NCT06130891

Effects of Cognitive Exercises With Sensory Motor Relearning Program on Upper Limb Function in Sub-Acute Stroke Patients

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 50 (actual)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 45 Years – 60 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to compare the effects of cognitive sensory motor relearning, and sensory-motor relearning program alone on manual ability, sensation, gross and fine movements, and cognition in post-stroke patients. The main aim is to evaluate the effectiveness of an integrated approach and its impact on motor function, sensory processing, and cognitive skills in sub-acute stroke patients, with the goal of contributing to the development of more efficient rehabilitation interventions for UL sensory-motor impairments after stroke.

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.

Conditions

• Stroke
• Ischemic

Interventions

Type	Name	Description
OTHER	Cognitive sensory motor relearning	Cognitive Exercises: * Orientation: Checking awareness of date, time, and weather. * Attention: Tasks like connecting dots or spotting differences. * Shape Sorting: Sorting objects by size, color, etc. * Calculation Training: Counting money, beads, basic arithmetic. * Memory: Recalling objects on a tray, numbers backward, word associations. Sensory Relearning: * Discrimination: Identifying textures, shapes, sizes, and temperatures. * Tactile Recognition: Recognizing objects through touch. * Proprioception: Matching affected limb's position to unaffected limb's. Motor Relearning: * Task-Specific Training: Grasping, pouring, wiping, screwing, holding objects. * Progression: Increasing duration, intensity, and resistance. 45 minutes per day, 5 days a week for 6 weeks.
OTHER	Sensory motor relearning	Sensory Relearning: * Discrimination: Identifying textures, shapes, sizes, and temperatures. * Tactile Recognition: Recognizing objects through touch. * Proprioception: Matching affected limb's position to unaffected limb's. Motor Relearning: * Task-Specific Training: Grasping, pouring, wiping, screwing, holding objects. * Progression: Increasing duration, intensity, and resistance. 45 minutes per day, 5 days a week for 6 weeks.
OTHER	Motor Relearning	Motor Relearning: * Task-Specific Training: Grasping, pouring, wiping, screwing, holding objects. * Progression: Increasing duration, intensity, and resistance. 45 minutes per day, 5 days a week for 6 weeks.

Timeline

• Start date: 2023-11-05
• Primary completion: 2024-03-30
• Completion: 2024-03-30
• First posted: 2023-11-14
• Last updated: 2024-05-07

Locations

1 site across 1 country: Pakistan