Rehabilitation, Tenodesis, Stroke
Conditions
Brief summary
In the proposed study, the investigators assumed that using robot assisted tenodesis-grip training providing high does assisted grip movement may do the effects on motor shaping and greater brain priming for hand paresis of the stroke patients. The specific aim of this study is to examine the difference in the treatment effects between the combination of robot assisted tenodesis-grip training with task-oriented training and combination of traditional occupational therapy with task-oriented training on the motor, sensation, hand performance of the stroke patients. The expected outcomes of this research are to help the clinicians understand the training mechanism and effects of robot assisted tenodesis-grip training on functional performance of upper extremity for unilateral stroke patients.
Interventions
OTHERMotor task training
motor task specific training
Sponsors
National Cheng-Kung University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Clinical diagnosis of stroke with unilateral side involved; 2. Stroke at least 7 days before the start of the first assessment session; 3. A score of Mini-mental state examination greater than 24 for proving higher mental function; 4. Premorbid right-handedness.
Exclusion criteria
1. Uncontrolled hypertension; 2. Major cognitive-perceptual deficit; 3. Other brain disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the result of Fugl-Meyer assessment for UE motor function | baseline, 6 weeks and 18 weeks | Each item is rated on a three-point ordinal scale (2 points for the detail being performed completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity.completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity. |
| Change in the result of Modified Ashworth scale (MAS) | baseline, 6 weeks and 18 weeks | Muscle tone is defined by the resistance of a muscle being stretched without resistance. |
| Change in the result of Box and blocks test | baseline, 6 weeks and 18 weeks | The score is the number of blocks carried from one box to the other in one minute. Higher values represent a better outcome. |
| Change in the result of Semmes-Weinstein monofilament (SWM) test | baseline, 6 weeks and 18 weeks | The Semmes-Weinstein monofilamenttest examines the cutaneous pressure threshold, range from 1.65-6.65. Higher values represent a worse outcome. |
| Change in the result of Motor Activity Log | baseline, 6 weeks and 18 weeks | MAL is a structured interview with testing sensitivity used to examine how much (amount of use, AOU) and how well (quality of movement, QOM) the subject uses their more-affected arm. For the 30 items MAL, each item is scored on a 0-5-ordinal scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical global impression scale | post-intervention (week 6) | Self-reported improvement over the treatment period,. The scale, rated from 1 (very much improved) to 7 (very much worse), is as the indicator for determining perceptible change of the patients for assisted tenodeis-grip robot system. |
Countries
Taiwan
Outcome results
None listed