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The purpose of this study was to compare the treatment effects of home-based or clinic-based bilateral training with and without mirror feedback programon on physiological markers, sensorimotor, cognition, daily functions, and participation among patients with chronic stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Home-based | Experimental | Participants in home-based training graoup will receive 1.5 hours/ day, 3 days a week, for 4 contious weeks at home. Participants will receive 2 training stages, including bilateral training with mirror feedback for 30-45 minutes and functional training for 45-60 minutes. Each training stage hase to include above 2 activities.After the end of the home-based training, a four-week wash-out period followed. Then, patients will receive the clinic-based training for 4 continuous weeks. Before and after the treatment, a total of 4 evaluations were conducted, including clinical assessments and blood test (each 9c.c.). One month after the end of the course of treatment will be assessed. |
|
| Clinic-based | Active Comparator | Participants in clinic-based training graoup will receive 1.5 hours/ day, 3 days a week, for 4 contious weeks at home. Participants will receive 2 training stages, including bilateral training with mirror feedback for 30-45 minutes and functional training for 45-60 minutes. Each training stage hase to include above 2 activities.After the end of the clinic-based training, a four-week wash-out period followed. Then, patients will receive the home-based training for 4 continuous weeks. Before and after the treatment, a total of 4 evaluations were conducted, including clinical assessments and blood test (each 9c.c.). One month after the end of the course of treatment will be assessed. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bilateral training with and without mirror feedback | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Fugl-Myer Assessment, FMA | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. | |
| Mini-Mental State Exam, MMSE | Change from baseline up to 4 weeks immediately after the completion of intervention | |
| pinch and grasp dynamometer | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. | |
| Modified Ashworth Scale, MAS | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. | |
| Revised Nottingham Sensory Assessment | Change from baseline up to 4 weeks immediately after the completion of intervention | |
| 10-Meter Walking Test, 10MWT | Change from baseline up to 4 weeks immediately after the completion of intervention | |
| Box and Block Test, BBT | Change from baseline up to 4 weeks immediately after the completion of intervention | |
| Wolf Motor Function Test, WMFT | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Montreal Cognitive Assessment, MoCA | Change from baseline up to 4 weeks immediately after the completion of intervention | |
| Minnesota Rate of Manipulation Test during dual Task | Change from baseline up to 4 weeks immediately after the completion of intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chang Gung Memorial Hospital | Kaohsiung County | Taiwan | ||||
| Chang Gung Memorial Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29702070 | Derived | Hsieh YW, Chang KC, Hung JW, Wu CY, Fu MH, Chen CC. Effects of Home-Based Versus Clinic-Based Rehabilitation Combining Mirror Therapy and Task-Specific Training for Patients With Stroke: A Randomized Crossover Trial. Arch Phys Med Rehabil. 2018 Dec;99(12):2399-2407. doi: 10.1016/j.apmr.2018.03.017. Epub 2018 Apr 25. |
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| Chedoke Arm and Hand Activity Inventory | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Canadian Occupational Performance Measure, COPM | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Nottingham Extended Activities of Daily Living, NEADL | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| ABILHAND Questionnaire | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Motor Activity Log, MAL | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Actigraphy | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Stroke Impact Scale, SIS | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| The World Health Organization Quality of Life -Brief version, WHOQOL-BRE | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Medical Research Council scale,MRC | Change from baseline up to 4 weeks immediately after the completion of intervention |
| 6 minute walk test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| The Euroqol Quality of Life Scale | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Lawton-Brody IADL Scale | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Pittsburg Sleep Quality Index | Change from baseline up to 4 weeks immediately after the completion of intervention, and change from 4 weeks up immediately after the completion of intervention up to 3 months after the completion of intervention. |
| Stroop Test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Movement Imagery Questionnaire- Revised, Second Edition, MIQ-RS | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Kinesthetic and Visual Imagery Questionnaire-10, KVIQ-10 | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Modified Rankin Scale, mRS | baseline |
| 30 second sit-to-stand test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Timed up and go test | Change from baseline up to 4 weeks immediately after the completion of intervention |
| The stroke self-efficacy questionnaire | Change from baseline up to 4 weeks immediately after the completion of intervention |
| BDI-IIļ¼Beck Depression Inventory II | Change from baseline up to 4 weeks immediately after the completion of intervention |
| Taoyuan County |
| Taiwan |