Early electrical stimulation to the wrist extensors and wrist flexors to prevent the post-stroke complications of pain and contractures in the paretic arm - a feasibility study

niversity of Nottingham0 个研究点目标入组 40 人开始时间: 2015年1月15日最近更新: 2019年8月26日

适应症

试验速览

•Eligibility criteria – patient participants for the feasibility RCT
•1. Patients with a confirmed clinical diagnosis of stroke AND it is their first stroke event to affect their upper limb
•2. Patients aged 18 years or over
•3. Impaired arm movement and strength resulting in reduced function, caused specifically by the stroke. (as determined by the arm subsection score of the National Institute for Health Stroke Scale (NIHSS)
•Carer participants for the feasibility RCT Inclusion criteria
•1. Nominated carer for a patient participating in the feasibility RCT
•Eligibility criteria – Patient and carer interviews
•1. Participating in the main feasibility RCT
•2. Mental capacity to consent and take part in the interview
•3. Able to understand English
•4. Nominated carer supporting a participant in the main feasibility RCT
•5. Mental capacity to consent and take part in the interview
•6. Able to understand English
•Therapist Focus Discussion Groups
•1. HCPC registered occupational therapist or physiotherapist
•2. Currently employed by NUH NHS Trust and working on the Nottingham Stroke Unit
•3. Experience of supporting at least one participant to use the ES intervention

•Patient participants for the feasibility RCT
•1. Patients with a previous history of stroke affecting their upper limb will be excluded as a chronic limb condition from a previous stroke could affect the results
•2. Patients will also be excluded with peripheral nerve injury of the upper limb; an existing orthopaedic condition affecting the upper limb; fixed contractures at the elbow, wrist or fingers; malignancy in the area of the ES electrode placement; or epilepsy
•3. Patients with a cardiac pacemaker or similar implanted device.
•4. Pregnancy
•5. Undiagnosed pain or skin conditions (i.e. not related to the stroke)
•Carer participants for the feasibility RCT
•1. Non English speaking
•Patient and carer interviews
•1. Individual is unable to communicate verbally or in written form
•2. NonEnglish speaking
•3. Aged younger than 18 years
•1. Individual is unable to communicate verbally or in written form
•2. NonEnglish speaking
•3. Aged younger than 18 years

发起方

niversity of Nottingham