The Effect of Electrical Stimulation Post Botulinum Toxin Injections on Functional Use of the Hemiparetic Upper Extremity
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Texas Woman's University
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Chedoke-McMaster Stroke Assessment Measure- Arm and Hand Recovery Stage
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this study is to investigate the effectiveness of using electrical stimulation to improve upper extremity function in stroke survivors who receive botulinum toxin injections for spasticity. We hypothesize that individuals who receive the electrical stimulation could demonstrate improved benefit of the botulinum toxin injections and improved functional use of their weaker upper extremity.
Detailed Description
This is a pragmatic investigation that will utilize a two group comparison to compare electrical stimulation to a sham stimulation in individuals who are scheduled to receive botulinum toxin injections to their upper extremity for spasticity management. The electrical stimulation will be to the antagonist muscles of the injected muscles of the upper extremity and will be administered for 4 weeks post injections.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of stroke, within first 6 months post stroke, have not previously received botulinum toxin injections for upper extremity spasticity, hemiplegic upper extremtity, able to communicate in English.
Exclusion Criteria
- •contraindication for electrical stimulation (presence of implanted cardiac or other medical device, open wound on the wrist or hand, malignancy), fixed contracture of the elbow, wrist or hand, inability to follow simple directions, pregnancy.
Outcomes
Primary Outcomes
Chedoke-McMaster Stroke Assessment Measure- Arm and Hand Recovery Stage
Time Frame: Baseline, 1 month and 6 months after injections
Impairment level assessment to measure changes in active motor control and isolated movement in the upper extremity. The arm and the hand receive a separate score. The score ranges from 1 to 7. A higher score indicates better arm function.
Secondary Outcomes
- Action Research Arm Test(Baseline, 1 month and 6 months)
- Modified Ashworth Scale for the Upper Extremity(Baseline, 1 month and 6 months)
- Motor Activity Log(Baseline, 1 month and 6 months after injections)
- Box and Block Test(Baseline, 1 month and 6 months after injections)
- Numeric Pain Rating Scale(Baseline, 1 month and 6 months)