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IRCT20140304016830N10 IRCT 2019-12-07 Iran University of Medical Sciences The effect of occupational therapy interventions on balance and participation in activities of daily living in people with chronic stroke A randomized controlled trial to compare the effect of occupation-based interventions with and without motivational strategies on functional balance, postural control and participation in activities of daily living in people with chronic stroke 2019-06-22 anticipated 48 Complete https://irct.ir/trial/43839 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be performed by the person who is not involved in the study using sealed envelopes method, Blinding description: Evaluation of the primary and secondary outcomes is performed by experienced individuals who are blind on the groups allocation. Patients are also blind to the type of intervention they receive. N/A Stroke. Intervention 1: Control group: receives conventional rehabilitation (including exercises for upper and lower limb stretching, range of motion and activities of daily living). Intervention 2: First Intervention group: Occupation-based interventions with motivational strategies group that receives 12 sessions of intervention including different occupations with emphasize on motor learning approach (6 weeks, 2 sessions per week, 75 minutes per session) in addition to the conventional rehabilitation. In this group, different motivational strategies will be used to enhance an individual's level of motivation during the intervention. Intervention 3: Second Intervention group: Occupation-based interventions without motivational strategies group that receives 12 sessions of intervention including different occupations with emphasize on motor learning approach (6 weeks, 2 sessions per week, 75 minutes per session) in addition to the conventional rehabilitation. In this group, motivational strategies will not be used during the intervention. Yes - There is a plan to make this available What will be shared: After the completion of this study, a manuscript regarding the documentation and the results of the study will be prepared and published. If more details are needed, individuals can send their request by email to the person responsible for scientific accountability. When: One year after publishing the results To whom: Researchers working in academic and scientific institutions Conditions: Use of the documentation is permitted upon written permission. Where to obtain: Ghorban Taghizadeh Adsress: Iran University of Medical Sciences, Shahid Hemmat Highway, Tehranو Tel: 00982122227124و E-mail: taghizadeh.gh@iums.ac.ir How to obtain: Just sending a request by email and mentioning the explanation about the cause of the need for documentation is enough. Comments:
public Ghorban Taghizadeh
Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran
Tehran Iran (Islamic Republic of) 1449614535 +98 21 2222 7124 taghizadeh.gh@iums.ac.ir Iran University of Medical Sciences scientific Ghorban Taghizadeh
Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran
Tehran Iran (Islamic Republic of) 1449614535 +98 21 2222 7124 taghizadeh.gh@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Having the first experience of stroke Passing at least 6 months since stroke Ability to walk at least 10 meters with or without assistive device Ability to stand for at least 5 minutes on the foam surface Having an acceptable level of cognitive function, i.e. score equal to or greater than 23 on the Persian version of Mini Mental State Examination Feeling the need or desire to participate in occupations selected for the intervention 25 years 75 years Both Having unilateral visuospatial neglect (i.e., obtaining score less than 44 at star cancellation test) Co-morbid other neurological diseases, orthopedic disorders (such as low back pain and arthritis), diabetes or addiction according to the report of the patient, or patient's family or physician I64 Stroke, not specified as haemorrhage or infarction Rehabilitation Rehabilitation Rehabilitation Control group: receives conventional rehabilitation (including exercises for upper and lower limb stretching, range of motion and activities of daily living). First Intervention group: Occupation-based interventions with motivational strategies group that receives 12 sessions of intervention including different occupations with emphasize on motor learning approach (6 weeks, 2 sessions per week, 75 minutes per session) in addition to the conventional rehabilitation. In this group, different motivational strategies will be used to enhance an individual's level of motivation during the intervention. Second Intervention group: Occupation-based interventions without motivational strategies group that receives 12 sessions of intervention including different occupations with emphasize on motor learning approach (6 weeks, 2 sessions per week, 75 minutes per session) in addition to the conventional rehabilitation. In this group, motivational strategies will not be used during the intervention. Postural control parameters (including velocity and amplitude of center of pressure sways recorded by force plate). Timepoint: Before and after intervention and 6 weeks after intervention. Method of measurement: Force plate. Functional balance. Timepoint: Before and after intervention and 6 weeks after intervention. Method of measurement: Timed Up and Go test, Berg balance scale. Level of participation in activities of daily living. Timepoint: Before and after intervention and 6 weeks after intervention. Method of measurement: Canadian occupational performance measure, Meaningful Activity Participation Assessment Questionnaire. Iran University of Medical Sciences Approved 2019-02-24 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran Tehran Tehran Iran (Islamic Republic of)