Stroke is a disease characterized by symptoms such as weakness on one side of the body, speech impairment or inability to understand spoken language, vision problems, and loss of balance, walking, and coordination, resulting from a disruption in cerebral circulation that prevents oxygenation and nourishment of brain tissue. Currently, treatment approaches that adopt motor learning principles after stroke are fundamentally based on motor learning, neural plasticity, biomechanics, and the systems model of motor control. Task-Oriented Training (TOT), one of these treatment approaches, is used in the physiotherapy process for neurological diseases, and there is significant clinical evidence regarding the benefits of TOT. While the effects of TOT in physiotherapy have been primarily studied on balance and walking, there are a limited number of studies examining its effects on upper extremity function. Task-Oriented Circuit Training (TOCT) is a task-oriented training program consisting of 15 exercise stations where task-oriented training is applied in the form of exercise stations. TOCT improved upper extremity skills in Parkinson's patients. However, no study examines its effects on stroke. Therefore, this study aims to examine the effects of TOCT on upper extremity motor functions and dual-task performance in stroke patients.
Having received a stroke diagnosis for the first time
Having received a stroke diagnosis at least 1 month ago
Being between 18-65 years of age
Having the following degree of active joint movement in the wrist and fingers (These conditions are necessary for patients to have the minimum hand dexterity to perform TOCT exercises)
At least 20° extension starting from full flexion in the wrist
At least 10° extension or abduction in the thumb
At least 10° extension in the metacarpophalangeal and interphalangeal joints of the other fingers
Parallel
Exercise-TOCT
Other interventionBoth groups will receive exercise-based training
Exercise- standard
Other interventionStandard occupational therapy exercises
Manual dexterity performance - Baseline
Nine Hole Peg test (9-HPT)
Manual dexterity performance - Post intervention
Nine Hole Peg test (9-HPT)
Finger and hand function - Baseline
Jebsen-Taylor Hand Function Test (JTHFT)
Finger and hand function - Post intervention
Jebsen-Taylor Hand Function Test (JTHFT)
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Gazi University
Lead sponsor
Cumhuriyet University
Sponsor institution
