Stroke Clinical Trial
Official title:
Randomised Controlled Trial of a Task Model Approach (CogWatch) to Tea Making Training in Stroke Apraxia and Action Disorganisation Syndrome
Apraxia and action disorganization syndrome after stroke can disrupt activities of daily living (ADL). Occupational therapy has been effective in improving ADL performance, however, inclusion of multiple tasks means it is unclear which therapy elements contribute to improvement. This study evaluates the efficacy of a task model approach to ADL rehabilitation, comparing training in making a cup of tea with a gait training control condition.
Apraxia and action disorganization syndrome (AADS) after stroke can disrupt activities of
daily living (ADLs). Occupational therapy has been effective in improving ADL performance,
however, inclusion of multiple tasks means it is unclear which therapy elements contribute to
improvement.
This trial evaluates the efficacy of a task model approach to ADL rehabilitation, comparing
training in making a cup of tea with a stepping training control condition.
Stroke survivors with AADS participate in a cross-over randomized controlled study.
Participants attend five 1-hour tea making training sessions in which progress is monitored
and feedback given using a computer-based system which implements a Markov Decision Process
(MDP) task model (CogWatch). In a control condition participants receive five 1-hour stepping
sessions.
Analysis compares tea making training with stepping training effects on error reduction and
time taken in making 4 different tea types. A complex tea preparation task (making two
different cups of tea simultaneously) is used to test for generalisation of training effects.
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