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.
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Arm training will be provided in one hour sessions, 3 time per week for 8 weeks. In each session, you will practice functional tasks with your weaker arm and hand in standing or during walking. Practice will be scaled to match your current level of function and progressed over time as able.
University of South Carolina
Columbia, South Carolina, United States
Sessions Completed
Total number of treatment sessions completed
Time frame: 8 weeks
Fatigue
Mean change in self-reported fatigue from the start to the end of each intervention session
Time frame: 8 weeks
Treatment intensity
Total number of arm repetitions per session and the percent of arm repetitions completed in standing or walking
Time frame: 8 weeks
Action Research Arm Test
Clinical measure of arm and hand function
Time frame: Change from Baseline to 8 weeks
Arm Use Measured with Accelerometers
Arm use measured during a typical day using accelerometers worn on the wrist
Time frame: Change from Baseline to 8 weeks
Upper Extremity Fugl-Meyer
Clinical Measure of arm and hand impairment
Time frame: Change from Baseline to 8 weeks
Box & Blocks Test
Clinical measure of hand function
Time frame: Change from Baseline to 8 weeks
Nine-Hole Peg Test
Clinical measure of hand dexterity
Time frame: Change from Baseline to 8 weeks
Stroke Impact Scale Hand Domain Subscale
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Patient-reported measure of hand related quality-of-life. Score ranges from 0 to 100 with higher being better.
Time frame: Change from Baseline to 8 weeks
Timed Up and Go
Clinical measure of mobility and balance
Time frame: Change from Baseline to 8 weeks
Activities Specific Balance Confidence Scale
Patient-reported measure of balance confidence. Score ranges from 0 to 100 with higher being better
Time frame: Change from Baseline to 8 weeks