The Effectiveness of Occupation-based Bilateral Arm Training on Motor Functions and Activity Participation Among Stroke Survivors During Inpatient Rehabilitation.

Hamad Medical Corporation (HMC)

Status: Not yet enrolling

Conditions: Stroke

Treatments: Other: Conventional therapy group; Other: Occupation-Based Bilateral Upper Limb Training (OBBT)

Study type: Interventional

Funder types: Industry

Identifiers

NCT07164612

MRC-01-25-298

Details and patient eligibility

About

People with stroke often experience limitations in motor functions and activity participation. Occupation-based bilateral upper limb training (OBBT) using occupations as meaningful daily activities, and as part of the therapy. The activities in OBBT are tailored to the patient's life with the goal of boosting motivation and engagement to enhance activity performance and participation. This study is a randomized control trial that aims to explore the effect of OBBT along with the conventional therapy in comparison with the conventional therapy alone on motor functions and activity participation among stroke survivors in inpatient rehabilitation setting. This study will be conducted in Qatar Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar. Participants will be allocated randomly to either the OBBT group or the conventional therapy group. Participants in the OBBT group will receive 30 minutes OBBT program in addition to conventional therapy (90 minutes). Intervention sessions will be conducted 5 times per week over 6 weeks. The participants in the conventional therapy group will receive only the conventional therapy (90 minute). All participants will be assessed using the outcome measure immediately the day after completing the last intervention session at 4th week and 6th week.

Enrollment: 150 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Diagnosed with first ischemic or hemorrhagic stroke by medical physician
2. Stroke onset ≤ 6 months
3. Both males and females with age 18-65 years
4. Cognitive functions within normal and mild deficit (MMSE ≥ 22)
5. With arm and hand upper extremity Brunnstrom stage of >3
6. Free of any other neurological diseases.

Exclusion criteria

1. participants with previous stroke
2. musculoskeletal disease or sever pain affecting the upper extremities
3. participant who have taken part in another rehabilitative research
4. sever visual neglect or visual field deficit.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 2 patient groups

OBBT group

Experimental group

Description:

Participants in the experimental group will receive face- to- face individual 30 minutes OBBT program in addition to conventional therapy. These 30 -minute OBBT session will be added to the standard conventional therapy sessions (90 minutes).

Treatment:

Other: Occupation-Based Bilateral Upper Limb Training (OBBT)

Conventional Therapy (control group)

Other group

Description:

Participants in the control group will receive conventional therapy consisting of standard rehabilitation approaches for upper limb impairments.

Treatment:

Other: Conventional therapy group