Perfetti Method in Upper Extremity of Stroke Patients

Stroke Clinical Trial

Official title:

A Randomized Controlled Trial of Cognitive Sensory Motor Training Therapy on the Recovery of Upper Extremity Function in Acute Stroke Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01374152
• Other study ID #: Perfetti
• Status: Completed
• Phase: Phase 3
• First received: June 14, 2011
• Last updated: July 15, 2012
• Start date: July 2008
• Est. completion date: June 2011

Study information

• Verified date: July 2012
• Source: Prasat Neurological Institute
• Contact: n/a
• Is FDA regulated: No
• Health authority: Thailand: Ministry of Public Health
• Study type: Interventional

Clinical Trial Summary

The cognitive sensory motor training therapy (Perfetti's technique) might be more effectiveness than conventional occupational therapy on upper extremity function recovery after acute stroke patients.

Description:

Globally, stroke is the second leading cause of death above the age of 60 years, and the fifth leading cause of death in people aged 15 to 59 years old. Upper extremities problem is still faced with poor prognosis for recovery. Cognitive sensory motor training therapy (Perfetti's technique) might be better helped for recovery of upper extremity function in stroke than conventional therapy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: June 2011
• Est. primary completion date: May 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• First ever stroke

• Impaired upper extremity function

• Given signed inform consent

Exclusion Criteria:

• Unstable medical condition

• Any upper extremity functional impairment prior to stroke

• Can not adequately cooperate in training

• Severe communication problems

• Severe cognitive - perceptual deficits

• Fixed contracture more than 30 degree in every upper extremity joint

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Stroke

Intervention

Other:
• cognitive sensory motor training therapy
training method that emphasis on cognition/ sensation/ and motor movement together train every working day 45 minutes per day for 4 weeks.

Locations

Country	Name	City	State
Thailand	Prasat neurological institute	Bangkok

Sponsors (2)

Lead Sponsor	Collaborator
Prasat Neurological Institute	Mahidol University

Country where clinical trial is conducted

Thailand, 

References & Publications (3)

Duncan PW, Goldstein LB, Horner RD, Landsman PB, Samsa GP, Matchar DB. Similar motor recovery of upper and lower extremities after stroke. Stroke. 1994 Jun;25(6):1181-8. — View Citation

Lyle RC. A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehabil Res. 1981;4(4):483-92. — View Citation

Wongphaet P, Butrach W, Sangkrai S, Jitpraphai C. Improved function of hemiplegic upper extremity after cognitive sensory motor training therapy in chronic stroke patients: preliminary report of a case series. J Med Assoc Thai. 2003 Jun;86(6):579-84. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Action research arm test	The Action research arm test used for assess the impairment of upper limb function. ARAT has ordinal 4-point scale (0-3) in 19 items. Totally 57 scores.	4 weeks	No
Secondary	Box and block test	For evaluated gross manual dexterity, consist of two adjacent boxes of the same size. Between the two boxes, there is a partition. It is recorded the number of wooden block that can be transported from one compartment of a box to another within 60 seconds	4 weeks.	No
Secondary	Extended Barthel Index	Basic activity of daily living and degree of independence from any form of help.	4 weeks.	No