Functional Rehabilitation of Upper Limb Apraxia in Patients Poststroke

Active, not recruiting

Phase N/A Results N/A

Trial Description

The purpose of this study is to analyze the effects of a mixed intervention of occupational therapy (rehabilitative and compensatory approach) at home to upper limb apraxia in mild and moderate patients post stroke in comparison to a control group with a traditional health educative protocol.

Detailed Description

Apraxia is a neurological disorder characterized by a loss of ability to execute and carry out skilled movements and gestures despite intact motor and sensory systems, coordination and comprehension.
Upper limb apraxia comprises a wide spectrum of higher motor disorders caused by acquired brain disease, affecting the performance of skilled movements carried out by the upper limbs.
Few data are available on the effectiveness of interventions in this disorder and no exists studies that implement a mixed intervention (rehabilitative and compensatory ) of Occupational Therapy in these patients at home.

Conditions

Interventions

  • Functional Rehabilitation of apraxia Other
    Other Names: Intervention of occupational therapy in apraxia
    Intervention Desc: The intervention will cover every type of approaches related with upper limb apraxia. We will use different kinds of tools to activate cerebral networks implied on apraxia, for facilitating the cerebral neuroplasticity in the recovering of the patient. On the other hand, when the function can not be improved, we will provide skills and strategies for enhance the environment adaptation and increasing the autonomy and independence.
    ARM 1: Kind: Experimental
    Label: Functional Rehabilitation of apraxia
    Description: The participants will be randomly assigned to an experimental group, to receive intervention in upper limb apraxia at home since two approaches, a rehabilitative and another compensatory (providing adaptive strategies at home). The treatment will be performed three times a week, 30 minutes a day, during a 4-week period.
  • Traditional health educative protocol Other
    Other Names: Traditional intervention in apraxia
    Intervention Desc: The traditional health educative protocol consist in an educational workshop for patients and caregivers where they are taught the implications of apraxia in their daily live, kind of errors of apraxia for gaining consciousness of the syndrome, and some strategies to facilitate the adaptation of the patient in her house.
    ARM 1: Kind: Experimental
    Label: Traditional health educative protocol
    Description: Control group will receive treatment with a traditional health educative protocol to improve his functionality in activities of daily living. The treatment will be performed twice in two month.

Trial Design

  • Allocation: Randomized
  • Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Change from Baseline in Barthel index at 8 weeks Eight weeks No
Primary Change from Baseline in Barthel index at 16 weeks Sixteen weeks No
Secondary Change from baseline in observation and scoring of ADL-Activities at 8 weeks Eight weeks No
Secondary Change from baseline in the Lawton and Brody Instrumental Activities of Daily Living Scale (IADL) at 8 weeks Eight weeks No
Secondary Change from baseline in De Renzi Test (ideational apraxia) at 8 weeks Eight weeks No
Secondary Change from baseline in De Renzi Test (ideomotor apraxia) at 8 weeks Eight weeks No
Secondary Change from baseline in recognition of gestures (Smania, 2000) at 8 weeks Eight weeks No
Secondary Change from baseline in Comprehensive assessment of gesture production: Test of upper limb apraxia (TULIA) at 8 weeks. Eight weeks No
Secondary Change from baseline in Quality of life scale for stroke (ECVI-38) at 8 weeks Eight weeks No
Secondary Change from baseline in observation and scoring of ADL-Activities at 16 weeks Sixteen weeks No
Secondary Change from baseline in the Lawton and Brody Instrumental Activities of Daily Living Scale (IADL) at 16 weeks Sixteen weeks No
Secondary Change from baseline in De Renzi Test (ideational apraxia) at 16 weeks Sixteen weeks No
Secondary Change from baseline in De Renzi Test (ideomotor apraxia) at 16 weeks Sixteen weeks No
Secondary Change from baseline in recognition of gestures (Smania, 2000) at 16 weeks Sixteen weeks No
Secondary Change from baseline in Comprehensive assessment of gesture production: Test of upper limb apraxia (TULIA) at 16 weeks. Sixteen weeks No
Secondary Change from baseline in Quality of life scale for stroke (ECVI-38) at 16 weeks Sixteen weeks No

Sponsors