Stroke
Conditions
Keywords
Stroke, weakness, rehabilitation, chronic stroke
Brief summary
The purpose of this study is to assess whether a novel therapy approach (repetitive facilitative exercise (RFE)) is more effective than conventional rehabilitation in facilitating the recovery of upper extremity function following stroke.
Interventions
OTHEROccupational therapy- Repetitive Facilitative Exercise
Occupational therapy program - Repetitive facilitative exercise therapy protocol including 40 min of RFE and 20 minutes of task-specific activity. 3 treatment sessions weekly for a total of 4 weeks.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age greater than 18 years * Having a single ischemic or hemorrhagic hemispheric stroke of more than 6 months duration * The ability to selectively demonstrate active extension of at least 10 degrees at the metacarpo-phalangeal joint and the interphalangeal joints and 20 degrees at the wrist * Capable of effectively participating in the study
Exclusion criteria
* Upper extremity contracture/pain that interfere with study technique * Pre-existing upper extremity neurologic or orthopedic disorders * Unstable medical condition * BMI \> 35 * Active treatment of condition during 3 months prior to enrollment in study (botulinum toxin, therapy, tendon release, etc.) * Language or cognitive/perceptual deficits or scheduling problems that would limit participation * Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Arm score | baseline, immediate post-intervention and 3 month post-intervention |
Secondary
| Measure | Time frame |
|---|---|
| 9-Hole Peg Test | baseline, immediate post-intervention and 3 month post-intervention |
| Box and Block test | baseline, immediate post-intervention and 3 month post-intervention |
| Motor Activity Log | baseline, immediate post-intervention and 3 month post-intervention |
| Active Range of motion of shoulder flexion, wrist extension, and index finger extension | baseline, immediate post-intervention and 3 month post-intervention |
| Overall patient satisfaction | baseline, immediate post-intervention and 3 month post-intervention |
| Grasp strength | baseline, immediate post-intervention and 3 month post-intervention |
Countries
United States
Outcome results
None listed