TEchnology-Supported Task-oriented TRaining of Arm-hand function in persons with Chronic Stroke
- Conditions
- consequences of brain damage due to bleedingstroke10007963
- Registration Number
- NL-OMON31987
- Lead Sponsor
- Philips Research
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 84
- first ever supratentorial stroke
- 18-85 years old
- clinically diagnosed as having a central paresis of the arm/hand (strength Medical Research Council grade 2-3-4 at entry into the study)
- post-stroke time >=12 months
- fair-good cognitive level: MMSE (score above 26) or CogLog (score above 26)
- ability to read
- ability to understand Dutch language
- persons have to be impaired for at least two of the following skills: drinking from a cup, eating with knife and fork, open/close clothing, taking money from purse, wash/dry body, holding reek/broom/spade, grooming, keyboard work, balancing object while holding it.
- Motivated to train on above mentioned skills
- severe neglect:
• From medical files persons are selected that perform well on the O-zoek test: difference between omissions right and left >= 2 will not be included. This test is not validated, but is used in SRL and checking on its result will help us contacting persons that are appropriate to be included in this study.
• Letter cancellation test and bell*s test (only part of quantitative evaluation) to ensure that no severe neglect is present. These tests assess neglect in near extrapersonal space. The omission score is calculated. A minimum omission score of 15% is considered to indicate unilateral spatial neglect (USN) in cancellation testing. Ferber and Karnath (2001) found that each of the latter tests only miss 6% of the neglect patients which is acceptable for this study.
- hemianopsia: retrieved from medical patient file
- severe spasticity: Modified Ashworth Scale total arm >4
- severe additional neurological, orthopaedic or rheumatoid impairments prior to stroke that may interfere with task performance
- Broca aphasia, Wernicke aphasia, global aphasia: as determined by Akense Afasie Test (AAT) (information obtained from medical files)
- severe apraxia: apraxietest van Heugten (information from medical files)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>- Fugl-Meyer test<br /><br>- Action Research Arm test<br /><br>- Motor Activity Log<br /><br>- SF-36<br /><br>- EuroQoL</p><br>
- Secondary Outcome Measures
Name Time Method <p>- kinematics of arm, hand and trunk<br /><br>- Goal Attainment scaling<br /><br>- Diary: therapy compliance</p><br>