A first-onset acute case of cerebral hemorrhage or cerebral infarction for which occupational therapy was prescribed
Conditions
Interventions
None listed
Sponsors
Saitama Medical University International Medical Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients with cerebral hemorrhage or cerebral infarction for whom occupational therapy is prescribed. Patients with cerebrovascular disease who are undergoing rehabilitation within 1 week from the onset of the disease. Patients over 20 years old. Patients who score 2 or less on the sensory items of the National Institutes of Health Stroke Scale (NIHSS). Patients with a score of 24 or more on the Mini Mental State Examination-Japanese. Patients who were independent in Activity of Daily of Living (ADL) (Barthel Index: 95 points or more) before the onset of the disease. No history of orthopedic disease in the paralyzed upper limb. Patient's written consent is obtained.
Exclusion criteria
Exclusion criteria: Patients with a history of prior stroke. Patients who have difficulty in understanding the rating scale due to cognitive decline. Patients who have difficulty in verbal expression. Patients with neurological or neuropsychological worsening of symptoms during the observation period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It will be administered to patients who meet the indication criteria within 7days of the occupational therapy prescription for acute stroke patients. It will then be administered again 14days later as a reassessment. Assessment Item: Action Research Arm Test Details: ARAT is a post-stroke upper limb motor function assessment method developed based on the Upper Extremity Function Test (Ohba et al., 2011). There are 19 items in total consisting of 4 subtests (Grasp: grasp, Grip: grip, Pinch: pinch, Gross movement: gross movement), and the total score consists of 57 points. The score is weighted from 0 to 57 if there is no paralytic upper limb dysfunction, and from 0 to 57 if there is significant paralytic upper limb dysfunction. The evaluation method is based on the movement of objects on the desk under various conditions. | — |
Secondary
| Measure | Time frame |
|---|---|
| Activity meters will be attached to both upper limbs from the day after the completion of the Action Research Arm Test, the initial evaluation, and upper limb activity will be measured for 14 consecutive days. Upper limb activity meter: Actigraph (wGT3X-BT, GT3XPBT): Evaluation scale of upper limb activity The device is a lightweight wristwatch-type device equipped with triaxial sensors placed on the back of the wrist joints of both upper limbs, and enables detailed evaluation of the direction of movement. In the rehabilitation field, the device has been used to analyze upper limb activity and other limb and trunk activities. In addition to stroke patients, the device has been used to study the whole-body activity of patients with arthritis, central nervous system diseases, chronic obstructive pulmonary disease, neuromuscular diseases, and Parkinson's disease, and can accurately and safely measure them. | — |
Countries
Japan
Contacts
Public Contactkouda tsuyoshi
Saitama Medical University International Medical Center Rehabilitation Center
Outcome results
None listed