posacute stroke Stroke,
Conditions
Interventions
Sponsors
Thailand Research Fund-Commission of Higher Education Research Grant for New Scholar
Faculty of Physical Therapy Mahidol University
Eligibility
Sex/Gender
All
Age
22 Years to 79 Years
Inclusion criteria
Inclusion criteria: 1. Ischemic or intraparenchymal hemorrhagic stroke,1 to 3 months after onset 2. Age >= 21 and no upper limit. 3. Persistent hemiparesis leading to impaired upper extremity (UE) motor function. 4. Evidence of preserved cognitive function: indicated by > = 4 on the FIM comprehension and problem solving score.
Exclusion criteria
Exclusion criteria: 1. Mostly resolved UE hemiparesis indicated by: greater than 58/66 on the UE Fugl-Meyer motor and coordination score. 2. Ataxia out of proportion to weakness, NIHSS Ataxia > 0. 3. Severe upper extremity sensory impairment indicated by anesthesia to light touch on the UE Fugl-Meyer sensation and proprioception. 4. Neglect 5. Inability to give informed consent for study participation. 6. Severe arthritis or orthopedic problems that limit passive range of motion (ROM) of upper extremity joints indicated by: shoulder flexion < 90 deg, shoulder abduction < 90 deg, shoulder external rotation < 45 deg, elbow extension < 20 deg from full flexion, forearm supination and pronation < 45 deg from neutral, wrist extension < neutral, finger extension < 30 deg from full flexion 7. Pain that interferes with daily activities as indicated on the Physical Screen, #6 pain sub component, pain score of 1 for at least 2 joints on the pain/ROM Fugl-Meyer UE assessment 8. Balance and transfer function that requires more than contact-guard assistance 9. History of sustained alcohol or drug abuse in the last 6 months 10. Previously been enrolled or currently enrolled in other rehabilitation or drug intervention studies 11. Living too far from the training site to participate reliably 12. Receiving oral or injected antispasticity medications during study treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| kinematics baseline, immediate post intervention and 6 month-follow up electromagnetic tracking system | — |
Secondary
| Measure | Time frame |
|---|---|
| sparing opioids used 24 hour intervention | — |
Countries
Thailand
Contacts
Public ContactJarugool Tretriluxana
Faculty of Physical Therapy
Outcome results
None listed