The Accelerated Skill Acquisition Program (ASAP) for upper extremity recovery in Individuals with post-acute stroke

Phase 1

Completed

• Conditions: posacute stroke; Stroke, task specific training, hand function, reaching and grasping

• Registration Number: TCTR20180314002
• Lead Sponsor: Thailand Research Fund-Commission of Higher Education Research Grant for New Scholar

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Completion: 2016-03-14
• Study Start: 2018-03-14
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 15

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

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.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
kinematics baseline, immediate post intervention and 6 month-follow up electromagnetic tracking system

Secondary Outcome Measures

Name	Time	Method
sparing opioids used 24 hour intervention