RT Journal Article
T1 Functional rehabilitation of upper limb apraxia in poststroke patients: study protocol for a randomized controlled trial.
A1 Pérez-Mármol, Jose Manuel
A1 García-Ríos, M Carmen
A1 Barrero-Hernandez, Francisco J
A1 Molina-Torres, Guadalupe
A1 Brown, Ted
A1 Aguilar-Ferrándiz, María Encarnación
K1 Apraxia
K1 Stroke
K1 Rehabilitation neurológica
K1 Protocolos clínicos
K1 Terapia combinada
K1 Evaluación de la discapacidad
K1 Método doble ciego
K1 Lateralidad funcional
K1 Actividad motora
K1 Terapia ocupacional
K1 Modalidades de fisioterapia
K1 Recuperación de la función
K1 España
K1 Accidente cerebrovascular
K1 Encuestas y Cuestionarios
K1 Factores de tiempo
K1 Actividades cotidianas
K1 Resultado del tratamiento
K1 Proyectos de investigación
AB BACKGROUNDUpper limb apraxia is a common disorder associated with stroke that can reduce patients' independence levels in activities of daily living and increase levels of disability. Traditional rehabilitation programs designed to promote the recovery of upper limb function have mainly focused on restorative or compensatory approaches. However, no previous studies have been completed that evaluate a combined intervention method approach, where patients concurrently receive cognitive training and learn compensatory strategies for enhancing daily living activities.METHODS/DESIGNThis study will use a two-arm, assessor-blinded, parallel, randomized controlled trial design, involving 40 patients who present a left- or right-sided unilateral vascular lesion poststroke and a clinical diagnosis of upper limb apraxia. Participants will be randomized to either a combined functional rehabilitation or a traditional health education group. The experimental group will receive an 8-week combined functional program at home, including physical and occupational therapy focused on restorative and compensatory techniques for upper limb apraxia, 3 days per week in 30-min intervention periods. The control group will receive a conventional health education program once a month over 8 weeks, based on improving awareness of physical and functional limitations and facilitating the adaptation of patients to the home. Study outcomes will be assessed immediately postintervention and at the 2-month follow-up. The primary outcome measure will be basic activities of daily living skills as assessed with the Barthel Index. Secondary outcome measures will include the following: 1) the Lawton and Brody Instrumental Activities of Daily Living Scale, 2) the Observation and Scoring of ADL-Activities, 3) the De Renzi Test for Ideational Apraxia, 4) the De Renzi Test for Ideomotor Apraxia, 5) Recognition of Gestures, 6) the Test of Upper Limb Apraxia (TULIA), and 7) the Quality of Life Scale For Stroke (ECVI-38).DISCUSSIONThis trial is expected to clarify the effectiveness of a combined functional rehabilitation approach compared to a conservative intervention for improving upper limb movement and function in poststroke patients.TRIAL REGISTRATIONClinical Trial Gov number NCT02199093 . The protocol registration was received 23 July 2014. Participant enrollment began on 1 May 2014. The trial is expected to be completed in March 2016.
PB BioMed Central
YR 2015
FD 2015-11-05
LK http://hdl.handle.net/10668/2605
UL http://hdl.handle.net/10668/2605
LA en
NO Pérez-Mármol JM, García-Ríos MC, Barrero-Hernandez FJ, Molina-Torres G, Brown T, Aguilar-Ferrándiz ME. Functional rehabilitation of upper limb apraxia in poststroke patients: study protocol for a randomized controlled trial. Trials. 2015; 16:508
NO Journal Article; Randomized Controlled Trial;
DS RISalud
RD Apr 10, 2025