Trial Outcomes & Findings for Effect of Structured Progressive Task-Oriented Circuit Class Training With Motor Imagery on Gait in Stroke (NCT NCT03436810)

NCT ID: NCT03436810

Last Updated: 2021-03-25

Results Overview

Measured by using two dimensional motion analysis

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

4 weeks after training

Results posted on

2021-03-25

Participant Flow

The potential participants were screened according to the selection criteria of the study. The eligible participants were explained about the details of the study and the interventions. After that, the processes of taking informed consent were done. There was no participant who was excluded after enrollment.

Participant milestones

Participant milestones
Measure
Experimental Group
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Structured Progressive Task-Oriented Circuit Class Training With Motor Imagery on Gait in Stroke

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
49.90 year
STANDARD_DEVIATION 11.59 • n=99 Participants
55.55 year
STANDARD_DEVIATION 10.74 • n=107 Participants
52.48 year
STANDARD_DEVIATION 11.46 • n=206 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
9 Participants
n=107 Participants
14 Participants
n=206 Participants
Sex: Female, Male
Male
15 Participants
n=99 Participants
11 Participants
n=107 Participants
26 Participants
n=206 Participants
Race/Ethnicity, Customized
Asian
20 participants
n=99 Participants
20 participants
n=107 Participants
40 participants
n=206 Participants
Region of Enrollment
Myanmar
20 participants
n=99 Participants
20 participants
n=107 Participants
40 participants
n=206 Participants
Stroke characteristics
Ischemic stroke
12 Participants
n=99 Participants
14 Participants
n=107 Participants
26 Participants
n=206 Participants
Stroke characteristics
Hemorrhage stroke
8 Participants
n=99 Participants
6 Participants
n=107 Participants
14 Participants
n=206 Participants
Stroke characteristics
Right-sided stroke
10 Participants
n=99 Participants
12 Participants
n=107 Participants
22 Participants
n=206 Participants
Stroke characteristics
Left-sided stroke
10 Participants
n=99 Participants
8 Participants
n=107 Participants
18 Participants
n=206 Participants
Stroke characteristics
Mild
12 Participants
n=99 Participants
14 Participants
n=107 Participants
26 Participants
n=206 Participants
Stroke characteristics
Moderate
8 Participants
n=99 Participants
6 Participants
n=107 Participants
14 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 4 weeks after training

Population: 40

Measured by using two dimensional motion analysis

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Gait Speed at 4 Weeks
0.78 meter per second
Standard Deviation 0.21
0.58 meter per second
Standard Deviation 0.27

PRIMARY outcome

Timeframe: 4 weeks after training

Population: 40

Measured by using two dimensional motion analysis

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Step Length at 4 Weeks
affected limb
49.76 centimeter
Standard Deviation 6.99
42.07 centimeter
Standard Deviation 11.46
Change of Step Length at 4 Weeks
unaffected limb
47.78 centimeter
Standard Deviation 8.37
41.45 centimeter
Standard Deviation 12.17

SECONDARY outcome

Timeframe: 4 weeks after training

Population: 40

measured by using two dimensional motion analysis

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Step Time at 4 Weeks
affected limb
0.72 second
Interval 0.59 to 0.8
0.83 second
Interval 0.62 to 0.95
Change of Step Time at 4 Weeks
unaffected limb
0.53 second
Interval 0.48 to 0.63
0.70 second
Interval 0.56 to 0.84

SECONDARY outcome

Timeframe: 4 weeks after training

Population: 40

measured by using two dimensional motion analysis

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Cadence at 4 Weeks
94.13 steps per minute
Standard Deviation 17.09
78.88 steps per minute
Standard Deviation 26.35

SECONDARY outcome

Timeframe: 4 weeks after training

Population: 40

The changed score measured by using the 6-minute walk test. The higher changed scores mean a better outcome.

