Factors influencing the amount of paretic upper limb use during initial hospitalization after stroke
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Activity counts on wrist worn accelerometers of both hands
研究概览
简要总结
This cross-sectional study aims to identify physical, psychological, behavioral, demographic, and clinical factors that influence the amount of paretic upper limb use during the initial hospitalization (2–14 days post-stroke) in acute stroke patients. The study uses wrist-worn accelerometers (ActiGraph wGT3X-BT®) to objectively record upper limb activity over 12-hour sessions across weekdays(3-5 weekdays). Participants will also be assessed using standardized outcome measures like the Fugl-Meyer Assessment, Nottingham Sensory Assessment, Hospital Anxiety and Depression Scale, and others.
Patients aged 18–80 years, medically stable, cognitively sound, and able to follow commands, will be included. Data collection will involve activity counts from accelerometers and administration of clinical assessments, followed by univariate and multivariate statistical analysis to determine influential factors.
The study addresses a research gap: limited evidence about early factors affecting arm use during the initial hospital stay after stroke, which is crucial for promoting early recovery and preventing learned non-use.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients hospitalized with first occurrence of acute CVA 2)Patients with mild and moderate amount of UL impairment (Brunnstorm grading more than or equal to 3) 3)Patients with the ability to understand and follow commands 4)Medically stable patients 5)Patients admitted in wards 6)Patients with the ability to read and understand Kannada or English language 7)Duration post stroke.
- •2-14 days post stroke. 8)Cognitively sound patients.
排除标准
- •Presence of any orthopedic conditions limiting upper limb movements prior to stroke 2)Presence of any other neurological deficits apart from stroke which limit the quantity of hand use in the patient 3)Restless patient 4)Patient prescribed with upper limb restraints 5)Patients with any prescribed upper limb orthosis.
结局指标
主要结局
Activity counts on wrist worn accelerometers of both hands
时间窗: 3-5 day recordings of wrist worn accelerometers since the time of recruitment
(data recorded by the devices on the amount of arm use of both hands)
时间窗: 3-5 day recordings of wrist worn accelerometers since the time of recruitment
次要结局
- Brunnstorm upper limb grading (voluntary control grading)(At time of recruitment)
- FMA - The Fugl-Meyer Assessment Upper Extremity (FMA-UE) score(At time of recruitment)
- NSA - The Nottingham Sensory Profile score(At time of recruitment)
- Modified Kuppuswamy scale(At time of recruitment)
- Generalized self-efficacy questionnaire score(At time of recruitment)
- The International Physical Activity Questionnaire - Short Form score(At time of recruitment)
- Hospital anxiety and depression scale score(At time of recruitment)
- Motivation for rehabilitation scale score(At time of recruitment)
研究者
Aditya Kumar Singh
Manipal College Of Health Professions, department of Physiotherapy, MAHE, Manipal