The Effects of Telerehabilitation in Chronic Hemiplegic Patients

Sponsor

Hasan Kalyoncu University (Other)

Overall Status

Completed

CT.gov ID

NCT05897762

Collaborator

(none)

Enrollment

Location

Arm

Actual Duration (Months)

3.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The present study was conducted to investigate the effects of telerehabilitation on upper extremity functions and activities of daily living in chronic hemiplegic patients.

Condition or Disease	Intervention/Treatment	Phase
Hemiplegia	Behavioral: Tele rehabilitation Group	N/A

Detailed Description

A total of 40 chronic hemiplegic subjects were included in the study. The patients were divided into 2 groups by simple randomization method. As the Telerehabilitation Group (TR), Group 1 completed the treatment program, which included upper extremity and lower extremity strengthening exercises, for eight weeks, three days a week for 45-60 minutes, 10 repetitions, with online supervision. Group 2 was planned as a face-to-face training group and the same exercises were performed in the clinical setting, accompanied by a physiotherapist. The evaluations were made before and after the treatment. The Modified Ashworth Scale was used for upper extremity spasticity evaluation. The Wolf Motor Function Test was used to evaluate upper extremity functionality. The Barthel ADL Index was used to evaluate Activities of Daily Living (ADL). The Brunnstrom Staging Survey was used to evaluate the level of motor recovery. The Treatment Satisfaction Inquiry Survey was used to evaluate the satisfaction of the patients with the treatment method. Heart Rate (HR) values and oxygen saturation (SaO2) were measured with Pulse Oximetry to monitor vital signs.

Study Design

Study Type:

Interventional

Actual Enrollment :

40 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Other

Official Title:

The Effects of Telerehabilitation on Upper Extremity Functions and Activities of Daily Living in Chronic Hemiplegic Patients

Actual Study Start Date :

Jan 1, 2021

Actual Primary Completion Date :

Jun 1, 2021

Actual Study Completion Date :

Jan 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Other: Clinic Grup the same exercises were performed in the clinical setting, accompanied by a physiotherapist. The evaluations were made before and after the treatment.	Behavioral: Tele rehabilitation Group It has been determined that the telerehabilitation method applied in chronic hemiplegic patients increases daily living activities, upper extremity functionality, and spasticity levels decrease.

Arm

Intervention/Treatment

Other: Clinic Grup

the same exercises were performed in the clinical setting, accompanied by a physiotherapist. The evaluations were made before and after the treatment.

Behavioral: Tele rehabilitation Group

It has been determined that the telerehabilitation method applied in chronic hemiplegic patients increases daily living activities, upper extremity functionality, and spasticity levels decrease.

Outcome Measures

Primary Outcome Measures

spasticity levels [Pre-Treatment and post treatment evaluations will ve recorded. (8 Weeks periods)]
Spasticty will ve evaluated with Modifiye Ashworth Scale
Upper Extremity functionality [Pre-Treatment and post treatment evaluations will ve recorded. (8 Weeks periods)]
Upper extremity functionality evaluated with DASH

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years to 40 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Having been diagnosed with stroke between the ages of 40-70
It has been 12 months since the stroke
Individuals with upper extremity spasticity level (Modified Ashworth Scale (MAS) score ≤ 3)
Hand and upper extremity values above 3 according to Brunnstrom motor staging
Individuals with ischemic, middle cerebral artery involvement will be taken.

Exclusion Criteria:

Having advanced apraxia and aphasia
Patients who do not have the cooperation to perform verbal commands and exercise training
Patients who have undergone any botulinum toxin application in the last 6 months
Patients with significant visual and hearing loss
Individuals who do not have the necessary technological competence to provide remote video communication at home will not be accepted.