Stroke
Conditions
Keywords
Shortened Fugl-Meyer Assessment, stroke rehabilitation, upper limb
Brief summary
The objective of the study was to investigate the effectiveness of a standardized stroke upper limb rehabilitation program with stratification using Shortened Fugl-Meyer Assessment (S-FM). The standardized program was compared with conventional training based on the hospital protocol.
Interventions
OTHERupper limb function training
Intervention selection included stretching and mobilization exercise, strengthening exercise, electrical stimulation, acupuncture, functional or task specific training and mirror therapy.
Sponsors
Sally Hiu Lam Wong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* first stroke, able to attend gym training and give written consent
Exclusion criteria
* unstable medical condition, any musculoskeletal conditions or other diseases restricted upper limb training, unfit mental state and unable to follow command
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shortened Fugl-Meyer Assessment (S-FM) | From enrollment to the end of treatment up to 6 weeks | S-FM consisted of six items examining upper extremity movements (shoulder elevation, shoulder flexion 90° to 180°, elbow extension, elbow 90° pronation/supination, elbow 90° wrist flexion/extension and grasp, adduct thumb). Each item was scored with an ordinal scale of 0 (unable to perform), 1 (partially performed) and 2 (fully performed). The total score was 12. |
| Functional Test for the Hemiplegic Upper Extremity (FTHUE) | From enrollment to the end of treatment up to 6 weeks | FTHUE consisted of 18 activities examining upper extremity function. Seven levels with 1-3 activities in each level in a hierarchy sequence of difficulty were adopted. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Barthel Index (MBI) | From enrollment to the end of treatment up to 6 weeks | MBI consisted of 11 items examining ADL including self-care, continence and locomotion. A modified scoring system with 5 codes (unable to perform task, attempts task but unsafe, moderate help required, minimal help required and fully independent) was adopted for each item, giving a total score from 0 to 100 (0= fully dependent, 100= fully independent). |
Countries
Hong Kong
Outcome results
None listed