The Effects of Telerehabilitation in Chronic Hemiplegic Patients

Hemiplegia Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05897762
• Other study ID #: HasanKU"
• Status: Completed
• Phase: N/A
• Start date: January 1, 2021
• Est. completion date: January 1, 2022

Study information

• Verified date: March 2023
• Source: Hasan Kalyoncu University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: January 1, 2022
• Est. primary completion date: June 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 40 Years

Eligibility

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.

Related Conditions & MeSH terms

• Hemiplegia

Intervention

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.

Locations

Country	Name	City	State
Turkey	Hasan Kalyoncu University	Gaziantep

Sponsors (1)

Lead Sponsor	Collaborator
Hasan Kalyoncu University

Country where clinical trial is conducted

Turkey, 

Outcome

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