Exploring New Approaches in Reaching Behavior Post Stroke

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Behavioral: stabilization training; Behavioral: auditory training group

• Registration Number: NCT00844870
• Lead Sponsor: University of the Sciences in Philadelphia

Brief Summary

After 4 weeks of training the hypothesis that the more natural training program would yield greater functional changes was proven correct.

Detailed Description

Analysis indicated that both methods improved reaching without trunk use Reaching performance scale (RPS), but the trunk -stabilized group led to more significant changes. Training under less restrictive conditions associated with Task-Related Training (TRT) (auditory feedback from trunk sensor) as compared to stabilized TRT, led to improved functional and impairment measure scores (WMFT, FM and shoulder flexion). Conclusion: Fading feedback with both training methods, during extended TRT reaching/grasping practice generally led to some improvements. However, as demonstrated by impairment and functional outcome measures, using TRT with an auditory feedback signals is a more effective approach than forcing the stabilization of the trunk during rehabilitation of the upper-limb.

Study Timeline

• Study Start: 2007-04
• Primary Completion: 2008-08
• Study Completion: 2008-09
• Status Verified: 2009-02
• Study First Submitted: 2009-02-13
• Study First Submitted QC: 2009-02-13
• Last Update Submitted: 2009-02-13
• Study First Posted: 2009-02-16
• Last Update Posted: 2009-02-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• Individuals all scored between 20 and 44 on the Upper-Arm subsection of the Fugl-Meyer Scale (FM- Poole & Whitney, 1988) and demonstrated some trunk movement during the pretest reaching performance scale measures (RPS, Levin 2006)

Exclusion Criteria

• Individuals were referred if they had no receptive aphasia, apraxia or other cognitive deficits.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
1	stabilization training	stabilization training group
2	auditory training group	auditory response training group

Primary Outcome Measures

Name	Time	Method
WMFT	1 year

Secondary Outcome Measures

Name	Time	Method
FM and shoulder flexion	1 year