stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria for cerebral infarction or cerebral hemorrhage; 2. Hemiplegia left after cerebrovascular accident for the first time; 3. Patients with wrist flexion spasm >=1+ grade (MAS), metacarpophalangeal joint, proximal interphalangeal joint, distal interphalangeal joint flexion spasm >=1 grade (MAS); 4. Aged 30-85 years; 5. Onset of disease is 2-12 months; 6. Ability to understand command actions; 7. The patient's vital signs are stable; 8. Enrolled patients did not change the dose of antispasmodic drugs taken during the treatment and follow-up period; 9. Voluntary signatories of informed consent.
Exclusion criteria
Exclusion criteria: 1. Previous motor dysfunction, such as rheumatoid arthritis, joint deformity, spinal cord injury and other diseases that have a direct impact on motor function; 2. Previous block therapy with botulinum toxin, alcohol and phenol; 3. Previously performed orthopaedic surgery for wrist joints; 4. Patients who have local pressure sores or are allergic to materials and are not easy to wear auxiliary devices; 5. Wrist and hand joint flexion spasm >= grade 4; 6. Hemiplegic side sensory function disappeared.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improved Ashworth evaluation;Subjective feeling score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Positive range of motion;The simplify Fugl-Meyer score;Pain visual analog score;Swelling score;MRI and f-MRI; | — |
Countries
China
Contacts
Shanghai Xuhui Central Hospital