Telerehabilitation-Based Early Upper Extremity Training in Stroke Patients

Suleyman Demirel University

Status: Enrolling

Conditions: Stroke, Acute

Treatments: Other: control + working group

Study type: Interventional

Funder types: Other

Identifiers

NCT06261099

037

Details and patient eligibility

About

Telerehabilitation method, which is an alternative to face-to-face rehabilitation practices for stroke patients who need intensive, regular and long-term rehabilitation in the early period, has been popularly used in recent years. Telerehabilitation is a practice in which the patient participates in the treatment via digital media without the need for the patient to come to the clinic.

Full description

After the sociodemographic data of the participants are recorded, Mini Mental Test (MMT) will be applied to evaluate the cognitive status. Upper extremity functions of patients eligible for the study will be evaluated with the Fugl-Meyer Upper Extremity Scale (FM-UE), proprioception evaluation will be evaluated with the Laser-pointer Assisted Angle Reproduction Test, activities of daily living will be evaluated with the Modified Barthel Index, and reaching performance will be evaluated with the Reaching Performance Scale. Characteristics of the patients participating in the study and all outcome measurements before and after treatment will be evaluated by a blinded physiotherapist. A researcher blinded to the exercise groups and evaluation results will perform the statistical analysis.

Enrollment: 40 estimated patients

Sex: All

Ages: 30 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Between the ages of 30-65, with a history of stroke within the last month,
• Mini Mental Score ≥ 24, 1-10 after discharge. on the day,
• patients who can sit for at least 30 seconds, exhibit a hemiparetic condition, and are clinically stable

Exclusion criteria

• Flaccid hemiplegia detected by anamnesis and physical examination,
• Has spasticity in the upper extremity with a severity greater than 1+ according to the Modified Ashworth Scale,
• patients with severe dementia and dysfunction of the upper extremity joints due to a previous musculoskeletal disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Quadruple Blind

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40 participants in 2 patient groups

Control Group

No Intervention group

Description:

Exercises including upper extremity positioning, overhead activity training, reaching activities, weight transfer exercises, proprioceptive exercises, and daily living activities training will be applied to this group, 5 sessions per week for 6 weeks. Since the functional recovery of the upper extremity after stroke will be slow, the exercise program is planned to be 5 days a week due to the necessity of applying an intense exercise program in the early period. All patients will be asked to perform exercises under the supervision of a physiotherapist as a home program on other days of the week.

kontrol+ working group

Experimental group

Description:

Upper extremity positioning, overhead activity training, reaching activities, weight transfer exercises, proprioceptive exercises, and daily living activities training will be applied to this group using the telerehabilitation method, which was applied to the control group in 5 sessions per week for 6 weeks. The telerehabilitation program will be carried out using an application that provides remote video access called Zoom. Since the functional recovery of the upper extremity after stroke will be slow, the exercise program is planned to be 5 days a week due to the necessity of applying an intense exercise program in the early period. All patients will be asked to perform exercises under the supervision of a physiotherapist as a home program on other days of the week.

Treatment:

Other: control + working group