Effects of the Action Observation Therapy and Robotic Rehabilitation on the Upper-Limb Motor Function in Stroke
Stroke
About this trial
This is an interventional treatment trial for Stroke focused on measuring Robotic Rehabilitation, Action Observation Therapy, Upper Extremity, Motor Function
Eligibility Criteria
Inclusion Criteria:
- Between 18-80 aged
- Stroke history in last six months
- Mini-Mental Status Evaluation >24 points,
- Having an Ability to sit independently,
- Presence of at least half of the range of motion of all joints for the upper extremity,
- Spasticity ≤ 2 according to the Modified Ashworth Scale,
- The Fugl-Meyer Assessment for Upper Extremity score between 20-60,
- Individuals without visual impairment,
- Individuals with normal communication and cooperation skills.
Exclusion Criteria:
- Having another neurological disease,
- Having any orthopedic problems that may affect the upper extremity,
- Taking neuropsychiatric treatment,
- Individuals who had a botox history or tendon surgery,
- Using neuroleptic drugs,
- Having an ataxia,
- Individuals who attended less than 80% of the total number of sessions.
Sites / Locations
- Marmara UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Action Observation Therapy (AOT)
Robotic Rehabilitation
AOT is a method based on the principle that the patient watches the movements of a healthy individual and then tries to imitate them. AOT consists of a monitoring-imitation cycle. A cycle consists of 3 minutes of observation, and 3 minutes of imitation. The intervention will consist of 10 cycles for simple functions. Complex movements will be applied by separating them into their components. The cycle time for each component is the same. Take for example, the cup-reaching function: The first component is the cup-reaching activity. The second component is the glass grip. One cycle will be completed on the first component (6 minutes), then one cycle will be completed for the second component (6 minutes) and one cycle (6 minutes) will be completed for the entire movement. Cycles will follow each other for 60 minutes. For the AOT, 31 different videos were prepared for the shoulder, elbow, and wrist. Applications will be made in the hospital under the supervision of a physiotherapist.
The robotic rehabilitation application will be performed with the ExoRehab X (HoustonBionics, Inc.) device. There is no engine to create any repulsive-pulling force in this device. It is a system that works entirely with the patient's active movement. Active movements of the shoulder, elbow, and wrist in all directions can be performed with the device. Motion is detected with the help of the device's censor, and the avatar moves on the screen. There are 10 different purposeful games embedded in the device. The device also allows resistance exercise thanks to resistance modules. Which joint will be trained will be determined according to the potential of the patient. For example, if programming will be done for the shoulder, elbow and wrist, the treatment time will be 20 minutes for each joint. Applications will be made in the hospital under the supervision of a physiotherapist.