The Effects of Telerehabilitation in Chronic Hemiplegic Patients

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

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

Study Overview

• Status: Completed
• Conditions: Hemiplegia
• Intervention / Treatment: Behavioral: Tele rehabilitation Group

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 Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Gaziantep, Turkey, 27010
    • Hasan Kalyoncu University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

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.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / 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.

What is the study measuring?

Primary Outcome Measures

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

Collaborators and Investigators

• Sponsor: Hasan Kalyoncu University
• Investigators: Study Director: Deniz Kocamaz, Assist Prof, Hasan Kalyoncu University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2021
• Primary Completion (Actual): June 1, 2021
• Study Completion (Actual): January 1, 2022

Study Registration Dates

• First Submitted: February 4, 2023
• First Submitted That Met QC Criteria: June 1, 2023
• First Posted (Actual): June 9, 2023

Study Record Updates

• Last Update Posted (Actual): June 9, 2023
• Last Update Submitted That Met QC Criteria: June 1, 2023
• Last Verified: March 1, 2023

More Information

Terms related to this study

• Keywords: upper extremity; Tele-rehabilitation; fuctionallity; chronic hemiplegia; Spastisity
• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Paralysis; Hemiplegia
• Other Study ID Numbers: HasanKU"

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No