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Effects of Touch Massage in the Sub-acute Phase After Stroke

Not Applicable
Terminated
Conditions
Stroke
Interventions
Procedure: Touch massage
Other: non-TENS
Registration Number
NCT01883947
Lead Sponsor
Umeå University
Brief Summary

The aim is to study effects of touch massage in the sub-acute phase after stroke in two main areas; general health and independence.The hypothesis are that; touch massage in the sub-acute phase after stroke decreases anxiety and pain, increases health related-quality of life, decrease physiological stress responses, increase sensorimotor function, decrease disability, and increase activity in sensorimotor areas and decrease redundant brain activity in motor-related areas.

Detailed Description

Despite high quality stroke care in Sweden, decreased sensorimotor function, anxiety and pain remains one year after stroke and lead to impaired health and dependence as well as high health care costs. It is therefore urgent to find new rehabilitation strategies. There is some knowledge about effects of touch massage among healthy and patients with ill-health conditions but no study have evaluated touch massage in the sub-acute phase of stroke. Therefore the aim in this project is to study effects of t touch massage in the sub-acute phase after stroke in two main areas; general health and independence.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • stroke defined according to Trial of ORG 10172 in Acute Stroke Treatment (TOAST) and The Oxford Community Stroke Project Classification (OSPC),
  • impaired finger tapping on the affected side of the body,
  • the ability to flex the wrist 20° from substrate on affected side of the body
Exclusion Criteria

individuals with

  • cancerous tumors,
  • infections with fever,
  • neurologic or psychiatric disease,
  • alcohol or drug addiction,
  • conditions that impede communication.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Touch massageTouch massageIntervention group will receive touch massage on hands and feet and the intervention will start one week after the onset of stroke and last for 30 minutes each time, five days a week for two weeks
non-TENSnon-TENSThe sham treatment will start one week after the onset of stroke and last for 30 minutes each time, five days a week for two weeks
Primary Outcome Measures
NameTimeMethod
State-Trait Anxiety Scale2 month

Assessment of self-rated anxiety on two subscales. Traits are stable over time and not sensitive to occasional stressors. States are sensitive for occasional stressors assessing current emotional state

Secondary Outcome Measures
NameTimeMethod
Salivary cortisol2 weeks

To assess effects on stress responses

Nottingham Health Profile2 weeks

This is a self-rating scale which assess Health related quality of life

ECG2 weeks

evaluate heart rate variability which reflects activity in the autonomic nervous system

Shape Texture Identification Test2 month

will be used to assess touch discrimination

Box and Blocks2 month

will be used to test gross dexterity

Barthel index and Modified Ranking scale2 month

will be used to assess disability after stroke

VAS2 weeks

To assess self-rated pain

Blood pressure2 weeks

to assess effects on stress responses

Nine Hole Peg2 month

will be used to test fine motor dexterity,

Jamar® Hydraulic Hand Dynamometer2 month

will be used to assess grip strength

Functional magnetic resonance imaging2 weeks

Evaluation of brain activity while patient perform finger-tapping/movement with the paretic hand

movement laboratory with high-speed cameras2 month

Temporal and spatial kinematic variables will be evaluated

Trial Locations

Locations (1)

Norrlands university hospital

🇸🇪

Umea, Sweden

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