Local Opera Viewing Combined Medical Gymnastics for Elderly PSCI

Construction and Empirical Study of Local Opera Appreciation Combined With Medical Gymnastics Training Program for Elderly Patients With Post-stroke Cognitive Impairment

local opera viewing combined medical gymnastics for elderly PSCI

Study Overview

• Status: Not yet recruiting
• Conditions: Post-stroke Cognitive Impairment
• Intervention / Treatment: Behavioral: Local opera appreciating and Medical gymnastics training

Detailed Description

Cognitive impairment and hemiplegia are the two major problems faced by elderly patients with cognitive impairment after stroke. The application of local drama viewing and combined medical gymnastics training aims to improve sports and cognitive function. Local drama viewing and medical gymnastics training integrates drama art cognition and medical sports, is a beneficial scientific attempt.

To construct a local opera viewing combined medical gymnastics training program for elderly patients with post-stroke cognitive impairment, and to explore its feasibility, acceptability and safety.

• Study Type: Interventional
• Enrollment (Estimated): 160
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Hui Jiang; Phone Number: 17744055727; Email: baiyundao@163.com
• Study Contact Backup: Name: Biyun Xiao, MSc; Phone Number: 13960036388; Email: 1248677502@qq.com

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

Stroke patients who were hospitalized in the Department of Neurology of Zhangzhou Hospital and met the PSCI diagnostic criteria of the Expert Consensus on the Prevention and Treatment of Cognitive Impairment after Stroke in China were the subjects of the study. ① Stroke patients confirmed by neuroimaging, onset time within 1 week; (2) Cognitive impairment occurs after stroke events; ③ The scores of the simple mental state examination scale were points in the illiterate group, points in the primary school group, points in the secondary school group, and points in the college group; ④ can maintain independent sitting position ≥30 min; ⑤ Age ≥60 years old; ⑥ Volunteer to join the study and receive intervention treatment.

Exclusion Criteria:

• Other causes affect or lead to cognitive impairment, such as consciousness disorder, malignant tumor, severe liver and kidney insufficiency; ② There are serious cardiopulmonary and other systemic diseases; Visual or hearing impairment; ④ have emotional behavior abnormalities and mental illness (including depression); ⑤ A history of alcohol or drug abuse

