This site became the new on June 19th. Learn more.
Show more Menu IMPORTANT: Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu IMPORTANT: Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu
Give us feedback

The Effect of Additional Arm Therapy on Arm Function After Stroke

This study has been completed.
Heart and Stroke Foundation of Canada
Information provided by (Responsible Party):
Janice Eng, University of British Columbia Identifier:
First received: July 28, 2006
Last updated: May 8, 2017
Last verified: May 2017

This study would focus on a new method of adding extra arm exercise to the usual therapy delivered in the hospital. We propose to design an exercise program for the affected arm and hand that would be given to the client as homework and done in the client's hospital room. The program would be designed and monitored by a therapist that works in the hospital.

We believe that this program will: 1) increase arm and hand recovery over usual care received in the hospital, 2) help people make the move from therapist run exercise to self management of exercise, and 3) promote family involvement in therapy.

Condition Intervention
Stroke Behavioral: Education manual Behavioral: An inpatient homework based exercise program for the upper limb post stroke

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Other
Official Title: The Effect of a Supplementary Exercise Program for Upper Extremity Function in Stroke Rehabilitation

Resource links provided by NLM:

Further study details as provided by Janice Eng, University of British Columbia:

Primary Outcome Measures:
  • The primary outcome is the ability to use the paretic arm in activities of daily living. This outcome will be measured pre and post program. [ Time Frame: Unspecified ]

Secondary Outcome Measures:
  • Secondary outcomes include amount of use and quality of movement of the paretic arm, motor recovery, strength, tone, and health related quality of life. Each of these measures will be evaluated pre and post program. [ Time Frame: Unspecified ]

Enrollment: 120
Study Start Date: July 2006
Study Completion Date: December 2008
Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1 Behavioral: Education manual
The control arm was given education on stroke, the affected arm post strooke, bone health, and healthy living. This information was given in a booklet format and administered once weekly by the site coordinator.
Experimental: 2 Behavioral: An inpatient homework based exercise program for the upper limb post stroke

The experimental arm was given arm exercises graded based on motor impairment and administered by the site coordinator. The exercises were given in a booklet with written and photographic instructions. These exercises were monitored on a twice-weekly basis.

The intervention was to be completed once daily for 45 minutes, 5 days per week, and supervised by the site coordinator. Exercises consisted of range of motion, strengthening, and use of the arm in daily activites such as buttoning, pouring and throwing.

Detailed Description:
In total 250 participants admitted for stroke rehabilitation at 4 BC sites will be randomly assigned to either the experimental or the control group. The extra arm and hand exercise program (experimental group) will receive usual therapy plus 60 minutes per day of additional arm exercises. This program will last for 4 weeks while the participant is in the hospital. The arm and hand program will include muscle strengthening and stretching, repetitive reaching, folding, stacking, pushing and pulling tasks, picking up objects, and activities that use speed and accuracy. The family will be encouraged to participate in the program with the participant. The control group will receive usual therapy only.

Ages Eligible for Study:   19 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. 19 years of age or older
  2. arm recovery as a rehabilitation goal
  3. have palpatable movement of wrist extension
  4. able to follow 3 step verabal commands

Exclusion Criteria:

  1. unstable cardiovascular status (congestive heart failure, uncontrolled hypertension, uncontrolled atrial fibrillation, or left ventricular failure),
  2. significant musculo-skeletal problems (e.g., rheumatoid arthritis) or neurological conditions (e.g., Parkinson's disease) due to conditions other than stroke,
  3. receptive aphasia
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00359255

Canada, British Columbia
Kelowna General Hospital
Kelowna, British Columbia, Canada
GF Strong Rehab Center
Vancouver, British Columbia, Canada
Holy Family Hospital
Vancouver, British Columbia, Canada
Victoria General Hospital
Victoria, British Columbia, Canada
Sponsors and Collaborators
University of British Columbia
Heart and Stroke Foundation of Canada
Principal Investigator: Janice Eng, Ph.D The University of British Columbia
  More Information

Responsible Party: Janice Eng, Principal Investigator, University of British Columbia Identifier: NCT00359255     History of Changes
Other Study ID Numbers: C05-0680
Study First Received: July 28, 2006
Last Updated: May 8, 2017

Keywords provided by Janice Eng, University of British Columbia:
upper limb
activities of daily living

Additional relevant MeSH terms:
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases processed this record on August 18, 2017