None listed
Conditions
Brief summary
Stroke remains a leading cause of disability. Rural Australia has higher prevalence of stroke and reduced access to services. The purpose of this study is to evaluate an intensive stroke recovery program, delivered as a hub-spoke model, targeting areas of need in rural South Australia. The intensive burst of training will target arm recovery after stroke.
Interventions
Participants will complete upper-limb sensorimotor rehabilitation addressing identified impairments to improve upper-limb function. Individualised programs will be based on initial assessments (to identify impairments and functional limitations) and rehabilitation goals. All participants will complete a 5-week program delivering 3h per day, 5 days per week (total 75h). Delivery is based on a hub-spoke model. The central hub (Adelaide) will be responsible or training and upskilling clinicians in
Participants will complete upper-limb sensorimotor rehabilitation addressing identified impairments to improve upper-limb function. Individualised programs will be based on initial assessments (to identify impairments and functional limitations) and rehabilitation goals. All participants will complete a 5-week program delivering 3h per day, 5 days per week (total 75h). Delivery is based on a hub-spoke model. The central hub (Adelaide) will be responsible or training and upskilling clinicians in delivery of the intervention. Programs will be delivered at the central hub and several satellite sites (Whyalla, Mt Gambier, Elizabeth). At each delivery site, therapy will comprise: 1) An upper-limb group exercise class (ratio 4:1), 2) Rehabilitation technologies (for example, robotics, virtual reality, EEG EMG biofeedback, non-immersive gaming, functional electrical stimulation and interactive multisensory gaming technologies, 3) task-specific training (1:1), 4) A home exercise program based on the Graded Repetitive Arm Supplementary Program (GRASP) or pre-recorded videos such as Different Strokes UK YouTube (informed by impairment level and patient preference). Adherence to the program will be recorded with treatment diaries. Each 5 week program will have a maximum of 4 patients.
Sponsors
University of South Australia
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Prior history of stroke Community dwelling Aged 18 years or older Documented level of upper limb impairment (determined as <61/66 on the Fugl-Meyer)
Exclusion criteria
Medically unstable Inability to provide informed consent Additional neurological or physical impairments affecting upper limb function
Outcome results
None listed