Publication: Immediate Effect of Physiotherapist-demonstrated Action Observation with Execution for Improving Upper Extremity Motor Function in Stroke: a Pre-post Pilot Study
| creativeworkseries.issn | 1999-6217 | |
| dc.contributor.author | Shrestha, Shaj | |
| dc.contributor.author | Shrestha, Nistha | |
| dc.contributor.author | Shrestha, Abhishek Dhalachhe | |
| dc.contributor.author | Adhikari, Shambhu Prasad | |
| dc.date.accessioned | 2025-07-31T09:46:50Z | |
| dc.date.available | 2025-07-31T09:46:50Z | |
| dc.date.issued | 2023 | |
| dc.description.abstract | Abstract Background: Video-demonstrated action-observation-execution is an effective intervention for motor re-learning in stroke rehabilitation. But customization of video for each task repeatedly questions its feasibility within limited resources, particularly for daily routine practice and in community settings. Physiotherapist-demonstrated action-observation-execution is a practical intervention based on the principle of observation and consecutive repetitions of observed real, live movements. The main objective of this study was to investigate the immediate effect of Physiotherapist-demonstrated action-observation-execution in upper extremity motor training in stroke. Methods: Individuals with stroke were screened and 5 eligible participants were recruited. The research was a pre-post. A single session of Physiotherapist-demonstrated action-observation-execution was administered. A functional “Drinking” task was subdivided into simpler acts and trained. Pre and post intervention assessment of movement time using five hand-and-arm items of Nepali Wolf Motor Function Test were carried out. Global recovery was assessed in the form of Visual Analogue Scale. Results: Paired t-test provided statistically significant difference in total movement time (mean difference=5.04 seconds, standard deviation=1.92, p=0.004) with larger effect size (0.95) indicating impressive improvement in movement time with the training. Substantial difference in global recovery score was noted (mean difference=17.40, standard deviation=3.65, p<0.0001, effect size=1.00) signifying the increased confidence and improved performance of upper extremity post treatment. Conclusions: The findings indicated that Physiotherapist-demonstrated action-observation-execution could be a feasible intervention to train motor functions in participants with stroke. Large-scale studies are recommended to establish the effectiveness of the intervention. Keywords: Action-observation; action-execution; hand function; mirror neuron; stroke. | |
| dc.identifier | https://doi.org/10.33314/jnhrc.v21i3.4471 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/1072 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Health Research Council | |
| dc.title | Immediate Effect of Physiotherapist-demonstrated Action Observation with Execution for Improving Upper Extremity Motor Function in Stroke: a Pre-post Pilot Study | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 409 | |
| oaire.citation.startPage | 400 | |
| relation.isJournalIssueOfPublication | 5e202d37-79c9-4a3f-8d30-c812f7d72775 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 5e202d37-79c9-4a3f-8d30-c812f7d72775 | |
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