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of 6-minute Walk Score at 4 Weeks
246.50 meter
Interval 172.5 to 335.0
152.50 meter
Interval 120.75 to 330.0

SECONDARY outcome

Timeframe: 4 weeks after training

Population: 40

The changed score is measured by using the step test, The higher score means better outcome.

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Number of Step at 4 Weeks
12.60 number of steps
Standard Deviation 2.54
10.65 number of steps
Standard Deviation 2.78

SECONDARY outcome

Timeframe: 4 weeks after training

Population: 40

The changed score is measured by using the Timed Up and Go test. The higher of changed score mean a worse outcome.

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Timed Up and Go Score at 4 Weeks
11.25 second
Interval 6.63 to 15.0
14.01 second
Interval 10.0 to 30.25

SECONDARY outcome

Timeframe: 4 weeks after training

Population: 40

The change score of muscle strength is measured by the hand-held dynamometer

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Muscle Strength at 4 Weeks
hip flexor
3.30 kilogram
Interval 3.0 to 3.78
2.90 kilogram
Interval 2.6 to 3.08
Change of Muscle Strength at 4 Weeks
hip extensor
3.30 kilogram
Interval 2.9 to 3.67
3.00 kilogram
Interval 2.8 to 3.28
Change of Muscle Strength at 4 Weeks
knee flexor
3.35 kilogram
Interval 2.4 to 3.68
2.70 kilogram
Interval 2.43 to 3.3
Change of Muscle Strength at 4 Weeks
knee extensor
3.75 kilogram
Interval 3.4 to 4.0
3.00 kilogram
Interval 2.8 to 3.3
Change of Muscle Strength at 4 Weeks
ankle dorsiflexor
2.55 kilogram
Interval 1.88 to 2.8
2.60 kilogram
Interval 2.2 to 3.2
Change of Muscle Strength at 4 Weeks
ankle planterflexor
2.80 kilogram
Interval 2.1 to 3.48
2.50 kilogram
Interval 2.08 to 2.9

SECONDARY outcome

Timeframe: 4 weeks after training

Population: 40

The change score is measured by using the modified Ashworth Scale for each muscle group, the minimum and maximum scores of muscle tone are 0 and 4, respectively. A higher score of tone means a worse outcome.

Outcome measures

Outcome measures
Measure
Experimental Group
n=20 Participants
The experimental group will receive training programs of Motor imagery (MI) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration of program session will be 90 minutes. Training for 3 times a week over duration of 4 weeks. Motor imagery: Motor imagery (MI) will be trained for the individuals by imagination of the movement. Program of MI includes 1) body relaxation and awareness 2) visual imagery 3) kinesthetic imagery and 4) refocusing of body and environment. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Control Group
n=20 Participants
The control group receives programs of Health education (HE) for 25 minutes and Task-Oriented Circuit Class Training (TOCCT) for 65 minutes. Overall duration will be 90 minutes. They will be trained for 3 times a week over duration of 4 weeks. Health education: Topic of Health education (HE) consists of 1) Changes caused by stroke 2) Complications after stroke 3) Emotional changes after stroke 4) Living at home after stroke 5) High blood pressure and stroke and 6) Preventing recurrent stroke. Task-Oriented Circuit Class Training: Program of Task-Oriented Circuit Class Training (TOCCT) consists of warm up and perform tasks 1) Stepping forward-backward onto block 2) Stepping sideway onto block 3) Heel lifts in standing to strengthen affected planter-flexor muscles 4) Standing with a decreased base and reach for object 5) Standing up from chair, walking a short distance, and returning to chair 6) Symmetrical walking and 7) Walking at fast speed.
Change of Muscle Tone at 4 Weeks
knee flexor
1.00 score
Interval 1.0 to 1.0
1.00 score
Interval 1.0 to 1.0
Change of Muscle Tone at 4 Weeks
ankle planterflexor
1.00 score
Interval 1.0 to 2.0
1.00 score
Interval 1.0 to 1.75

Adverse Events

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Experimental Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Sunee Bovonsunthonchai

Mahidol University

Phone: 024415450

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place