- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06130891
Effects of Cognitive Exercises With Sensory Motor Relearning Program on Upper Limb Function in Sub-Acute Stroke Patients
Study Overview
Status
Intervention / Treatment
Detailed Description
Stroke is not only associated with a high mortality rate, but It also leads to major disabilities. The American Heart Association reported that nearly 75% of stroke victims have dysfunction and 15-30% of stroke survivors have severe disability. Stroke survivors often suffer from impaired motor function, sensory processing, and cognitive abilities depending on the severity and site of the lesion, severely impacting their functional independence and quality of life. About 80% of stroke survivors experience some degree of impairment in their UL which includes loss of dexterity, abnormal muscle tone, loss of coordinated movements, and diminished sensations depending upon to nature of the lesion.
Cognitive exercise treatment is a motor learning model that focuses on high-level cognitive function and occurs through the integration of perception-cognition-activity processes, such as motor regulation. Activation of the brain's cognitive process, which includes perception, memory, attention, language, and decision-making, is the core of cognitive training. Most studies have focused on either sensory, motor, or cognitive interventions separately, overlooking the potential benefits of simultaneously addressing these domains. This combined intervention targets not only motor skills, but also cognitive skills, sensory processing, and manual dexterity. By addressing physical and cognitive domains simultaneously, this study aims to evaluate the effectiveness of an integrated approach and its impact on motor function, sensory processing, and cognitive skills in sub-acute ischemic stroke patients, with the goal of contributing to the development of more efficient rehabilitation interventions for UL sensory-motor impairments after stroke.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Aruba Saeed, PhD
- Phone Number: 03344399403
- Email: aruba.saeed@riphah.edu.pk
Study Locations
-
-
Punjab
-
Sheikhupura, Punjab, Pakistan, 39000
- Recruiting
- THQ Hospital, Muridke, Sheikhupura, Punjab
-
Contact:
- Aruba Saeed, PhD
- Phone Number: 03344399403
- Email: aruba.saeed@riphah.edu.pk
-
Principal Investigator:
- Hifsa Waheed, MSPT-NM
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Both male and female patients.
- 45- 60 years of age.
- 1st ever stroke.
- Sub-acute ischemic stroke.
- 8-12 weeks post stroke patients.
- Participants must have motor and somatosensory deficits in the upper limb on the affected side, as indicated by an ARAT score between 40 and 50 out of 57.
- Participants must be able to provide informed consent or have a legal representative who can provide informed consent on their behalf.
- MoCA score between 18-24
- Modified Ashworth scale < +1
Exclusion Criteria:
- Participants who have a history of significant neurological or psychiatric disorders, other than stroke, that could interfere with upper limb motor or sensory recovery.
- Participants who have other medical conditions that could interfere with therapy or assessments, such as severe arthritis or joint injuries.
- Participants who have severe visual or hearing impairments that would interfere with therapy or assessments.
- Participants who are currently participating in another clinical trial or research study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cognitive sensory motor relearning Group
Cognitive, sensory, and motor training
|
Cognitive Exercises:
Sensory Relearning:
Motor Relearning:
|
Experimental: Sensory Motor Relearning Group
Sensory and motor training
|
Sensory Relearning:
Motor Relearning:
|
Experimental: Motor Relearning Group
Motor training
|
Motor Relearning:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Action Research Arm Test
Time Frame: 6 weeks
|
Changes from baseline The instrument contains 19 items grouped into 4 sub-tests: grasp, grip, pinch, and gross motor.
Item performance is rated on a 4-point scale (0=unable; 1=partial; 2= abnormal; 3=normal) then item ratings are summed and reported out of 57 points with higher score indicating greater UE function.
|
6 weeks
|
Revised Nottingham Sensory Assessment (Somatosensory Impairments)
Time Frame: 6 weeks
|
Changes from baseline rNSA examines somatosensory impairment using a 3-point scale (0 =absent, 1 = impaired, 2 = normal) and takes approximately 25-35 min to complete.
It consists of 72 items grouped into three sub-scales measuring tactile sensation, proprioception, and stereognosis.
The Tactile Sensation subscale includes light touch, temperature, pinprick, pressure, tactile localization, and bilateral simultaneous touch.
Higher scores demonstrate better somatosensory function.
|
6 weeks
|
ABILHAND questionnaire (ABIL)
Time Frame: 6 weeks
|
Changes from baseline ABILHAND is an inventory of 23 manual activities that the patient is originally asked to judge on a 3-level scale: 0 (impossible), 1 (difficult), and 2 (easy).
The test explores bi-manual activities done without other human or technical help.
For each question the patient provided his/her feeling of difficulty irrespective of the limb(s) actually used to do the activity.
Activities not attempted in the last 3 months are not scored and encoded as missing responses.
|
6 weeks
|
MoCA (Montreal Cognitive Assessment)
Time Frame: 6 weeks
|
Changes from baseline Montreal Cognitive Assessment (MoCA) is a one-page, 30-point cognitive screening measurement scale that takes about 10 minutes to administer.
There are 12 subtasks in the MoCA test that include memory, visuospatial orientation, executive functioning, phonemic fluency, and two-item abstract thinking task, attention, concentration, and working memory, language, orientation to time and place.
A score of 26 is a cutoff score to differentiate between normal and abnormal.
|
6 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Aruba Saeed, PhD, Riphah International University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC/ 0244 Hifsa Waheed
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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