Telerehabilitation-Based Early Upper Extremity Training in Stroke Patients

Stroke, Acute Clinical Trial

Official title:

The Effect of Telerehabilitation-Based Early Upper Extremity Training on Upper Extremity Function and Proprioception in Stroke Patients

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06261099
• Other study ID #: 037
• Status: Recruiting
• Phase: N/A
• Start date: February 8, 2024
• Est. completion date: November 27, 2025

Study information

• Verified date: February 2024
• Source: Suleyman Demirel University
• Contact: Güler ERTUGRUL
• Phone: +90 531 950 05 90
• Email: gertugrul004[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Telerehabilitation method, which is an alternative to face-to-face rehabilitation practices for stroke patients who need intensive, regular and long-term rehabilitation in the early period, has been popularly used in recent years. Telerehabilitation is a practice in which the patient participates in the treatment via digital media without the need for the patient to come to the clinic.

Description:

After the sociodemographic data of the participants are recorded, Mini Mental Test (MMT) will be applied to evaluate the cognitive status. Upper extremity functions of patients eligible for the study will be evaluated with the Fugl-Meyer Upper Extremity Scale (FM-UE), proprioception evaluation will be evaluated with the Laser-pointer Assisted Angle Reproduction Test, activities of daily living will be evaluated with the Modified Barthel Index, and reaching performance will be evaluated with the Reaching Performance Scale. Characteristics of the patients participating in the study and all outcome measurements before and after treatment will be evaluated by a blinded physiotherapist. A researcher blinded to the exercise groups and evaluation results will perform the statistical analysis.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: November 27, 2025
• Est. primary completion date: February 27, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 65 Years

Eligibility

Inclusion Criteria:

• Between the ages of 30-65, with a history of stroke within the last month,
• Mini Mental Score = 24, 1-10 after discharge. on the day,
• patients who can sit for at least 30 seconds, exhibit a hemiparetic condition, and are clinically stable

Exclusion Criteria:

• Flaccid hemiplegia detected by anamnesis and physical examination,
• Has spasticity in the upper extremity with a severity greater than 1+ according to the Modified Ashworth Scale,
• patients with severe dementia and dysfunction of the upper extremity joints due to a previous musculoskeletal disease

Related Conditions & MeSH terms

• Stroke
• Stroke, Acute

Intervention

Other:
• control + working group
Upper extremity positioning, overhead activity training, reaching activities, weight transfer exercises, proprioceptive exercises, and daily living activities training will be applied to this group using the telerehabilitation method, which was applied to in 5 sessions per week for 6 weeks.

Locations

Country	Name	City	State
Turkey	Suleyman Demirel University	Isparta	Merkez
Turkey	Güler Ertugrul	Kocaeli	I?zmi?t

Sponsors (1)

Lead Sponsor	Collaborator
Suleyman Demirel University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mini Mental Test	It is used to evaluate the cognitive status of patients. It is a simple, short and valid test that is widely used in people with stroke. With this test, various cognitive functions of people such as orientation, recording memory, attention and calculation, recall and language are evaluated. The maximum score that can be obtained is 30. Getting a score of 24 or above indicates that the patient's cognitive functions are within normal limits.	six weeks
Primary	Fugl Meyer Motor Function Scale	Motor performance is evaluated in stroke patients. Each item is given a score from 0 to 2, depending on performance: 2 points; complete detailing, 1 point; partial work of details, 0 points; It is given if details cannot be achieved. The maximum motor performance score for the upper extremity is 66 points.	six weeks
Primary	Laser-pointer Assisted Angle Reproduction Test	It evaluates proprioceptive deviation in stroke patients. Shoulder flexion is measured three times at 45?, 60? and 90?, and upper extremity proprioception is evaluated by taking the average result of the three measurements.	six weeks
Primary	Modified Barthel Index	Determines the functional adequacy, dependency level and rehabilitation services of stroke patients. Items on the scale are rated between 0 and 15 points in 5-point increments depending on the question. 0-20 points are considered fully dependent, 21-61 points are considered highly dependent, 62-90 points are considered moderately dependent, 91-99 points are considered mildly dependent, and 100 points are considered fully independent.	six weeks
Primary	Reaching Performance Scale	It evaluates compensatory movements for upper extremity extension in stroke patients. Scores on items 1 to 5 are used to identify deficiencies in specific aspects of movement, with scores ranging from 0 to 18 being obtained depending on changing performance.	six weeks