Action Observation Therapy for Chronic Stroke via Telerehabilitation

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial investigates whether combining Action Observation Therapy with telerehabilitation, in addition to conventional physiotherapy, improves upper-extremity function and daily living abilities in adults with left-sided chronic stroke. Participants observe and imitate actions delivered remotely, aiming to engage the mirror neuron system to support motor recovery. The study targets individuals at least 6 months post-stroke, with specific Brunnstrom stages for the hand and upper extremity, and adequate cognitive and trunk function. Conventional physiotherapy remains the baseline treatment, while the telerehabilitation modality provides accessible, low-cost delivery. Safety and eligibility are assessed through standard clinical criteria and standardized motor and cognitive scales.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Being over 18 years of age,
* Diagnosis of left hemiparetic stroke,
* Having passed between 6 months since the onset of stroke,
* Being in stage 4 or 5 of the hand and stage 4, 5 or 6 of the upper extremity according to Brunnstrom staging,
* Being able to sit on a chair for 30 minutes without support (patients who scored 20 or more points in total from the Trunk Impairment Scale),
* Scoring 24 or more points from the Mini Mental Test

Exclusion Criteria:

* Unwillingness to participate in the study,
* Having spasticity that prevents grasping and releasing an object (levels 3 and 4 on the Modified Ashworth Scale),
* Having a contracture in any of the affected upper extremity joints,
* Having severe neglect disorder (scoring 21 or higher on the Catherine Bergego Scale),
* Having impaired cooperation, compliance, and behavior during the administration of tests used to obtain data,
* Having a mental impairment that prevents communication and following basic commands (scoring less than 24 on the Mini-Mental Test),
* Having additional neurological and/or orthopedic problems that may affect motor performance and sitting balance,
* Having severe visual and hearing problems (if any, these problems not corrected with assistive devices such as glasses, contact lenses, hearing aids, etc.)

Where it's running

• Karabuk University
  Karabük, Merkez, Turkey (Türkiye) Recruiting
• Mustafa KAVAK
  Karabük, Merkez, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Mustafa KAVAK, Phd
• Email: mustafakavak@karabuk.edu.tr
• Phone: +905065089564

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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• Psilocybin to reopen brain plasticity after chronic stroke

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.