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Local opera appreciating; Received the local drama viewing .When the PSCI patient was hospitalized and discharged for 12 weeks. appreciating local drama for 30-45 minutes every day	Behavioral: Local opera appreciating and Medical gymnastics training; To construct a local opera viewing combined medical gymnastics training program for elderly patients with post-stroke cognitive impairment, and to explore its feasibility, acceptability and safety.
Experimental: Medical gymnastics training; Conducted medical gymnastics training .When the PSCI patient was hospitalized and discharged for 12 weeks. conduct medical gymnastics training for 30-45 minutes every day	Behavioral: Local opera appreciating and Medical gymnastics training; To construct a local opera viewing combined medical gymnastics training program for elderly patients with post-stroke cognitive impairment, and to explore its feasibility, acceptability and safety.
Experimental: Local opera appreciating and Medical gymnastics training; Received the drama viewing and conducted the medical gymnastics training .When the PSCI patient was hospitalized and discharged for 12 weeks. Appreciating local drama for 30-45 minutes and conduct medical gymnastics training for 30-45 minutes every day	Behavioral: Local opera appreciating and Medical gymnastics training; To construct a local opera viewing combined medical gymnastics training program for elderly patients with post-stroke cognitive impairment, and to explore its feasibility, acceptability and safety.
No Intervention: Routine treatment; When the PSCI patient was hospitalized and discharged for 12 weeks, Received the routine treatment and care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
NIH stroke scale, NIHSS	NIHSS is based on structural neurological examination and gives a score between 0 and 42. Higher scores indicate a more severe neurological deficit . The NIHSS-score 5 indicates mild neurological deficit, and 5 to 15 indicates moderate neurological deficit score> 20 generally considered to indicate "severe" stroke, whereas patients with isolated severe aphasia (NIHSS score 2 or 3) may have damaging . Nerve deficit (NIHSS) , which involves 15 factors such as movement, sensory, visual field, and the score range from 0 to 42. The deficit is divided into three grades: mild, moderate and severe, respectively 0-15,16~30 and 31~42 points.	Before and at 3 months after the intervention
Muscle strength	When level 6 (level 0~5) muscle strength recording method, let the patient do the muscle contraction movement in turn, the examiner give resistance, or When the patient was instructed to maintain a position, the examiner tried to change the position to determine muscle strength (Table 4-3). Six-level recording method of attack 4-3 muscle strength Level 0 Complete paralysis, with no muscle contraction Level 1 Muscles can contract, but can not act Level 2 The limb can move on the bed surface, but can not resist their own gravity, that is, can not lift Level 3 The limb can resist gravity off the bed surface, but can not resist resistance Level 4 The body can do antiresistance movements, but not completely Level 5 Normal muscle strength	Before and at 3 months after the intervention
Montreal cognitive assessment, MoCA-Beijing	The version includes eight aspects of cognitive domain test: memory, visual space, execution, attention, computing, language, time orientation, location orientation, total score of 30 points, the higher the score, the cognitive function of the better, the illiterate group 13 points, elementary school group 19 points, junior high school and above test 24 points can be judged as impaired cognitive function impaired , to correct the cultural bias. MoCA, specifically designed for screening MCI, has high sensitivity (80% to 100%) and specificity (50% to 7 6%) in identifying MCI.	Before and at 3 months after the intervention
Mini-Mental State Examination, MMSE	MMSE is the first simple tool compiled by Folstein et al. to assess cognitive function. After practice, it is gradually used for screening of dementia patients, judge the severity of cognitive impairment and track the changes of the condition. Its sensitivity in dementia screening diagnosis is 80-90% and specificity is 70-80% . The scale covers cognitive domains such as directional force, memory, attention and calculation, speech, and visual space. The scale has 30 entries with a total score of 30, which can be graded according to MMSE, with 21 to 26 mild dementia, 11 to 20 moderate dementia, and 0 to 10 severe dementia . This study adopted the version revised by domestic scholar Wang Zhengyu et al. , with 30 items and a total of 30 points. The abnormal score was divided into 17 points for illiterate group, 20 points in primary school group and 24 points in middle school and above group. AD patients with this scale was excluded in this study.	Before and at 3 months after the intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hamilton Anxiety Rating Scale	The Hamilton Anxiety Scale (Hamilton Anxiety Scale, HAMA) is the most clinically used to assess anxiety symptoms in adults For a wide range of his evaluation tools.14 items, using 5 grades ranging from 0 to 4. Higher scores indicate greater anxiety.	Before and at 3 months after the intervention
Hamilton Depression Rating Scale	The Hamilton Depression Scale (Hamilton DepressionScaleHAMD) clinically evaluates depressive symptoms in adults .The most widely used evaluation tools. There are three versions of 17 items, 21 items, and 24 items. Most of the items use 5 grades of 0 to 4, but a few Grade 3 score from 0 to 2. Higher scores indicate greater depression.	Before and at 3 months after the intervention
Pittsburgh Sleep Quality Index	MMSE is the first simple tool compiled by Folstein et al. to assess cognitive function. After practice, it is gradually used for screening of dementia patients, judge the severity of cognitive impairment and track the changes of the condition. Its sensitivity in dementia screening diagnosis is 80-90% and specificity is 70-80% . The scale covers cognitive domains such as directional force, memory, attention and calculation, speech, and visual space. The scale has 30 entries with a total score of 30, which can be graded according to MMSE, with 21 to 26 mild dementia, 11 to 20 moderate dementia, and 0 to 10 severe dementia [93]. This study adopted the version revised by domestic scholar Wang Zhengyu et al. [69], with 30 items and a total of 30 points. The abnormal score was divided into 17 points for illiterate group, 20 points in primary school group and 24 points in middle school and above group. AD patients with this scale was excluded in this study.	Before and at 3 months after the intervention
Stroke Impact Scale，SIS	In order to evaluate how much stroke affects PSCI health and life, to know the PSCI own views on the impact of stroke. questions about the dysfunction caused by stroke and the impact on the life of PSCI	Before and at 3 months after the intervention
Subscales of the Functional Assessment of Communication Skills, SFACS	SFACS was developed by Frattali et al in 1995 .2015 Chinese by Chen Huiying. This scale was originally used in patients with aphasia, and was later widely used by other scholars in dementia, stroke, brain trauma and other fields. It evaluates the communication functions from four domains , Each domain has four qualitative dimensions. There are 43 entries in this scale, which takes about 20 minutes, and the scoring standard is a 7-point system: 1= not completed, 2= need a large amount of assistance, 3 = general to large amount of assistance, 4= general assistance, 5 = small amount to general assistance, 6= small amount of assistance, 7 = completed independently. FACS can evaluate communication skills using either the total questionnaire or subscales, with higher scores indicating better communication skills.	Before and at 3 months after the intervention

Collaborators and Investigators

• Sponsor: Zhangzhou Municipal Hospital
• Investigators: Principal Investigator: Biyun Xiao, MSc, Zhangzhou Municipal Hospital

Study record dates

Study Major Dates

• Study Start (Estimated): July 1, 2024
• Primary Completion (Estimated): July 15, 2026
• Study Completion (Estimated): August 31, 2026

Study Registration Dates

• First Submitted: June 9, 2024
• First Submitted That Met QC Criteria: June 9, 2024
• First Posted (Actual): June 13, 2024

Study Record Updates

• Last Update Posted (Actual): June 13, 2024
• Last Update Submitted That Met QC Criteria: June 9, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Neurocognitive Disorders; Cognition Disorders; Cognitive Dysfunction
• Other Study ID Numbers: Zhangzhou Municipal Hospital

Drug and device information, study documents

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