Stroke
Conditions
Brief summary
Assessment of a custom made grasp device in the rehabilitation of stroke victims.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Damage to the following areas of the brain, all of which may be involved in coordination of reach to grasp confirmed by CT scan: parietal, cerebellar, internal capsule and basal ganglia, 2. A score of 6 or more on the arm section of the Rivermead Motor Assessment (able to reach and pick up a tennis ball and release on thigh), 3. Time between start of hand opening and start of hand transport \> 60 ms (measured with GRASP).
Exclusion criteria
1. Cognitive dysfunction which prevents understanding of the task, 2. Severe concurrent medical problems that prevent repetitive reaching (including shoulder pain), 3. A diagnosis of Parkinson's disease, or 4. Lack of informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to grasp | 3 sessions | Primary outcome measures are: 1) The time elapsed between the start of grasp (when the finger breaks contact with the thumb) and the start of transport (when the wrist leaves the start position); and 2) The time elapsed between maximum aperture of the hand and peak deceleration of the wrist. Secondary outcome measures are: 1) movement duration, 2) time of maximum aperture expressed as % of movement duration, 3) time of peak deceleration expressed as % of movement duration, 4) amplitude of peak velocity of the wrist, 5) time of peak velocity, 6) time of peak velocity of the wrist expressed as % movement duration, 7) size of maximum aperture, 8) time to close hand from time of maximum aperture, 9) distance to target at time of maximum aperture. |