anosognosia (number of errors in Bell Barrage test≥15)
• Impaired comprehension (Token test score ≤ 17)
• History of endogenous depression or serious psychiatric disorders, and
• Severe visual deficits (restricting the access to visual stimuli).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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20 participants in 2 patient groups

Neurodevelopmental Techniques

Active Comparator group

Description:

Conventional treatment protocol including active and active-assissted ROM exercises. (b)Proprioceptive neuro-muscular facilitation techniques. (c)Neuromuscular Developmental Techniques.

Treatment:

Other: Neurodevelopmental Techniques

Action observation Therapy

Experimental group

Description:

(a) active range of motion (AROM) exercises (10 min), (b) reaching movement or object manipulation (10 min), and (c) UE functional tasks (15 min). + Conventional treatment protocol as in group A

Treatment:

Other: Action observation Therapy