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Impact of Restriction of the Non Paretic Upper Limb Rehabilitation of Patients a With Stroke:Randomized Clinical Trial

Not Applicable
Completed
Conditions
Stroke
Interventions
Other: specific training of paretic upper limb
Registration Number
NCT01623973
Lead Sponsor
Universidade Federal de Pernambuco
Brief Summary

To evaluate whether the restriction of the non paretic upper limb (UL) is a factor that could interfere at the sensorimotor UL recovery for chronic stroke subjects and to verify the impact on daily function, quality of life. In this pilot, randomized, blind and allocation concealment clinical trial, nineteen individuals with chronic stroke was randomly assigned, after the first evaluation, into two groups: group without restriction (G1), subject only to the specific training of paretic UL, and restricted group (G2), which underwent specific training of paretic UL and use of the restriction of non paretic UL

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
19
Inclusion Criteria
  • ability to actively extend at least 10° at the metacarpophalangeal the wrist;
  • more than 6 months post onset of stroke;
Exclusion Criteria
  • Mini-Mental State Examination;
  • no excessive spasticity in any joints of the affected.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
With restraintspecific training of paretic upper limbThe group with restraint underwent specific training of paretic upper limb and use of restraint.
no restraintspecific training of paretic upper limbThe group control "without restraint" submitted only to the specific training of paretic upper limb
Primary Outcome Measures
NameTimeMethod
To investigate the impact that the restriction of non-paretic upper limb recovery would have on sensorimotor with Fugl-Meyer Scale1 year

Upper extremity motor impairment was evaluated using the Fugl-Meyer Assessment Scale (FM).This scale has a total score of 66 points for upper limbs, reflecting a mild motor impairment (≥ 50), moderate to severe (50-20) and severe (\< 20).

Secondary Outcome Measures
NameTimeMethod
Functional Independence Measure (FIM)1 year

The FIM consists of 18 items divided into 6 subscales measuring self-care, sphincter control, transfer, locomotion, communication, and social cognition ability. Each item is rated from 1 to 7 based on the required level of assistance to perform the basic ADL (maximum score, 126). Higher scores demonstrate greater independent participation in daily activities.

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