Action Observation Therapy in Chronic Stroke

Launched by KARABUK UNIVERSITY · Jan 22, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a therapy called Action Observation Therapy (AOT) to see how it can help people who have had a stroke improve their ability to use their arms and hands. AOT involves watching simple activities, like eating or dressing, and then trying to imitate those actions. The researchers want to find out if this therapy works better when done online (telerehabilitation) or in person and how these approaches affect daily activities and quality of life for people who are at least six months post-stroke.

To participate in the study, individuals need to be over 18 years old and have experienced a specific type of stroke affecting one side of their body. They should be able to sit up for half an hour without help and score well on a mental test to ensure they can follow instructions. However, those with certain physical challenges, severe communication issues, or other serious health problems might not be eligible. Participants can expect to engage in activities that could help them regain better control of their upper body movements, which may make daily tasks easier and improve their overall well-being.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Being over 18 years of age,
• • Diagnosis of left hemiparetic stroke,
• • Having passed between 6-36 months since the onset of stroke,
• • Being in stage 4 or 5 of the hand and stage 4, 5 or 6 of the upper extremity according to Brunnstrom staging,
• • Being able to sit on a chair for 30 minutes without support (patients who scored 20 or more points in total from the Trunk Impairment Scale),
• • Scoring 24 or more points from the Mini Mental Test
• Exclusion Criteria:
• • Not volunteering to participate in the study,
• • Having spasticity (level 3 and 4 according to the Modified Ashworth Scale) that prevents grasping and releasing an object,
• • Having contracture in any of the upper extremity joints on the affected side,
• • Having a serious neglect disorder (scoring 21 and above on the Catherine Bergego Scale),
• • Having cooperation, adaptation and behavioral disorders during the application of the tests used to obtain the data,
• • Having mental impairment that prevents communication and receiving basic commands (scoring less than 24 on the Mini Mental Test)
• • Having additional neurological and/or orthopedic problems that may affect motor performance and sitting balance
• • Having advanced vision and hearing problems (if any, these problems have not been corrected with assistive devices such as glasses, lenses, hearing aids, etc.)