Stroke
Conditions
Keywords
rehabilitation, reaching, stroke
Brief summary
After 4 weeks of training the hypothesis that the more natural training program would yield greater functional changes was proven correct.
Detailed description
Analysis indicated that both methods improved reaching without trunk use Reaching performance scale (RPS), but the trunk -stabilized group led to more significant changes. Training under less restrictive conditions associated with Task-Related Training (TRT) (auditory feedback from trunk sensor) as compared to stabilized TRT, led to improved functional and impairment measure scores (WMFT, FM and shoulder flexion). Conclusion: Fading feedback with both training methods, during extended TRT reaching/grasping practice generally led to some improvements. However, as demonstrated by impairment and functional outcome measures, using TRT with an auditory feedback signals is a more effective approach than forcing the stabilization of the trunk during rehabilitation of the upper-limb.
Interventions
BEHAVIORALstabilization training
training of arm function with the trunk stabilized
BEHAVIORALauditory training group
response to an auditory signal
Sponsors
University of the Sciences in Philadelphia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Individuals all scored between 20 and 44 on the Upper-Arm subsection of the Fugl-Meyer Scale (FM- Poole & Whitney, 1988) and demonstrated some trunk movement during the pretest reaching performance scale measures (RPS, Levin 2006)
Exclusion criteria
* Individuals were referred if they had no receptive aphasia, apraxia or other cognitive deficits.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| WMFT | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| FM and shoulder flexion | 1 year |
Outcome results
None listed