The Effects of Neurorehabilitation Approaches Involving Different Upper Extremity Reactive Trainings in Stroke Patients

Launched by PAMUKKALE UNIVERSITY · Oct 10, 2023

Keywords

ClinConnect Summary

This clinical trial is studying how different types of upper body training can help people who have had a stroke, particularly those with spastic hemiplegia, a condition that affects movement. The researchers want to understand if training that uses reactive exercises—where patients reach for lights that turn on and off—can improve important functions like balance, walking, and fine movements of the arms. Participants will be divided into three groups, with two groups using special light training while all groups will also take part in a standard rehabilitation program that includes exercises to improve trunk stability and mobility.

To be eligible for the trial, participants should be between 18 and 80 years old, have had a stroke at least three months prior, and be able to sit and stand independently. They should also have mild spasticity in their arms and good cognitive function. Those interested can expect to engage in various exercises, including reaching for lights that turn on at different speeds, which aims to improve their overall movement and function. It's important to note that individuals with other significant health issues or cognitive impairments may not be able to participate.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Being between the ages of 18-80
• • ≥3 months after stroke
• • Elbow flexor spasticity ≤2 according to MAS
• • Being able to sit independently and stand with or without walking aid
• • Being an individual with a Functional Ambulation Classification ≥3
• • Being an individual with a Hodkinson Mental Test score \>6 (having normal cognitive status)
• Exclusion Criteria:
• • Presence of another neurological disease that will affect trunk control other than stroke
• • Having acute back or lower extremity pain
• • Having an acute illness (eg vomiting, fever)
• • Recent surgery on the upper-lower extremities or trunk
• • Having a condition or activity restriction that prevents participation in the program
• • Inability to sit or stand independently
• • Having abnormal or unstable cardiovascular responses to exercise
• • Having cognitive impairment