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Exploring New Approaches in Reaching Behavior Post Stroke

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ClinicalTrials.gov Identifier: NCT00844870
Recruitment Status : Completed
First Posted : February 16, 2009
Last Update Posted : February 16, 2009
Sponsor:
Information provided by:
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.

Condition or disease Intervention/treatment
Stroke Behavioral: stabilization training Behavioral: auditory training group

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 Type : Interventional  (Clinical Trial)
Actual Enrollment : 24 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Training With or Without Upper Body Restraint During Reaching in Individuals Post Stroke
Study Start Date : April 2007
Primary Completion Date : August 2008
Study Completion Date : September 2008

Arm Intervention/treatment
Active Comparator: 1
stabilization training group
Behavioral: stabilization training
training of arm function with the trunk stabilized
Experimental: 2
auditory response training group
Behavioral: auditory training group
response to an auditory signal



Primary Outcome Measures :
  1. WMFT [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. FM and shoulder flexion [ Time Frame: 1 year ]


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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00844870


Sponsors and Collaborators
University of the Sciences in Philadelphia
Investigators
Principal Investigator: Gregory T Thielman, Ed.D University of the Sciences in Philadelphia

Responsible Party: Gregory Thielman, University of The Sciences in Philadelphia
ClinicalTrials.gov Identifier: NCT00844870     History of Changes
Other Study ID Numbers: 06-007
First Posted: February 16, 2009    Key Record Dates
Last Update Posted: February 16, 2009
Last Verified: February 2009

Keywords provided by University of the Sciences in Philadelphia:
rehabilitation, reaching, stroke

Additional relevant MeSH terms:
Stroke
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases