Traumatic Brain Injury, Vascular Accident, Brain
Conditions
Keywords
stroke, tbi, rehabilitation, upper limb
Brief summary
The Armeo Spring has proven its effectiveness in the rehabilitation of acute stroke patients. It neutralizes limb weight, enabling patients to use residual control in both arm and hand and to follow exercises guided by simulations of real-life challenges. The Armeo Spring incorporates wrist pronation and supination, allowing patients to enhance functional reaching patterns. Aim of the study is to compare the Armeo device with standard physiotherapy in chronic patients with acquired brain lesions. The result of the trial should show which treatment is more effective in the clinical practice. A significant better outcome of one arm should suggest to follow one treatment strategy more than the other.
Interventions
30min Armeo Spring + 15min task oriented therapy over 6 weeks Frequency: 3 x/week
30min occupational therapy(15min ADL-training, 15min repetitive training) + 15min task oriented therapy over 6 weeks Frequency: 3x/week
Sponsors
Study design
Eligibility
Inclusion criteria
* 6 month after the onset of disease * acquired brain lesions in adults with upper limb hemiparesis * modified Ashworth \<= 3 * muscular strength MRC =\>1 mano; MRC =\>2 elbow e shoulder * Fugl Meyer =\> 18
Exclusion criteria
* NYHA \>III * MMSE (mini mental status examination test) \< 24 * muscular strength (MRC) \< 1 * Dystonia, spasticity (Ashworth =\> 3) * articular contractions in the upper limb * previous upper limb lesions * cognitive/language impairment likely to influence assessments * any diagnosis likely to interfere with rehabilitation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl Meyer Score for sensorymotor recovery of the upper limb after stroke | Enrollment |
Secondary
| Measure | Time frame |
|---|---|
| Upper Extremity Motor Activity Log for measuring real use of the upper limb | Enrolment |
| Wolf Motor Function Test for measurement of timed joint-segment movements | Enrolment |
| Clinical Global Impression Score for the measurement of change over time of the illness' severity | Enrolment |
Countries
Italy