Investigation of the Effects of Visual-Motor Based Training on Upper Extremity Functions in Individuals With Stroke
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In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Experimental group, Control group.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 18 years — 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The purpose of this study is to investigate the effects of visual-motor based training and physiotherapy program on upper extremity functions in individuals with stroke and to compare with physiotherapy program.
Detailed description
Stroke is a clinical syndrome characterized by the sudden onset of signs and symptoms due to a localized loss of cerebral function, in the absence of any apparent cause other than a vascular origin.More than 50% of patients experience various impairments and dependence on others following a stroke. One of the primary reasons for this condition is problems affecting the upper extremity.
The Light Trainer system allows for the repetitive and non-repetitive practice of an activity. It enables goal-oriented, active participation, providing an enjoyable experience that engages the whole body. The difficulty level can be adjusted and is tailored to the individual's response ability. With these features, it supports motor learning. Given these characteristics, the Light Trainer system is considered suitable for use in patients with sensory-motor-cognitive disorders, such as those with stroke, multiple sclerosis, and Parkinson's disease. A literature review reveals that task-oriented exercises and virtual reality are commonly used for visual-motor training; however, no studies have been found involving this new system
The first aim of this study is to investigate the effects of visual-motor based training and physiotherapy program on upper extremity functions in individuals with stroke and to compare with physiotherapy program.
The second aim of this study is to investigate the effects of visual-motor based training and physiotherapy program on cognitive functions and trunk in individuals with stroke and to compare with physiotherapy program.
Interventions
- Other Experimental group
Individuals in both groups will receive a physiotherapy program for 3 sessions per week, 60 minutes per day, for a total of 8 weeks.The study consists of two groups: the experimental group and the control group. Both groups will receive a physiotherapy program of 3 sessions per week, each lasting 60 minutes, for a total of 8 weeks. Within the 60-minute physiotherapy session, patients from both groups will undergo 30 minutes of exercises based on the Neurodevelopmental Treatment (NDT) method. In - Other Control group
In addition to the full-body exercises mentioned, individuals in the control group will also receive upper extremity exercises based on the Neurodevelopmental Treatment approach. These exercises are as follows: * Functional reaching activities at the table in a sitting position (e.g., pushing objects, wiping the table, touching various points) * Ball sliding on the wall in a standing position * Touching different targets on the wall in a standing position * Drawing shapes on the wall in a stand
Primary outcome measures
- Modified Ashworth Scale [Time frame: eight weeks]
- Fugl-Meyer Upper Extremity Assessment [Time frame: eight weeks]
- Wolf Motor Function Test [Time frame: eight weeks]
- Purdue Pegboard Test [Time frame: eight weeks]
Secondary outcome measures (3)
- Cognitive functions: Stroop Test-Interference Form [Time frame: eight weeks]
- Postural Assessment Scale for Stroke Patients [Time frame: eight weeks]
- Trunk functions: Body Disorder Scale (BDS) [Time frame: eight weeks]
Eligibility criteria
Inclusion criteria
- At least 6 months have passed since the cerebrovascular event
- Aged between 18 and 75 years
- First-time stroke
- Scoring 24 or higher on the Standardized Mini Mental Test (SMMT)
- Upper extremity functioning at Stage 4 or above according to the Brunnstrom Staging
- Shoulder, elbow, wrist, and finger muscle tone at or below a score of 2 on the Modified ---Ashworth Scale (MAS)
- Shoulder joint range of motion of at least 120°
- Ability to stand independently
Exclusion criteria
- Presence of hemispatial neglect syndrome
- Ataxia due to posterior circulatory ischemia
- Bilateral involvement (bilateral hemiparesis)
- Botulinum toxin injection in the last three months
- Physiotherapy treatment within the last 6 months
- Orthopedic problems such as shoulder subluxation, shoulder pain, or contractures in the hand or wrist
- Previous upper extremity or thoracic surgery
- Vision problems related to stroke (hemianopsia)
- Color blindness
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Başkent University — Ankara
Identifiers
NCT: NCT07055945 · BUAYKUL-001