Stroke/Neurorehabilitation Circulatory System Stroke, not specified as haemorrhage or infarction
Conditions
Interventions
Intervention group:
Participants train on at least two skills they select from a list of 10 skills established in prior research. Participants will receive video-based instruction of predefined task-
Sponsors
Rehabilitation Foundation Limburg (Stichting Revalidatie Limburg [SRL]) (The Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. First ever stroke 2. 18 - 85 years old, male and female 3. Clinically diagnosed as having a central paresis of the arm/hand (strength: Medical Research Council grade 2-3-4 at entry into the study) 4. Post-stroke time greater than or equal to 12 months 5. Fair-good cognitive level (Mini Mental State Examination [MMSE] score greater than or equal to 26 or CogLog score greater than or equal to 26) 6. Ability to read and understand Dutch language 7. Impaired as to at least two of the following skills: drinking from a cup, eating with knife and fork, open/close clothing, taking money from purse, wash/dry body, holding reek/broom/spade, grooming, keyboard work, balancing object while holding it 8. Motivated to train on above mentioned skills
Exclusion criteria
Exclusion criteria: 1. Neglect: Bells Test, Letter Cancellation Test: minimum omission score of 15% is considered to indicate unilateral spatial neglect 2. Hemianopsia, retrieved from patient's medical file 3. Severe spasticity: Modified Ashworth Scale total arm greater than 4 4. Severe additional neurological, orthopaedic or rheumatoid impairments prior to stroke that may interfere with task performance 5. Broca aphasia, Wernicke aphasia, global aphasia: as determined by the Akense Afasie Test 6. Apraxia: Apraxietest of Van Heugten
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arm-hand function: 1. As measured on function level by Brunnstrom-Fugl-Meyer Test 2. As measured on activity level by the Action Research Arm Test and the Motor Activity Log The outcomes above will be assessed at the following timepoints: T0: Baseline T1: After training for 4 weeks T2: After training for 8 weeks T3: 6 months after finishing the training programme | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life at T0, T2 and T3: 1. The 36-item Short Form health survey (SF-36) 2. EuroQol-6D questionnaire T0: Baseline T1: After training for 4 weeks T2: After training for 8 weeks T3: 6 months after finishing the training programme | — |
Countries
Netherlands
Outcome results
None listed