Task-oriented Training of Arm Function in Standing After Stroke: a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Sessions Completed
研究概览
简要总结
This study will examine the feasibility of providing task-oriented arm training in standing or during walking in individuals with movement deficits due to stroke. Participants will received 24 sessions of arm training in standing over an 8-week period that focus on arm and hand function.
详细描述
Residual motor deficits are common after stroke and often have a negative impact on the performance of functional activities and overall quality of life. A frequently reported contribution to these functional limitations is an inability to incorporate the weaker arm and hand into daily activities. While rehabilitation interventions can improve arm functional capacity, these improvements often do not translate into increased real-world arm use which is often reduced after stroke.
The performance of skilled arm and hand movements in standing requires precise coordination between upper extremity movement and balance control. Many everyday functional tasks that require the arm are performed in standing (e.g. opening a door or meal preparation at the kitchen counter), however, training of arm function in rehabilitation is often done in sitting. An important rehabilitation approach may be to create a training environment that resembles the way the arm is used in everyday life (i.e. standing). This study will examine the feasibility of providing task-oriented, functional arm training in standing and during walking in individuals with motor deficits due to stroke.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •At least 18 years old
- •Had a stroke at least 6 months prior to enrollment
- •Show evidence of continued arm and hand weakness
- •Have some ability to move the arm and hand that is weaker from the stroke
- •Be able to stand with minimal assistance or less without support of the weaker arm for at least 2 minutes
- •Be able to follow two-step commands.
排除标准
- •Acute medical issues that would interfere with participation
- •Another neurologic diagnosis that may impact movement (e.g. Parkinson's Disease)
- •Severe apraxia or hemispatial neglect
- •Pain that interferes with arm movement or standing
研究组 & 干预措施
Arm Training in Standing
Task-oriented, functional arm training completed in standing or during walking. All participants receive the same arm training intervention.
干预措施: Arm training in standing (Behavioral)
结局指标
主要结局
Sessions Completed
时间窗: 8 weeks
Total number of treatment sessions completed
Fatigue
时间窗: 8 weeks
Mean change in self-reported fatigue from the start to the end of each intervention session
Treatment intensity
时间窗: 8 weeks
Total number of arm repetitions per session and the percent of arm repetitions completed in standing or walking
Action Research Arm Test
时间窗: Change from Baseline to 8 weeks
Clinical measure of arm and hand function
Arm Use Measured with Accelerometers
时间窗: Change from Baseline to 8 weeks
Arm use measured during a typical day using accelerometers worn on the wrist
次要结局
- Box & Blocks Test(Change from Baseline to 8 weeks)
- Upper Extremity Fugl-Meyer(Change from Baseline to 8 weeks)
- Nine-Hole Peg Test(Change from Baseline to 8 weeks)
- Stroke Impact Scale Hand Domain Subscale(Change from Baseline to 8 weeks)
- Activities Specific Balance Confidence Scale(Change from Baseline to 8 weeks)
- Timed Up and Go(Change from Baseline to 8 weeks)
研究者
Jill Stewart, PT, PhD
Assistant Professor
University of South Carolina