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Trial registered on ANZCTR
Registration number
ACTRN12611000362998
Ethics application status
Approved
Date submitted
5/01/2011
Date registered
7/04/2011
Date last updated
7/04/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Analysis of the effects of motor imagery associated with kinesiotherapy upper limb of hemiparetic patients after stroke
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Scientific title
Analysis of the effects of motor imagery associated with kinesiotherapy upper limb of hemiparetic patients after stroke
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Secondary ID [1]
253387
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the trial does not have a secondary ID
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Universal Trial Number (UTN)
U1111-1118-8400
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
kinesiotherapy upper limb in hemiparetic storke
258887
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Condition category
Condition code
Physical Medicine / Rehabilitation
259028
259028
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
the motor imagery is a rehabilitation technique that was applied one hour a day for two consecutive weeks. Assessments and reassessments were applied by an examiner and treatment were administered by another examiner. Individuals selected after evaluation were followed by a period of two consecutive weeks, Monday through Friday, with one hour each session, undergoing the use of motor imagery associated with exercise alone (based on activity of daily living (ADLs): sliced beef, sandwiches, eat with a spoon, drinking cup, comb his hair, opening a jar and come to pick up a small object). The activities were planned during all sessions. The procedure involved the following steps: STEP 1: The patient was filmed performing each activity of daily living every, STEP 2: Watch a video that was shown 10 times the correct way to perform each activity (pictures visual). STEP 3: with closed eyes held a series of 10 repetitions imagining the correct moves for each activity, without running them in fact, associated with the verbal command (kinesthetic images). STEP 4: held three sets of 10 repetitions of each activity. Walks through the steps all occurred the same day during 10 consecutive days
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Intervention code [1]
257796
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Rehabilitation
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Comparator / control treatment
Compared before and after treatment
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The assessment of motor function through the Test of Motor ability Superior State (THMMS)- 30 score, Fugl Meyer Scale (FMS)- score 100 and Motor Activity Inventory (MAL)-score 30 and spasticity was assessed by the Modified Ashworth Scale (MAS)- score 5.
Results: After 10 sessions it was observed significant improvement in THMMS (p = 0.005) of the FMS (p = 0.005), MAL (p = 0.005) and elbow flexor muscle groups AMI (p = 0.014) and wrist flexors (p = 0.023)
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Assessment method [1]
259879
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Timepoint [1]
259879
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Results: After 10 sessions it was observed significant improvement in THMMS (p = 0.005) of the FMS (p = 0.005), MAL (p = 0.005) and elbow flexor muscle groups AMI (p = 0.014) and wrist flexors (p = 0.023) and also saw significant improvement in time taken for completion of activities: cutting meat (p = 0.008) and sandwiches (p = 0.005), eating with a spoon (p = 0.005), drinking mug ( p = 0.011), combing hair (p = 0.018); open jar (p = 0.027) and extend the arm to pick up small object (p = 0.028)
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Secondary outcome [1]
268972
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none
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Assessment method [1]
268972
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Timepoint [1]
268972
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none
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Eligibility
Key inclusion criteria
The study included patients with ages ranging between 46 and 76 years, no distinction of race or gender and the individuals in question had good cognitive status which was assessed by the Mini-Mental State Examination (MMSE) and participants must present hemiparesis.
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Minimum age
46
Years
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Maximum age
76
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The study excluded individuals with sequela of other diseases, who had a low cognitive level, under 18 and blind or deaf
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3119
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Brazil
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State/province [1]
3119
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Pouso Alegre
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University Vale to Sapucai
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Address [1]
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Av.: Coronel Alfredo Custodio Paula, 320
city: Pouso Alegre
state: MG
CEP: 37550-000
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Country [1]
258423
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Brazil
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Primary sponsor type
Individual
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Name
Adriana Teresa Silva
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Address
Rua: Benjamin Constant 93
City: Alfenas
State: MG
CEP: 37130000
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Country
Brazil
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Secondary sponsor category [1]
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None
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Name [1]
257435
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Address [1]
257435
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Country [1]
257435
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
260402
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1126/2009
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Ethics committee address [1]
260402
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Av.: Pref Tuany Toledo, 470, Fatima city: Pouso Alegre state: MG CEP: 37550000
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Ethics committee country [1]
260402
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Brazil
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Date submitted for ethics approval [1]
260402
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09/11/2009
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Approval date [1]
260402
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12/12/2009
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Ethics approval number [1]
260402
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1126/2009
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Summary
Brief summary
Background: The motor imagery (MI) is a complex cognitive operation that is self-generated using sensory and perceptual processes, enabling the reactivation of specific motor actions in working memory. Objective: The objective of this study was to analyze the effect of IM associated with kinesiotherapy recovery of motor skills of the upper limb of hemiparetic patients with stroke. Methods: Ten individuals with hemiparesis with brachial predominance stroke patients underwent the treatment of motor imagery and kinesiotherapy for ten consecutive sessions lasting one hour. The assessment of motor function through the Test of Motor ability Superior State (THMMS), Fugl Meyer Scale (FMS) and Motor Activity Inventory (MAL) and spasticity was assessed by the Modified Ashworth Scale (MAS). For the statistical analysis we applied the Wilcoxon test to evaluate pre and post treatment. Results: After 10 sessions it was observed significant improvement in THMMS (p = 0.005) of the FMS (p = 0.005), MAL (p = 0.005) and elbow flexor muscle groups AMI (p = 0.014) and wrist flexors (p = 0.023) and also saw significant improvement in time taken for completion of activities: cutting meat (p = 0.008) and sandwiches (p = 0.005), eating with a spoon (p = 0.005), drinking mug ( p = 0.011), combing hair (p = 0.018); open jar (p = 0.027) and extend the arm to pick up small object (p = 0.028). Conclusion: The use of IM associated with kinesiotherapy promotes relearning, leading to improvement in upper limb function.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
32053
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Address
32053
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Country
32053
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Phone
32053
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Fax
32053
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Email
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Contact person for public queries
Name
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Adriana Teresa Silva
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Address
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Rua: Benjamin Constant 93, centro, CEP: 37130-000 Alfenas-MG
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Country
15300
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Brazil
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Phone
15300
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553532911486
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Adriana Teresa Silva
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Address
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Rua: Benjamin Constant 93, bairro centro, CEP: 37130-000 Alfenas-MG
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Country
6228
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Brazil
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Phone
6228
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553532911486
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Fax
6228
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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