Hemiparesis of the Upper Limb Following Stroke, Stroke
Conditions
Keywords
Stroke, Hemiparesis, Weakness, Upper Extremity, Occupational Therapy, Arm
Brief summary
This study aims to examine the effect of an action simulation circuit training for individuals who have experienced upper extremity weakness following a stroke. The study will also examine the feasibility of the intervention as an occupational therapy rehabilitation approach. Participants will: * Engage in four workstations within the circuit training format: mental practice, action observation, virtual reality, and repetitive task-specific practice. * Participate in training 2x/week for 6 weeks (12 sessions).
Detailed description
Action simulation therapies are particularly advantageous for individuals with upper extremity hemiparesis, by providing opportunities for repetitive practice of functional tasks, that might otherwise be impossible to perform. This research will examine the use of upper extremity action simulation in a circuit training group, to address the unique therapeutic needs and therapy structure deficiencies for upper extremity hemiparesis following a stroke. Project Objectives: \- Explore the effect of a six-week action simulation upper extremity circuit training group on upper extremity impairments and quality of life for individuals with upper extremity hemiparesis after a stroke. Upper extremity impairments and quality of life will be assessed before the circuit training and after completion. Additionally, participants will provide information about their overall perceptions of each the intervention through a survey.
Interventions
OTHERUpper Extremity Action Simulation Circuit Training
Participants rotate between four workstations: 1. Mental Practice: participants listen to an audio-guided recording that promotes the cognitive rehearsal of performing a task with their affected upper extremity. 2. Virtual Reality: participants perform virtual reality activities or games involving the use of their upper extremities. 3. Action Observation: participants watch video clips of individuals performing upper extremity tasks. 4. Repetitive-Task Specific Practice: participants physically rehearse various upper extremity tasks with the assistance of an occupational therapist.
Sponsors
Towson University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosis of stroke * Hemiparesis of one upper extremity
Exclusion criteria
* Severe spasticity * Severe aphasia * Low English proficiency * Severe hearing impairment * History of severe upper extremity comorbidities (neurological and/or orthopedic)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Acceptability of Intervention Measure | Following the 6-week circuit training group. | The Acceptability of Intervention Measure is a survey that measures the participants' perceived acceptability of the intervention. Participants rate their perceptions on a 5-point Likert scale, from completely disagree to completely agree. |
| Feasibility of Intervention Measure | Following the 6-week circuit training group. | The Feasibility of Intervention Measure assesses the participants' perceptions of how feasible the intervention is for stroke rehabilitation. Participants rate their perceptions on a 5-point Likert scale, from completely disagree to completely agree. |
| Intervention Appropriateness Measure | Following the 6-week circuit training group. | The Intervention Appropriateness Measure assesses the participants' perception of how appropriate the intervention is to address upper extremity hemiparesis after a stroke. Participants rate their perceptions on a 5-point Likert scale, from completely disagree to completely agree. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment | Before the circuit training group and following the circuit training group. | The Fugl-Meyer Assessment is a standardized quantitative measure of upper extremity impairment that includes 33 items. Upper extremity movements are rated on a three-point ordinal scale. Cumulative scores range from 0-66 where a higher score indicates lower impairment. |
| Stroke Impact Scale | Before the circuit training group and following the circuit training group. | The Stroke Impact Scale is a self-report questionnaire of health-related quality of life following a stroke. It includes 59 items assessing strength, hand function, activities of daily living, mobility, communication, emotion, memory, and participation. |
Countries
United States
Outcome results
None listed