Stroke Research Network, rehabilitation - a community study Circulatory System Cerebrovascular disease, unspecified
Conditions
Interventions
Reach to grasp training
Task-specific training involves the practice of either whole or part movements, which are as much like the actual movement as possible. The exercises are graded according to th
Sponsors
University of the West of England (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: A participant may enter the study if ALL of the following apply: 1. Diagnosis of stroke 2. Patient discharged home (i.e. permanent address, may include care home/sheltered accommodation) 3. Has remaining upper limb movement deficit defined as being unable to pick up a 6mm ball bearing from the table top, between index finger and thumb, and place it on a shelf 37 cm above table 4. Informed written consent Non-English speakers will be included with the aid of family or friends to translate. Aphasic patients will be included because the trial steering committee knows from previous clinical experience that task-specific training can be delivered to aphasic patients via the use of communication other than spoken language (e.g. gestures, strategic use of environmental cues).
Exclusion criteria
Exclusion criteria: A participant may not enter the study if ANY of the following apply: 1. Upper limb movement deficits attributable to non-stroke pathology 2. Unable to lift hand off lap when asked to place hand behind head 3. Severe fixed contractures of elbow or wrist (i.e. grade 4 on the modified Ashworth scale) 4. Shoulder pain 5. More than 12 months post-stroke
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Action Research Arm Test measured 6 weeks after baseline assessment is primary time point.Assessed again at 3 and 6 months after baseline. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Motor Activity log measured 6 weeks after baseline and 3 & 6 months after baseline 2. Stroke Impact Scale measured 6 weeks after baseline and 3 & 6 months after baseline 3. Wolf Motor Function Test measured 6 weeks after baseline assessment and 3 & 6 months after baseline | — |
Countries
United Kingdom
Outcome results
None listed