About this trial
Stroke, a leading cause of disability worldwide, particularly affects upper extremity function, rendering individuals dependent on others for daily living activities and reducing their quality of life. To mitigate these effects, Action Observation Therapy (AOT), which has gained prominence in recent years, activates the mirror neuron system, triggering learning processes in the motor cortex and supporting functional recovery through the imitation of observed movements. Furthermore, telerehabilitation offers a significant advantage in facilitating access to rehabilitation services for these patients requiring long-term treatment, eliminating barriers such as transportation and cost. The absence of studies in the literature comparing the effectiveness of combining these two methods on hand skills and quality of life in individuals with chronic stroke with conventional physiotherapy makes investigating the clinical value of this approach academically unique and necessary.
Eligibility criteria
Qualifiers
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,
Disqualifiers
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),
Trial design
Treatments tested in this trial
- Conventional physiotherapy