Dual repetitive task with arm support training: a new strategy to understand and improve upper limb activity in stroke?

Completed

Conditions: CVA
stroke
10007963

Registration Number: NL-OMON46018

Lead Sponsor: Revalidatiecentrum Het Roessingh

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 10

Inclusion Criteria

* Unilateral stroke, which much have occured at least 6 months before the start of the study
* 18 years or older of age
* Have to display at least a limited arm function (not completed ROM, weakness and/or reduced velocity of movements) quantified with Fugl-Meyer score (*partial* score in volitional movements of shoulder and *slight<=1* in speed item).
* Active control of the elbow/shoulder of at least 15º and hand (at least a partial cylinder grasp)
* Normal or corrected visual / hearing function
* Able to give consent

Exclusion Criteria

* Other neurological impairment.
* Inability to understand/perform instructions of at least two steps.
* Co-morbidity affecting upper limb function (recent musculoskeletal injury, pain, etc.).

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>* Movement time (seconds) during single and dual movements in different<br /><br>conditions.<br /><br>* Precision (distance in centimetres with respect to the centre of the target)<br /><br>during single and dual conditions.<br /><br>* Movement rate (coefficient of temporal variation between events, %) during<br /><br>repetitive single and dual task conditions.<br /><br>* Number of digits in a series recalled during single cognitive and dual task<br /><br>conditions.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Muscle activation patterns (timing and peak activity) as measured with surface<br /><br>EMG at the affected arm and hand (m. Deltoideus, m. Biceps en m. Triceps)<br /><br>during the tasks.<br /><br>Movement excursion (in degrees) of the thorax, shoulder, elbow, wrist during<br /><br>the functional movement</p><br>