Stroke Clinical Trial
Official title:
Contralaterally Controlled Functional Electrical Stimulation for Hemiparetic Hand
Impaired hand function is one of the most frequently persisting consequences of stroke. The purpose of this study is to investigate whether two different types of treatment improve recovery of hand function after stroke.
Loss of hand function is common after stroke. Previous research suggests that treatments that
focus on movement of both hands at the same time or treatments that electrically stimulate
the paretic (weak) hand muscles may help the recovery of hand function after stroke. In this
study, two electrical stimulation treatments will be compared in their effectiveness in
restoring hand movement and hand function. One of the treatments is stimulation only, and the
other is stimulation linked to movement of the contralateral hand.
Study participants will be stroke survivors who are enrolled while they are still within
their first 6 months after their stroke. After enrolling, their hand movement and function
will be tested. Then they will be randomly assigned to one of the two treatments. Each
treatment will last 6 weeks. The treatment will require the participant to perform specific
exercises at home for a total of 2 hours every day and to come to the laboratory twice a week
for study-related occupational therapy. At the end of the 6-week treatment, tests of hand
movement and hand function will be repeated. The same tests will be repeated again at 1 and 3
months after the end of treatment to see if the effects of the treatment persist as time goes
on. Changes in upper extremity impairment and activity limitation will be compared across
treatment groups.
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