Effects of Point-Light Technique Action Observation Training in Patients with Stroke: A Randomised Controlled Study

This study examined the effects of point-light action observation therapy (PL-AOT) on muscle activation, upper extremity function, and activities of daily living (ADL) in stroke patients. Thirty-two participants were randomly assigned to either a PL-AOT group or a traditional AOT group. Both groups received 30-minute sessions, five times a week for four weeks. Assessments included the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Action Research Arm Test (ARAT), Box and Block Test (BBT), Korean Modified Barthel Index (K-MBI), Motor Activity Log (MAL), and surface electromyography (sEMG). Both groups showed significant improvements in all outcomes after the intervention (p < .05). However, the PL-AOT group demonstrated significantly greater gains in upper extremity function, ADLs, and muscle activation compared to the traditional AOT group (p < .05). Additionally, co-contraction ratios indicated positive changes in shoulder and elbow joint coordination only in the PL-AOT group. These findings suggest that PL-AOT may be more effective than traditional AOT in promoting motor recovery and functional improvements in individuals with stroke.