Upper limb strength training in subacute stroke patients. A randomized controlled trial.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

DRKS

Registry ID

DRKS00012484

Enrollment

Registered

2017-05-26

Start date

2017-05-29

Completion date

Unknown

Last updated

2025-04-07

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

Conditions

stroke I60 I61 I62 I63 I64

Interventions

Group 1: Additionally to standard therapy, group 1 receives an intensive upper limb strength training with an intensity of 80 % of the maximum force (determined with the 1RM = one repetition maximum).

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: Subacute stroke patients with a Barthel Index > 29 Sitting Balance Score greater than or equal to 2 ability to put the paretic arm from the lap on a table Medical Research Council score of 2 - 4 in shoulder abduction, elbow flexion or finger flexion Passive range of motion: shoulder abduction, flexion and elbow flexion at least 90 °, touch of the fingers with the thumb, submaximal finger extension Apraxia Screen of TULIA score of at least 5

Exclusion criteria

Exclusion criteria: 4 points on the Modified Ashworth Scale pain of the affected arm with greater than 5 points on a pain scale armparesis caused of other neuromuscular or neurological disorders and / or syndromes manifest hereditary diseases (Such as cardiac insufficiency (> NYHA 1), angina pectoris, myocardial infarction within 120 days before the beginning of the study, cardiomyopathy, hypertension (WHO grade 2 systole 160-179 mmHg and diastole 100-109 mmHg) or difficultly controllable cardiac arrhythmia) inflammation or infections that are associated with fever, bad condition, or insulation

Design outcomes

Primary

Measure	Time frame
The primary endpoint is grip strength. It is measured by a hand-held dynamometer (unit: kilogram). The measurement takes place immediately before and after the three weeks of training.	—

Secondary

Measure	Time frame
The Upper Extremity Fugl-Meyer assessment (0 to 66 points) measures sensorimotor impairments. The Box & Block Test assesses the dexterity of arm activities. The number of cubes successfully transported in one minute (0 – 150 pieces) will be documented. Motricity Index (0 – 100 points) measures upper extremity strength of representative arm movements after stroke With the Goal Attainment Scale, individual goals of the patient can be evaluated in a standardized way. The attainment of participatory goals is assessed with a five-stage scale (-2 to +2 points). The Modified Ashworth Scale (0 - 5 points) measures changes in muscle tone and reflex activity. The measurement takes place immediately before and after the three weeks of training.	—

Measure

Time frame

The Upper Extremity Fugl-Meyer assessment (0 to 66 points) measures sensorimotor impairments. The Box & Block Test assesses the dexterity of arm activities. The number of cubes successfully transported in one minute (0 – 150 pieces) will be documented. Motricity Index (0 – 100 points) measures upper extremity strength of representative arm movements after stroke With the Goal Attainment Scale, individual goals of the patient can be evaluated in a standardized way. The attainment of participatory goals is assessed with a five-stage scale (-2 to +2 points). The Modified Ashworth Scale (0 - 5 points) measures changes in muscle tone and reflex activity. The measurement takes place immediately before and after the three weeks of training.

—

Countries

Germany

Contacts

Public ContactSusan Högg

Asklepios Kliniken Schildautal Seesen

s.hoegg@asklepios.com05381 74 2301

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Mar 3, 2026