A Pilot Study of Neuro Hand Orthosis Program In Stroke Upper Limb Rehabilitation (NHOP)
Recruitment status was: Recruiting
|Paralytic Stroke||Other: Conventional upper limb stroke rehabilitation Device: Neuro Hand Orthosis Program (NHOP)|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||A Pilot Study of Neuro Hand Orthosis Program: A Promising Restorative Therapy Treatment for the Severe Paralytic Arm in Subacute Stroke Rehabilitation|
- Action Research Arm Test (ARAT) [ Time Frame: week 4 , week 10 , 6 months and 12 months ]
- Motricity Index [ Time Frame: week 4 , week 10 , 6 months and 12 months ]
- Motor Activity Log (MAL) [ Time Frame: At admission, week 4 , week 10 , 6 months and 12 months ]
- Modified Ashworth Scale for grading Spasticity [ Time Frame: At admission, week 4 , week 10 , 6 months and 12 months ]
- Shoulder pain at admission [ Time Frame: At admission, week 4 , week 10 , 6 months and 12 months ]
|Study Start Date:||March 2008|
|Estimated Study Completion Date:||July 2010|
|Estimated Primary Completion Date:||January 2009 (Final data collection date for primary outcome measure)|
Conventional stroke upper limb rehabilitation is given
Other: Conventional upper limb stroke rehabilitation
Patient will be given a ten weeks conventional upper limb therapy. 3 sessions will be provided weekly in the first 4 weeks and 2 therapy sessions will be provided weekly in the subsequent 6 weeks. Patients will receive half an hour of conventional therapy in each session.
Patient will be taught to carry out two and half hours conventional self practice exercise daily for a period of ten weeks.
Active Comparator: B
Neuro Hand Orthosis Program is given
Device: Neuro Hand Orthosis Program (NHOP)
The NHO is based on a design of dynamic hand orthosis for orthopaedic patients after hand surgery. We use it to support CVA patient's wrist and finger to perform grasping to transport an object (ball) from place to place to achieve the follows;
The intervention (NHOP) group will receive same treatment intensity as the control group but with a "Neuro Hand Orthosis".
The neuro hand orthosis is based on a design of dynamic hand orthosis for orthopaedic patients. We attempt to apply such an orthosis on stroke patients to aid in regaining movement from severe paralytic arm by helping the patients to support their wrist and finger in a functional position for grasping. The patient is then encouraged to produce voluntary movement from the severe paralytic arm to transport an object (ball) from place to place either in sitting or standing position.
Since intensive arm usage is associated with neuro reorganisation, we propose designing a program with the neuro hand to encourage usage of the paralysed hand and help overcome the barriers of poor motivation and lack of arm usage through self practice program.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00646347
|Contact: Gribson Yu Chun Chan, Master||65632281 ext firstname.lastname@example.org|
|St Luke's Hospital (Singapore)||Recruiting|
|Singapore, 2 Bukit Batok, Street11, Singapore, 659674|
|Contact: Gribson Chan Yu Chun, Master 689532281 ext 237 email@example.com|
|Principal Investigator: Gribson Chan Yu Chun, Master|
|Principal Investigator:||Gribson Yu Chun Chan, Master||St Luke's Hospital, Singapore|