Exploring New Approaches in Reaching Behavior Post Stroke

Stroke Clinical Trial

Official title:

Training With or Without Upper Body Restraint During Reaching in Individuals Post Stroke

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00844870
• Other study ID #: 06-007
• Status: Completed
• Phase: N/A
• First received: February 13, 2009
• Last updated: February 13, 2009
• Start date: April 2007
• Est. completion date: September 2008

Study information

• Verified date: February 2009
• Source: University of the Sciences in Philadelphia
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

After 4 weeks of training the hypothesis that the more natural training program would yield greater functional changes was proven correct.

Description:

Analysis indicated that both methods improved reaching without trunk use Reaching performance scale (RPS), but the trunk -stabilized group led to more significant changes. Training under less restrictive conditions associated with Task-Related Training (TRT) (auditory feedback from trunk sensor) as compared to stabilized TRT, led to improved functional and impairment measure scores (WMFT, FM and shoulder flexion). Conclusion: Fading feedback with both training methods, during extended TRT reaching/grasping practice generally led to some improvements. However, as demonstrated by impairment and functional outcome measures, using TRT with an auditory feedback signals is a more effective approach than forcing the stabilization of the trunk during rehabilitation of the upper-limb.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24
• Est. completion date: September 2008
• Est. primary completion date: August 2008
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Individuals all scored between 20 and 44 on the Upper-Arm subsection of the Fugl-Meyer Scale (FM- Poole & Whitney, 1988) and demonstrated some trunk movement during the pretest reaching performance scale measures (RPS, Levin 2006)

Exclusion Criteria:

• Individuals were referred if they had no receptive aphasia, apraxia or other cognitive deficits.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Stroke

Intervention

Behavioral:
• stabilization training
training of arm function with the trunk stabilized
• auditory training group
response to an auditory signal

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of the Sciences in Philadelphia

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	WMFT		1 year	No
Secondary	FM and shoulder flexion		1 year	No