Validation of paralyzed side upper limb activity according to upper limb function level in acute stroke patients
Not Applicable
Recruiting
- Conditions
- A first-onset acute case of cerebral hemorrhage or cerebral infarction for which occupational therapy was prescribed
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 55
Inclusion Criteria
Not provided
Exclusion Criteria
Patients with a history of prior stroke. Patients who have difficulty in understanding the rating scale due to cognitive decline. Patients who have difficulty in verbal expression. Patients with neurological or neuropsychological worsening of symptoms during the observation period.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method It will be administered to patients who meet the indication criteria within 7days of the occupational therapy prescription for acute stroke patients. It will then be administered again 14days later as a reassessment. Assessment Item: Action Research Arm Test Details: ARAT is a post-stroke upper limb motor function assessment method developed based on the Upper Extremity Function Test (Ohba et al., 2011). There are 19 items in total consisting of 4 subtests (Grasp: grasp, Grip: grip, Pinch: pinch, Gross movement: gross movement), and the total score consists of 57 points. The score is weighted from 0 to 57 if there is no paralytic upper limb dysfunction, and from 0 to 57 if there is significant paralytic upper limb dysfunction. The evaluation method is based on the movement of objects on the desk under various conditions.
- Secondary Outcome Measures
Name Time Method Activity meters will be attached to both upper limbs from the day after the completion of the Action Research Arm Test, the initial evaluation, and upper limb activity will be measured for 14 consecutive days. Upper limb activity meter: Actigraph (wGT3X-BT, GT3XPBT): Evaluation scale of upper limb activity The device is a lightweight wristwatch-type device equipped with triaxial sensors placed on the back of the wrist joints of both upper limbs, and enables detailed evaluation of the direction of movement. In the rehabilitation field, the device has been used to analyze upper limb activity and other limb and trunk activities. In addition to stroke patients, the device has been used to study the whole-body activity of patients with arthritis, central nervous system diseases, chronic obstructive pulmonary disease, neuromuscular diseases, and Parkinson's disease, and can accurately and safely measure them.