Cerebrovascular accident Stroke
Conditions
Interventions
During six weeks, the chronic stroke patients will receive either 18 one hour
sessions, plus additional training when desired, of technology assisted arm and
hand home training (experimental group),
Sponsors
Revalidatiecentrum Het Roessingh
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • Patients with an unilateral ischemic or hemorrhagic stroke, between 6 months and 5 years post-stroke • Between 18 and 80 years of age • Clinically diagnosed with central paresis of the arm and/or hand as a result of stroke, but with: - 15° active elbow flexion - * range of active finger flexion (PIP/DIP) • Ability to complete measurements and training sessions • Discharged from medical centre • Living at home and have internet access • Having a carer who is co-resident or closely involved in their care • A fair cognitive level: ability to read and understand the Dutch language, and ability to understand and follow instructions • Patients should fit the device: 5-95% size of hand and body shape • Written informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: • Patients who are not eligible to join normal rehabilitation (psychological issues, patients with near complete paralysis etc.) • Other severe co-morbidities, like cardiovascular, neurological, orthopaedic or rheumatoid impairments (incl. pain affecting use of the upper extremity) before stroke that may interfere with task performance • Severe sensory deficits from the involved limb • Severe neglect • Visual impairments (that cannot be corrected with glasses or contact lenses to within normal or near normal limits) • Cognitive impairments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameters are outcomes related to user acceptance, including usability, satisfaction, motivation and compliance (Intrinsic Motivation Inventory, System Usability Scale, Qualitative interview about experience of use). | — |
Secondary
| Measure | Time frame |
|---|---|
| Measures to examine general motor function, perceived use and participation (The Action Research Arm Test (ARAT), the upper extremity part of the Fugl-Meyer (FM) test, the Box & Blocks test (BBT), Motor Activity Log (MAL), the Stroke Impact Scale (SIS), kinematics and EMG). | — |
Countries
Netherlands
Outcome results
None listed