Chronic and subacute stroke patients with either a moderately or severely affected arm-hand Nervous System Diseases
Conditions
Interventions
All participants receive ReHab-TOAT. ReHab-TOAT is a task-oriented arm training approach for stroke patients with a moderately to severely affected arm-hand (UAT score 1, 2, or 3) . One of ReHab-TOAT’
Sponsors
Adelante Zorggroep
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. A unilateral stroke (ischemic or haemorrhagic) confirmed by brain imaging; 2. Post-stroke time between 6 weeks and 3 months for subacute stroke patients/Post-stroke time larger than 12 months for chronic stroke patients; 3. Hemiplegic pattern of arm motor impairment with UAT score 1-3; 4. Age 18 years or more; 5. Sufficient cognitive level, i.e. being able to understand the questionnaires and measurement instructions.
Exclusion criteria
Exclusion criteria: 1. Severe non-stroke-related co-morbidity that may interfere with arm-hand function. 2. Additional complaints that may interfere with the execution of the measurements. 3. Spasticity in the affected upper limb, i.e. a Modified Ashworth Scale (MAS) score =1. 4. Severe cognitive problems that prevent the patient from understanding the tasks. 5. No informed consent.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Arm-hand skill performance measured using ARAT pre- and post intervention 2. Percieved arm-hand skill performance measured using ABILHNAD pre- and post intervention | — |
Primary
| Measure | Time frame |
|---|---|
| 1. User satisfaction and experiences from both patients and therapists on different aspects of feasibility like acceptability, demand, practicality and implementation are measured using interviews after receiving the intervention 2. Motor performance of the affected arm-hand is measured pre- and post-intervention by the upper extremity section of the Fugl-Meyer assessment Assessment (FMA) | — |
Countries
Netherlands
Outcome results
None listed