Cerebrovascular Accident Clinical Trial
Official title:
Lever Actuated Rehabilitation of the Arm Using Wheelchair Propulsion and Computer Gaming
This study will test the effectiveness of a new lever drive wheelchair, LARA - Lever Actuated
Resonance Assistance. LARA facilitates patients in performing a high amount of practice using
their moderate to severely impaired upper extremity after stroke.
Investigators will recruit 44 subjects with subacute strokes to participate in the study
through the acute rehabilitation unit of the UC Irvine Douglas Hospital. Study participants
will be randomized into 2 groups: LARA therapy group or standard therapy group. The LARA
therapy group will use LARA to propel themselves to therapy appointments in the unit and to
play video games with the affected upper extremity for 30 mins / day. The standard therapy
group will use a standard wheelchair to propel themselves using their unaffected upper and
lower extremities. They will be asked to perform a matched duration of standard arm exercises
for 30 mins/ day. This program of standard arm exercises was developed by an OT at the
Rehabilitation Institute of Chicago which consists of graded-difficulty table-supported
exercises.
This study will have 3 assessment visits: baseline, 3 weeks after therapy or upon discharge
from the acute rehabilitation unit if sooner, and a 3-month follow up.
n/a
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