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Perfetti Method in Upper Extremity of Stroke Patients

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ClinicalTrials.gov Identifier: NCT01374152
Recruitment Status : Completed
First Posted : June 15, 2011
Last Update Posted : July 17, 2012
Sponsor:
Collaborator:
Mahidol University
Information provided by (Responsible Party):
Ratanapat Chanubol, Prasat Neurological Institute

Brief 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.

Condition or disease Intervention/treatment Phase
Stroke Other: cognitive sensory motor training therapy Phase 3

Detailed 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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized Controlled Trial of Cognitive Sensory Motor Training Therapy on the Recovery of Upper Extremity Function in Acute Stroke Patients
Study Start Date : July 2008
Primary Completion Date : May 2011
Study Completion Date : June 2011

Arm Intervention/treatment
Experimental: Perfetti
Cognitive sensory motor training method for upper extremities rehabilitation every working day, totally training not less than 600 minutes within 4 weeks.
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.
Other Names:
  • Perfetti
  • Cognitive sensory motor training
  • Stroke
  • Upper extremity
No Intervention: conventional rehabilitation
conventional occupational therapy method for upper extremities rehabilitation every working day, totally training not less than 600 minutes within 4 weeks.



Primary Outcome Measures :
  1. Action research arm test [ Time Frame: 4 weeks ]
    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.


Secondary Outcome Measures :
  1. Box and block test [ Time Frame: 4 weeks. ]
    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

  2. Extended Barthel Index [ Time Frame: 4 weeks. ]
    Basic activity of daily living and degree of independence from any form of help.



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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01374152


Locations
Thailand
Prasat neurological institute
Bangkok, Thailand, 10400
Sponsors and Collaborators
Prasat Neurological Institute
Mahidol University
Investigators
Principal Investigator: Ratanapat Chanubol, MD. Prasat Neurological Institute

Publications:
Responsible Party: Ratanapat Chanubol, Dr., Prasat Neurological Institute
ClinicalTrials.gov Identifier: NCT01374152     History of Changes
Other Study ID Numbers: Perfetti
First Posted: June 15, 2011    Key Record Dates
Last Update Posted: July 17, 2012
Last Verified: July 2012

Keywords provided by Ratanapat Chanubol, Prasat Neurological Institute:
stroke
upper extremity
rehabilitation
perfetti

Additional relevant MeSH terms:
Stroke
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases