NCT07143500

Comparative Study of Action Observation Training Versus Task Oriented Training on Reaching in Patients With Stroke

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 39 (actual)
• Sponsor: Ahmed Alshimy · Academic / Other
• Sex: Male
• Age: 50 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

Stroke is characterized by a sudden onset of localized or generalized brain dysfunction, with symptoms persisting for at least 24 hours or resulting in death. In the chronic phase following a stroke, hand dysfunction is commonly observed, often characterized by reduced finger strength and abnormal hand flexion patterns. Reaching is a crucial aspect of daily tasks, including activities like drinking, interacting with a touch screen, or pressing elevator buttons.

Detailed description

Thirty Nine male chronic stroke patients, aged from 50 to 65 years were included in the study. They were randomly assigned into three equal groups: Group "A" was the control group, Group "B" was the study group I and Group "C" was the study group II). Patients in the control group received a selected physical therapy program for upper limb for 60 minutes, patients in group B received Task Oriented Training for upper limb for 30 minutes and the same selected physical Therapy program for upper limb for 30 minutes, while patients in group C received Action Observation Training for upper limb for 30 minutes and the same selected Physical Therapy Program for upper limb for 30 minutes. The intervention was administered three times weekly over a period of four consecutive weeks. Reaching measurements were done using Reaching Performance Scale for stroke (RPSS) and WolF Motor Function Test (WMFT) pre- and post-treatment.

Conditions

• Stroke

Interventions

Type	Name	Description
OTHER	Selected physical therapy program	Passive stretching, active range of motion exercises, isometric strengthening, and functional gripping practice for the hand
OTHER	Task Oriented Training for Upper limb	Seated in chair with arm and back support, with forearms resting on a table 73 cm high. Functional movements were trained through task-oriented exercises involving simple activities of daily living(ADL), such as eating (using a plate and spoon), personal hygiene (combing hair, brushing teeth), and tasks using household items (e.g., handling a cup and spoon, or opening a bottle and cap). Each task was repeated five times. Patients were allowed rest periods of five minutes as needed during the exercise sessions.
OTHER	Action Observation Training Program	sat comfortably in a chair or wheelchair with both arms resting on a table (73 cm high) positioned 50 cm from a 15.6-inch colored laptop screen. They were instructed to attentively observe action videos displayed on the screen and then imitate the observed movements using their affected upper limb. A total of 30 action videos were used, each lasting approximately 50 seconds and demonstrating specific upper limb movements, such as wrist flexion/extension, abduction/adduction, pronation/supination, ulnar/radial deviation, and various grasping and manipulation tasks (e.g., handling coins, pens, a computer mouse, jar lids, bottle caps, typewriting, dialing a phone, and feeding).

Timeline

• Start date: 2025-06-02
• Primary completion: 2025-07-25
• Completion: 2025-08-05
• First posted: 2025-08-27
• Last updated: 2025-08-27

Locations

1 site across 1 country: Egypt