Stroke (CVA)
Conditions
Interventions
The experimental group receives a standardised therapeutic procedure for the hemiplegic arm and simultaneous therapeutic electrical stimulation (TES) with a motor response (i.e. joint movement is eli
Sponsors
Prof. Klaas Postema, MD PhD
University Medical Center Groningen
Department of Rehabilitation Medicine
Postbus 30001
9700 RB Groningen
Telephone: 050-3612295
E-mail: k.postema@rev.umcg.nl
Eligibility
Inclusion criteria
Inclusion criteria: 1. A first ever or recurrent stroke except subarachnoid hemorrhages; 2. Age above 18; 3. Between 2 and 8 weeks post-stroke; 4. An apparent paralysis / severe paresis of the involved upper limb.
Exclusion criteria
Exclusion criteria: 1. Any of the following contra indications for electrical stimulation: A. Metal implants in the involved arm or shoulder; B. Cardiac pacemaker; C. Thrombosis; D. (Thrombo)phlebitis; E. Cancerous lesions; F. Skin infections on forearm or shoulder blade; G. Epileptic seizures six months previous to and since the stroke; H. Pregnancy and myasthenia gravis/myotonia. 2. Pre-existent impairments of the affected arm (e.g. peripheral neuropathy, frozen shoulder); 3. The ability to make selective movements of the hemiplegic arm (more than 18 points on the Fugl-Meyer Assessment arm score); 4. Severe cognitive deficits and/or severe language comprehension difficulties (more than one of four questions wrong on the verbal items of the AbilityQ).
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. The degree of difficulty the patient and his/her primary carer have with activities related to the hemiplegic (spastic) arm is assessed with the Leeds Arm Spasticity Impact Scale (LASIS); 2. Arm spasticity will be assessed using the Modified Tardieu Scale (MTS); 3. The 66-point arm section of the Fugl-Meyer Assessment (FMA) will be used to assess the ability to make selective movements of the hemiplegic arm; 4. The degree of shoulder inferior subluxation is clinically graded in (half) fingerbreadths palpable below the acromion process in both shoulders. | — |
Primary
| Measure | Time frame |
|---|---|
| 1. Passive range of motion (PROM) of seven different arm movements will be assessed using a using a masked hydrogoniometer; 2. Shoulder pain will be assessed using the ShoulderQ. | — |
Contacts
Public ContactLex D. Jong, de
PO Box 1057
Outcome results
None listed