Stroke
Conditions
Keywords
acute ischemic stroke, intracerebral hemorrhage
Brief summary
The purpose of this study is to evaluate the effectiveness of a spasticity screener and to determine if the spasticity screener results are useful to healthcare providers and impact clinical decision making
Interventions
Participants will be screened for spasticity using the 2 question version of the Post-stroke Spasticity Monitoring Questionnaire (PSMQ) at 2 days after discharge, 2 weeks post stroke, 1 month post stroke, 3 months post stroke and every 3 months after for a total of 12 screenings across 24 months
Observational data for the standard of care group will be obtained via phone every 3 months post stroke up to 24 months, utilizing the Standard of Care Group Questionnaire.
Sponsors
Study design
Eligibility
Inclusion criteria
* Currently admitted for an acute hemorrhagic or ischemic stroke; recurrent stroke allowed if no spasticity at baseline * NIHSS score of \> 0 on items 5 or 6 (required of at least 1 limb) * Willingness to participate in the study for 24 months * Able to sign consent form or availability of a legally authorized representative to sign * Able to read/write in English * Identified MD for follow up post hospitalization
Exclusion criteria
* Botulinum toxin use for any indication within the past 12 weeks * Acute life threatening illness * Prior limb injury or neurological diagnosis that limited movement in the now affected limb(s) * Any terminal illness that would limit participation in study follow ups * Known spasticity or other movement disorders that impact tone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to detect spasticity from incidence of stroke | From baseline to 24 months after stroke |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to referral for spasticity from incidence of stroke | From baseline to 24 months after stroke | Evaluate average time to referral to neurology or Physical Medicine \& Rehabilitation (PM\&R) |
| The time from incidence of stroke to Botulinum neurotoxin (BoNT) administration | From baseline to 24 months after stroke | — |
Countries
United States
Contacts
The University of Texas Health Science Center at Houston PO Box 20036