Stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Diagnosis of stroke according to the 10th edition of the International Classification of Diseases (ICD); 2) First-time, unilateral onset or previous seizures without residual neurological deficits; 3) Stable vital signs and clear consciousness; 4) Age: 30-80 years old; 5) Site of lesion: right hemispheric subcortical injury; duration of disease: within 2 weeks-3 months; 6) Persistent hemiparesis resulting in hand dysfunction, Brunnstrom's hand II-IV, and the rest of motor function to any of the following: a. Partial functional movement of the upper limb with an ARAT "Gross Movement" score of =3; b. Presence of partial active movement of the upper extremities.Manual muscle test (MMT) score =2 on shoulder flexion and elbow flexion or extension. c. Removal of gravity with at least 50% active range of shoulder flexion or abduction and any of the following active activities: elbow flexion, elbow extension, wrist flexion, wrist extension; 7) Near normal passive mobility of all joints of the upper extremity on the hemiplegic side; 8) MMSE(Mini-Mental State Examination) score>20; The participant can understand and cooperate with the assessment and training; 9) The enrollee himself/herself or his/her family signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1) Combined peripheral nerve injury, Parkinson's, multiple sclerosis, and other neurologic disorders; 2) Decreased or failed function of vital organs such as heart, lungs, liver and kidneys; 3) Patients with cognitive impairment, aphasia, etc. who are unable to understand the therapist's instructions; 4) Posterior circulation infarction; 5) Severe spasticity of the upper extremities (Modified Ashworth Scale = 3) or contractures of the wrist-hand joints; 6) Having severe cervical spine pathology including severe cervical stenosis and cervical instability; 7) Complete occlusion of the internal carotid artery on the side of cerebral infarction; 8) Skin injury, infection, pain sensitization; 9) Women during pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Action Research Arm Test; | — |
Secondary
| Measure | Time frame |
|---|---|
| ICF core set hand function part;Fugl-Meyer Assessment Upper Extremity Scale, FMA-UE;Motricity Index, MI;Modified Barthel Index, MBI;Functional near - infrared spectroscopy, fNIRS; | — |
Countries
China
Contacts
Wuxi Mental Health Center/Wuxi Central Rehabilitation Hospital