Actively Recruiting
Effect of Action Observation Therapy Via Telerehabilitation on Upper Limb Function, Daily Activities, and Quality of Life in Chronic Stroke Patients
Led by Karabuk University · Updated on 2026-06-05
30
Participants Needed
2
Research Sites
13 weeks
Total Duration
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AI-Summary
What this Trial Is About
Stroke is a major cause of disability worldwide, often impairing upper limb function and making daily activities challenging, which reduces quality of life. Researchers are studying Action Observation Therapy (AOT), which activates the mirror neuron system to help relearn movements by watching and imitating actions. This trial uniquely evaluates combining AOT delivered through telerehabilitation with conventional physiotherapy to improve hand skills and quality of life in people with chronic stroke. Participants receive either AOT via telerehabilitation plus conventional physiotherapy or conventional physiotherapy alone. Both groups undergo three sessions per week for five weeks. Conventional physiotherapy involves stretching, strengthening, mobility, balance, electrotherapy, and endurance exercises provided in the clinic by physiotherapists for 45 minutes each session. The study compares these approaches to see if adding telerehabilitation-based AOT offers additional benefits. During the study, participants will be assessed at the start and after five weeks for factors including spasticity, motor function, upper extremity function, independence in daily activities, cognitive function, neglect, and quality of life. Researchers will monitor progress through clinical tests and questionnaires. The total participation lasts about five weeks, with detailed monitoring of functional improvements and life quality changes to understand the impact of the therapies.
CONDITIONS
Brief Title
Action Observation Therapy in Chronic Stroke Via Telerehabilitation
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Be over 18 years old
- Diagnosed with left hemiparetic stroke
- At least 6 months have passed since stroke onset
- Be in stage 4 or 5 of hand and stage 4, 5, or 6 of upper extremity per Brunnstrom staging
- Able to sit on a chair without support for 30 minutes (score 20+ on Trunk Impairment Scale)
- Score 24 or higher on Mini Mental Test
You will not qualify if you...
- Unwillingness to participate in the study
- Spasticity levels 3 or 4 on Modified Ashworth Scale preventing grasp/release
- Contracture in any affected upper extremity joints
- Severe neglect disorder (score 21+ on Catherine Bergego Scale)
- Impaired cooperation, compliance, or behavior during tests
- Mental impairment preventing communication or following commands (score below 24 on Mini Mental Test)
- Additional neurological or orthopedic problems affecting motor performance or sitting balance
- Severe uncorrected visual or hearing problems
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 5 weeks
Participants receive either Action Observation Therapy via telerehabilitation in addition to conventional physiotherapy, or conventional physiotherapy alone, with sessions three times a week for 5 weeks.
3 sessions per week
Trial Site Locations
Total: 2 locations
1
Karabuk University
Karabük, Merkez, Turkey (Türkiye), 78100
Actively Recruiting
2
Mustafa KAVAK
Karabük, Merkez, Turkey (Türkiye), 78100
Actively Recruiting
Research Team
M
Mustafa KAVAK, Phd
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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