stroke
Conditions
Interventions
None listed
Sponsors
Keio University School
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 18 years or older. For the prospective cohort study assessing responsiveness, only first-ever stroke patients will be included. 2. Unilateral cerebral lesion confirmed by imaging findings or physician diagnosis/clinical records. 3. Ability to position the hand so that the fingertips can be captured by the camera during assessment.
Exclusion criteria
Exclusion criteria: 1.Severe finger contracture or spasticity affecting the hand/fingers. 2.Difficulty in communication due to aphasia or impaired consciousness. 3.Severe higher brain dysfunction that interferes with assessment procedures. 4.Severe visual or hearing impairment. 5.Severe psychiatric disorders such as depression or schizophrenia. 6.Contraindications to exercise therapy, including: a. Severe cardiovascular disease, such as unstable angina, recent myocardial infarction, decompensated congestive heart failure, acute cor pulmonale, uncontrolled arrhythmia, severe aortic stenosis, active myocarditis, or endocarditis. b. Uncontrolled hypertension. c. Acute systemic illness or fever. d. Recent pulmonary embolism, acute cor pulmonale, or severe pulmonary hypertension. e. Severe hepatic or renal dysfunction. f. Severe orthopedic disorders interfering with exercise. g. Severe cognitive impairment or severe psychiatric disorders. h. Other metabolic disorders (e.g., acute thyroiditis).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Three-dimensional coordinates of the fingers, assessed at baseline and after 3-4 weeks of intervention for responsiveness evaluation | — |
Secondary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Assessment upper extremity modified Ashworth scale | — |
Countries
Japan
Contacts
Public ContactMasayuki Dogan
Keio University School of Medicine Department of Rehabilitation Medicine
Outcome results
None listed