Visual Feedback Therapy for Treating Individuals With Hemiparesis Following Stroke

Albert Einstein Healthcare Network72 enrolled

Overview

The purpose of the study is to determine whether an existing treatment for problems that participants have with making movements after a stroke can be performed at home.

This study will compare two forms of home-based treatment for post-stroke problems making movements with the arms and hands. After initial pre-treatment assessments, participants will complete 4 weeks of treatment, with assessments after each week of treatment and 3 months after the completion of treatment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Hemiparesis Stroke

Interventions

Mirror therapyBEHAVIORAL

A home-based therapy involving mirrored visual feedback

Divider therapyBEHAVIORAL

A home-based therapy involving removed visual feedback.

Eligibility

Sex: ALLMin age: 21 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 6 months or more post-stroke * upper extremity Fugl-Meyer score between 10 and 50 * no longer participating in upper-extremity physical or occupational therapy * sufficient comprehension ability to understand instructions Exclusion Criteria: * previous head trauma, psychiatric illness or chronic exposure to medications that might be expected to have lasting consequences for the central nervous system (e.g., haloperidol, dopaminergics) * dementia

Locations (1)

Einstein Medical Center Elkins Park

Elkins Park, Pennsylvania, United States

Outcomes

Primary Outcomes

Upper Extremity Fugl-Meyer

This test measures impairment-level ability to move the arm and hand. Scores range from 0 to 66, with higher scores indicating greater ability to move the arm and hand.

Time frame: Immediately after 1 month of treatment

Action Research Arm Test

The test measures the ability to complete simulated everyday tasks with the arm. Scores range from 0 to 54, with higher scores indicating better performance.

Time frame: 1 month

Rivermead Assessment of Somatosensory Performance

This test measures the integrity of sensory perception of the arm. The score is the proportion of items answered correctly, and ranges from 0 to 1 with higher scores indicating better performance.

Time frame: 1 month

Virtual-reality Assessment of Navigation

This test measures the ability to detect lateralized attention problems in a simulated navigation test. Evidence for lateralized attentional problems was defined as a 20% difference in item detection between the left and right side.

Time frame: 1 month

Secondary Outcomes

Stroke Impact Scale

This test measures the self-reported ability to complete everyday tasks with the arm. Total scores for all items are reported. The scale ranged from 0 to 300, with higher scores indicating higher self-reported ability.

Time frame: 1 month

Wolf Motor Function Test

The test measures the ability to completed simulated everyday tasks with the arm. The scale ranged from 0 to 75, with higher scores indicating better performance.

Time frame: 1 months

Data from ClinicalTrials.gov

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