Investigation of the Effects of Visual-Motor Based Training on Upper Extremity Functions in Individuals With Stroke

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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
• Другое 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

Первичные конечные точки

• Modified Ashworth Scale [Срок оценки: eight weeks]
• Fugl-Meyer Upper Extremity Assessment [Срок оценки: eight weeks]
• Wolf Motor Function Test [Срок оценки: eight weeks]
• Purdue Pegboard Test [Срок оценки: eight weeks]

Вторичные конечные точки (3)

• Cognitive functions: Stroop Test-Interference Form [Срок оценки: eight weeks]
• Postural Assessment Scale for Stroke Patients [Срок оценки: eight weeks]
• Trunk functions: Body Disorder Scale (BDS) [Срок оценки: eight weeks]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Başkent University — Ankara

Идентификаторы

NCT: NCT07055945 · BUAYKUL-001

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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