Comparative Effects of Action Observation and Motor Imagery on Upper Limb in Chronic Stroke Patients With Vertigo.

Sponsor

Riphah International University (Other)

Overall Status

Recruiting

CT.gov ID

NCT06108440

Collaborator

(none)

Enrollment

Location

Arms

Anticipated Duration (Months)

5.5

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

To Compare effects of action observation and motor imagery training on upper limb function in chronic stroke patients.

Condition or Disease	Intervention/Treatment	Phase
Stroke Upper Extremity Paresis Motor Activity	Other: action observation training Other: motor imagery training	N/A

Detailed Description

The study is Randomized controlled trial. The study will be conducted on 44 stroke patients. The study will be conducted in Civil Hospital Shujaabad and Riphah rehabilitation centre Lahore. Patients will be divided into Group A (n = 20) and Group B (n = 20) using a randomization through computer generated numbers program. Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks. Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks. For the pre- and post-evaluation of all participants, Fugl-Meyer Assessment Upper Extremity (FMA UE) and Wolf Motor Function Test (WMFT) will be used. Data will be analyzed by using SPSS (Statistical package for Social Sciences) 25 version.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

44 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Patients will be divided into Group A (n = 20) and Group B (n = 20) using a randomization through computer generated numbers program. Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks. Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.Patients will be divided into Group A (n = 20) and Group B (n = 20) using a randomization through computer generated numbers program. Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks. Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Comparative Effects of Action Observation and Motor Imagery Training on Upper Limb Function in Chronic Stroke Patients

Actual Study Start Date :

Aug 3, 2023

Anticipated Primary Completion Date :

Feb 1, 2024

Anticipated Study Completion Date :

Apr 1, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: action observation training group Patients in Group A will receive action observation training with conventional treatment.	Other: action observation training Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks.
Active Comparator: motor imagery training group Patients in Group B will receive motor imagery with conventional treatment.	Other: motor imagery training Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.

Arm

Intervention/Treatment

Experimental: action observation training group

Patients in Group A will receive action observation training with conventional treatment.

Other: action observation training

Patients in Group A will receive action observation training with conventional treatment. All participants will undergo the training for 25 minutes per session, 5 days per week for 8 weeks.

Active Comparator: motor imagery training group

Patients in Group B will receive motor imagery with conventional treatment.

Other: motor imagery training

Patients in Group B will receive motor imagery with conventional treatment. All participants will receive interventions for twenty-five minutes per session, five times a week, for eight weeks.

Outcome Measures

Primary Outcome Measures

Fugl-Meyer Assessment Upper Extremity (FMA UE): [6 months]
Fugl-Meyer Assessment Upper Extremity (FMA UE): FMA UE is a detailed evaluation tool that quantitatively measures motor function, balance, sensation, joint range of motion, and pain in stroke hemiplegic patients
Wolf Motor Function Test (WMFT): [6 months]
Wolf Motor Function Test (WMFT): The Wolf motor function test is a tool to evaluate upper extremity motor function in hemiplegic patients. It has 17 tasks with a score range from 0-5. The inter-rater reliability of the function score is 0.88 and the inter-rated reliability of performance time is 0.97

Eligibility Criteria

Criteria

Ages Eligible for Study:

40 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Diagnosed with chronic stroke by a neurologist
03 months post stroke
Score 1+ on modified ashworth scale
Having a score of 24 or higher in the Mini-Mental State Examination

Exclusion Criteria:

Patient with neurological condition other than stroke e.g. Parkinson's or multiple sclerosis
Presence of an attached artificial pacemaker
Presence of a metal implant in the brain
Presence of visual impairment
Presence of unilateral neglect in Line bisection test (25)
Use of antipsychotic drugs