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Feasibility of a Home-Based Program to improve Handwriting Legibility After Stroke: A Pilot Randomised Trial

Feasibility of a Home-Based Occupational Therapy Handwriting Retraining Program to improve Handwriting Legibility in Adults After Stroke: A Pilot Randomised Trial

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611001135909
Enrollment
20
Registered
2011-10-31
Start date
2011-11-07
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Handwriting performance is often impaired after a stroke. Although task-specific upper limb practice can improve outcomes, the effectiveness of adult handwriting retraining has not been investigated. The aim of this study is to test the feasibility of a 4-week retraining program to improve handwriting performance using a pilot randomised trial design. Concealed allocation, blinded assessors and intention to treat analysis will be used. A community sample of 20 people with stroke will be randomly allocated to receive either 4 weeks of tailored handwriting retraining with twice weekly coaching sessions at home, or usual care. Outcomes will be obtained by a blinded assessor at baseline, and 4 weeks and 3 months post-intervention.

Interventions

A 4 week home-based handwriting retraining program, with 2 occupational therapy coaching sessions and 3 independent practice sessions per week, approximately 60 minutes per session.

Sponsors

The University of Sydney
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

To be eligible, participants need to: Be living in the Sydney metropolitan area Had a stroke at least 6 months prior to baseline assessment Have difficulties with handwriting Be able to follow instructions and complete a home program independently or with support of a family member Be able to speak, write and read in English Cease other therapy related to handwriting or similar tasks during the study and follow-up period

Exclusion criteria

Moderate to severe apraxia

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026