Stroke Circulatory System Stroke, not specified as haemorrhage or infarction
Conditions
Interventions
1. Optokinetic chart stimulation in three planes (horizontal, vertical and forward) for three minutes in each plane, sensory interaction for balance added once patients can stand with assistance and c
Sponsors
East Kent Hospitals University NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 15/09/2014: 1. Patients with stroke that completely paralyses the affected side with loss of voluntary movement on assessment as signified by 0/5 on the Oxford Scale, 0/20 on the Stroke Rehabilitation Assessment of Movement (STREAM) Scale for each of the affected upper and lower limb or a score of 4/4 on the NIHSS Scale for each affected upper and lower limb 2. Between 55 and 85 years of age 3. Full use of affected limbs before current admission 4. Independently mobile before the stroke 5. Conscious 6. Living within the catchment area of William Harvey Hospital for follow-up purposes 7. Able to consent Previous inclusion criteria: 1. Patients with stroke that completely paralyses the affected side with loss of voluntary movement on assessment as signified by 0/5 on the Oxford Scale, 0/20 on the Stroke Rehabilitation Assessment of Movement (STREAM) Scale for each of the affected upper and lower limb or a score of 4/4 on the NIHSS Scale for each affected upper and lower limb 2. Between 75 and 85 years of age 3. Full use of affected limbs before current admission 4. Independently mobile before the stroke 5. Conscious 6. Living within the catchment area of William Harvey Hospital for follow-up purposes 7. Able to consent
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 15/09/2014: 1. Patients with stroke that leads to simultaneous involvement of temporal and parietal lobes. 2. Under 55 years of age and over 85 years of age 3. Pure posterior circulation stroke without middle cerebral artery territory involvement 4. Extensive small vessels disease co-morbidity as reported by an expert neuro-radiologist 5. Partial loss of movement as denoted by scores of 1/5 or above on the Oxford Scale 6. Unconscious 7. Lack of voluntary movements before current stroke 8. Living out of William Harvey Hospital catchment area 9. Dementia and other forms of cognitive impairment 10. Blindness Previous exclusion criteria: 1. Patients with stroke that leads to simultaneous involvement of temporal and parietal lobes. 2. Under 75 years of age and over 85 years of age 3. Pure posterior circulation stroke without middle cerebral artery territory involvement 4. Extensive small vessels disease co-morbidity as reported by an expert neuro-radiologist 5. Partial loss of movement as denoted by scores of 1/5 or above on the Oxford Scale 6. Unconscious 7. Lack of voluntary movements before current stroke 8. Living out of William Harvey Hospital catchment area 9. Dementia and other forms of cognitive impairment 10. Blindness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 15/09/2014: STREAM: The outcomes will be taken at 8 weeks, 14 weeks and the 3 months after the 14th week. This is because up to 8 weeks intervention may be in hospital, then 6 weeks intervention in the community, after which the participants are discharged. Follow-up outcomes are then taken 3 months after the final discharge to see if effects are long lasting. Previous primary outcome measures: STREAM: The outcomes will be taken at 8 weeks, 14 weeks and the 3 months after the 14th week. This is because 8 weeks intervention will be in hospital, then 6 weeks intervention in the community, after which the participants are discharged. Follow-up outcomes are then taken 3 months after the final discharge to see if effects are long lasting. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Barthel Index 2. Stroke-Specific Quality of Life 3. Modified Ashworth Scale 4. Cost of formal care | — |
Countries
United Kingdom
Outcome results
None listed