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Comparison of Embedded and Added Motor Imagery Training in Patients After Stroke

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ClinicalTrials.gov Identifier: NCT00858910
Recruitment Status : Completed
First Posted : March 10, 2009
Last Update Posted : October 25, 2013
Sponsor:
Collaborator:
Oxford Brookes University
Information provided by:
Reha Rheinfelden

Brief Summary:
The purpose of the study is to examine if patients in the embedded motor imagery (MI) training group (EG1) need less time to perform the motor task than patients in the added MI training group (EG2).

Condition or disease Intervention/treatment Phase
Stroke Other: Motor imagery (MI) training Other: Control intervention Phase 2

Detailed Description:

The purpose of the study is to examine if patients in the embedded MI training into physiotherapy (EG1) need less time to perform the motor task than patients in the added MI training to physiotherapy (EG2).

A third groups serves a control group (CG) to investigate the effect of the intervention versus a group with a control intervention.

Additionally, semi-structured interviews before and after the intervention will give an insight in the patient's experience with motor imagery (MI), their expectations regarding the intervention and their opinions about MI after the intervention.


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 90 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Comparison of Embedded and Added Motor Imagery Training to Improve a Motor Skill in Patients After Stroke: a Pilot Randomised Controlled Trial Using a Mixed Methods Approach
Study Start Date : March 2009
Actual Primary Completion Date : May 2010
Actual Study Completion Date : May 2010

Arm Intervention/treatment
Experimental: EG1: embedded MI

Experimental group 1:

Participants receive motor imagery (MI) training included in 45min physiotherapy, 3 times per week for 2 weeks.

Other: Motor imagery (MI) training
MI training encloses the internal rehearsal of a known motor skill without any overt motor output.

Experimental: EG2: added MI

Experimental group 2:

Participants receive a 15 minutes motor imagery (MI) training added to a 30 min physiotherapy session, 3 times a week for two weeks.

Other: Motor imagery (MI) training
MI training encloses the internal rehearsal of a known motor skill without any overt motor output.

Placebo Comparator: CG

Control group:

Participants receive a 15 min control intervention added to their 30 min physiotherapy session, 3 times a week for two weeks.

Other: Control intervention

The control intervention encloses relaxation and breathing exercises, and information about:

  • the disease (stroke),
  • therapy options,
  • self-help groups and their offers for support,
  • helping aids for independent living at home.




Primary Outcome Measures :
  1. Time in seconds to perform a motor task: "Going down, laying on the floor and getting up again." [ Time Frame: 2 weeks ]

Secondary Outcome Measures :
  1. Further outcome measures: - Help needed to perform the task, scored on a 7-item scale (1 total help, 7 completely independent) - Stage of motor task (one out of 13 possible stages) [ Time Frame: 2 weeks ]
  2. Motor impairment and independence measured with the extended Barthel index (EBI). [ Time Frame: 2 weeks ]
  3. Balance measured with the Berg Balance Scale (BBS). [ Time Frame: 2 weeks ]
  4. Motor imagery ability measured with the kinesthetic and visual motor imagery questionnaire (KVIQ) and the 'Imaprax 1.1' software. [ Time Frame: 2 weeks ]
  5. Fear of falling (FOF) is measured with the Activities-Specific Balance Confidence Scale (ABC-scale). [ Time Frame: 2 weeks ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients after a first-ever ischemic or hemorrhagic stroke
  • Outpatients or leaving inpatients 3 months after stroke
  • Ability to stand with or without a cane for at least 30 sec on a normal hard floor
  • Ability to walk for 20 metres with or without a cane or an orthosis
  • MMSE with at least 20 points
  • Age older than 18 years
  • Signed written informed consent

Exclusion Criteria:

  • Joint replacements (knee, hip, shoulder)
  • Limiting pain in the upper or lower body
  • Limiting range of motion (ROM) in the hip, knee, ankle joint or toes
  • Body weight more than 90 kilograms
  • Compromised mental capacity to give written informed consent

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): NCT00858910


Locations
Switzerland
Rehabilitation centre: Reha Rheinfelden
Rheinfelden, AG, Switzerland, 4310
Sponsors and Collaborators
Reha Rheinfelden
Oxford Brookes University

Additional Information:
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Prof. Thierry Ettlin, Reha Rheinfelden
ClinicalTrials.gov Identifier: NCT00858910     History of Changes
Other Study ID Numbers: 2008/077
First Posted: March 10, 2009    Key Record Dates
Last Update Posted: October 25, 2013
Last Verified: July 2010

Keywords provided by Reha Rheinfelden:
Motor imagery
Motor skill
Performance improvement

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