pper limb strength training in subacute stroke patients. A randomized controlled trial.

Not Applicable

• Conditions: stroke; I64; Cerebral infarction; I60; Other nontraumatic intracranial haemorrhage; Stroke, not specified as haemorrhage or infarction; I61; I63; Intracerebral haemorrhage; I62

• Registration Number: DRKS00012484
• Lead Sponsor: Asklepios Kliniken Schildautal Seesen

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2017-05-26
• Study Completion: 2018-05-01
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Recruiting stopped after recruiting started
• Sex: All
• Target Recruitment: 43

Inclusion Criteria

Subacute stroke patients with a Barthel Index > 29
Sitting Balance Score greater than or equal to 2
ability to put the paretic arm from the lap on a table
Medical Research Council score of 2 - 4 in shoulder abduction, elbow flexion or finger flexion
Passive range of motion: shoulder abduction, flexion and elbow flexion at least 90 °, touch of the fingers with the thumb, submaximal finger extension
Apraxia Screen of TULIA score of at least 5

Exclusion Criteria

4 points on the Modified Ashworth Scale
pain of the affected arm with greater than 5 points on a pain scale
armparesis caused of other neuromuscular or neurological disorders and / or syndromes
manifest hereditary diseases (Such as cardiac insufficiency (> NYHA 1), angina pectoris, myocardial infarction within 120 days before the beginning of the study, cardiomyopathy, hypertension (WHO grade 2 systole 160-179 mmHg and diastole 100-109 mmHg) or difficultly controllable cardiac arrhythmia)
inflammation or infections that are associated with fever, bad condition, or insulation

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary endpoint is grip strength. It is measured by a hand-held dynamometer (unit: kilogram). The measurement takes place immediately before and after the three weeks of training.

Secondary Outcome Measures

Name	Time	Method
The Upper Extremity Fugl-Meyer assessment (0 to 66 points) measures sensorimotor impairments.<br><br>The Box & Block Test assesses the dexterity of arm activities. The number of cubes successfully transported in one minute (0 – 150 pieces) will be documented.<br><br>Motricity Index (0 – 100 points) measures upper extremity strength of representative arm movements after stroke<br><br>With the Goal Attainment Scale, individual goals of the patient can be evaluated in a standardized way. The attainment of participatory goals is assessed with a five-stage scale (-2 to +2 points).<br><br>The Modified Ashworth Scale (0 - 5 points) measures changes in muscle tone and reflex activity.<br><br>The measurement takes place immediately before and after the three weeks of training.