Multicontextual Treatment Approach in Stroke

Summary

BACKGROUND: It is known that cognitive disorders affect the rehabilitation of stroke patients but which cognitive rehabilitation intervention should apply to stroke patients and what their effects are on their life is not clear yet.

OBJECTIVE: to investigate the effects of cognitive rehabilitation including combined approaches on quality of the life and social participation of stroke patients.

METHODS: 20 patients with chronic stroke were randomly divided into two groups (Group 1 and 2), each including 10. Patients in each group were treated with neurophysiological exercises 3 times a week for 8 weeks and the subjects in Group 1 received cognitive rehabilitation additionally. The cognitive rehabilitation program consisted of individualized combined approaches including multicontextual treatment and bottom-up approaches. Loeweinstein Occupational Therapy Cognitive Assessment (LOTCA), Montreal Cognitive Assessment (MoCA) to assess cognitive status, Short Form-36 (SF-36) to assess the quality of life, Functional Independence Measure (FIM) to evaluate functional independence, Canadian Occupational Performance Measure and Craig Handicap Assessment and Reporting Technique- Short Form (CHART-SF) to evaluate social participation were used.

Conditions

• Stroke
• Cognitive Impairment
• Quality of Life

Interventions

OTHER

neurophysiological exercise

The content of the treatment program consisted of neurophysiological exercises based on Bobath.

OTHER

cognitive rehabilitation

Cognitive rehabilitation sessions of the experimental group included 30 minutes of remedial and functional adaptive approaches and 30 minutes of implementation of Multicontextual treatment intervention.

Sponsors & Collaborators

• Florence Nightingale Hospital, Istanbul

  collaborator OTHER

• Memorial Sisli Hospital, Istanbul

  collaborator OTHER

• ozden erkan

  lead OTHER

Principal Investigators

• Özden E OGUL, PhD · Medipol University

• Gonca BUMIN, PhD · Hacettepe University

• Yakup KRESPİ, MD · Istınye University /Istanbul

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

80 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2011-07-04

Primary Completion

2011-08-29

Completion

2014-06-13

Countries

• Turkey (Türkiye)

Study Locations