Stroke
Conditions
Interventions
Study settings
Occupational Therapy Unit at:
1. Colombo North Teaching Hospital, Ragama
2. Rheumatology and Rehabilitation Hospital,Ragama
3. The National Hospital of Si Lanka, Colombo 10
4. Colombo S
Sponsors
Western Sydney University
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 18 and 80 years 2. A diagnosis of hemiplegia due to stroke (infarct or hemorrhage) 3. Stroke experienced more than 3 months prior to enrollment (Summers et al., 2007) 4. Able to complete Advanced Hand Activities 1, 2 and 3 of Motor Assessment Scale (Carr, et al.,1985) 5. Score of more than 24 points on the Mini-Mental State Exam (dictates no cognitive deficits) (Folstein, et al., 1975) 6. Able to give voluntary consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1. Visual and perceptual problems including hemianopia and unilateral neglect 2. Excessive pain in the affected arm as measured by score of more than 4 on a 10-point Visual Analog Scale (Scott & Huskisson, 1976) 3. Spasticity of more than 3 on Modified Ashworth Scale (Bohannon & Smith, 1987) 4. Pre-existing musculoskeletal, neurological (apart from stroke) or other conditions that may affect upper limb function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hand function: assessed by Jebsen-Taylor Hand Function Test (JTHFT) (Jebsen, Taylor, Trieschmann, Trotter, & Howard, 1969) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention.] Perceived hand function: assessed by Motor Activity Log (MAL) (Duncan, Propst, & Nelson, 1983]. [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention.] | — |
Secondary
| Measure | Time frame |
|---|---|
| Vividness of imagery: assessed by Vividness of Movement Imagery Questionnaire-2 (VMIQ-2) (Roberts, Callow, Hardy, Markland, & Bringer, 2008) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention.] Upper extremity impairment: assessed by Fugl-Meyer Assessment of Motor Recovery after Stroke (FMA) (Sanford, Moreland, Swanson, Stratford, & Gowland, 1993) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention.] Finger dexterity: assessed by Nine Hole Peg Test (NHPT) (Mathiowetz et al., 1985) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention. ] In-hand manipulation: assessed by In-Hand Manipulation Assessment (IHMA) (Klymenko et al., under review) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention. ] Independent living skills: assessed by Lawton Instrumental Activities of Daily Living Scale (IADL) (Lawton & Brody, 1988) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention. ] Self-perception of performance: assessed by Canadian Occupational Performance Measure (COPM) (Law et al., 1998) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention. ] Health-related quality of life specific to stroke survivors: assessed by Stroke Specific quality of life scale (SS-QOL) (Williams, Weinberger, Harris, Clark, & Biller, 1999) [At baseline, six weeks (end of intervention) and 10 weeks after the end of intervention. ] | — |
Countries
Sri Lanka
Contacts
Public ContactNandana Welage
PhD candidate
Outcome results
None listed