ReCITE (Remote Constraint Induced Therapy of the upper Extremity): An implementation study of remotely delivered constraint induced movement therapy for stroke survivors

Not Applicable

Recruiting

• Conditions: stroke; Physical Medicine / Rehabilitation - Occupational therapy; Physical Medicine / Rehabilitation - Physiotherapy; Stroke - Haemorrhagic; Stroke - Ischaemic

• Registration Number: ACTRN12622000082707
• Lead Sponsor: St Vincent's Health Network Sydney Limited

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-01-21
• Last Update Posted: 5 December 2022

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Stroke participants:
Adults who have sustained a stroke resulting in mild to moderate upper limb impairments with retention of some active thumb extension and finger extension in at least two fingers.
Medically stable and able to participate in intensive rehabilitation as assessed by the treating rehabilitation clinician.
Read and understand English to provide written or oral consent and able to understand TeleCIMT supporting video and written resources.
Able to adequately communicate to participate in self rating measures of performance and reporting of home practice.
Have access to the internet and a suitabe electronic device to access online TeleCIMT supporting videos.
Have adequate cognitive ability to participate in a CIMT program with the assistance of a supporter (Montreal Cognitive Assessment score of 26 or above).
Therapist participants:
Be an occupational therapist, physiotherapist or allied health assistant involved in the delivery of the TeleCIMT program
Provide written or oral consent to be interviewed

Exclusion Criteria

Stroke Participants:
Do not live in the catchment area of the therapy teams involved; have upper limb comorbidities (e.g. extreme pain and/or unstable lymphoedema); have had a previous neurological event (e.g. previous stroke).

Therapist participants will be excluded if they have received/seen less than 10 referrals for upper limb rehabilitation post-stroke in the previous year.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Within group difference pre-post TeleCIMT program in self reported amount of arm and hand use (AoU) and quality of arm movement (QoM) as measured by the Motor Activity Log (MAL). The Motor Activity Log is a composite measure. [Baseline, at the end of TeleCIMT (week 3) (primary timepoint) and one month post program (week 7). ];Within group difference pre-post TeleCIMT program in fine dexterity as measured by the Nine Hole Peg Test (NHPT)[Baseline, at the end of TeleCIMT (week 3) (primary timepoint) and one month post program (week 7).];Feasibility of therapist behaviour change and implementation of TeleCIMT into routine practice assessed by evaluation the number of stroke survivors recruited for TeleCIMT at each site as a proportion of those who are deemed eligible for CIMT - determined by an audit of study screening logs. [Following the delivery of the implementation package to therapists (baseline) and following recruitment of 30 stroke survivor participants (primary endpoint)]