Stroke with no measurable arm function Circulatory System Stroke
Conditions
Interventions
Control:
Routine hand therapy (for six weeks from recruitment).
Treatment:
Routine therapy (as above) and treatment with surface electrical stimulation to the wrist extensors (three 30-minute sessi
Sponsors
University Hospital Of North Staffordshire NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All adult patients (over the age of 18 years, either sex) with a first stroke who have no recovery of arm function (defined as a score of 0 in the "Grasp" sub-section of the Action Research Arm Test [ARAT]) at 4 weeks and no contraindication to sNMES.
Exclusion criteria
Exclusion criteria: Added 09/01/2009: 1. Medically unstable 2. A previous medical history of osteoarthritis, rheumatoid arthritis or soft tissue injuries that have resulted in contractures or reduced range of movement in the wrist and fingers 3. Informed consent or relatives' assent cannot be obtained or is refused
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the Action Research Arm Test score at recruitment (2 - 4 weeks post-stroke) and at the end of study (one year post-stroke) | — |
Secondary
| Measure | Time frame |
|---|---|
| Added 09/01/2009: 1. Pain 2. Isometric wrist strength 3. Contractures (measured as increased resistance to passive movement) 4. Spasticity (assessed by EMG) 5. "Patient" and "Carer" Burden scores 6. Neglect, monitored using the star cancellation test Measured at baseline (recruitment), 6 weeks, 12 weeks, 24 weeks and 36 weeks. | — |
Countries
United Kingdom
Outcome results
None listed