This study will examine the feasibility and effect of a program that combines exercise and feedback from a wearable device on upper limb movement practice and function in individuals with stroke.
Participants will be randomized into either the Immediate Treatment Group or the Delayed Treatment group. Both groups will complete the same intervention program. The Immediate treatment group will start the program right away while the Delayed Treatment group will start the program after a 3 week delay. The intervention program is 3 weeks in duration and consists of participants completing at least two hours of exercises (adapted from the Home-GRASP program) daily and wearing an activity monitor on their affected wrist during waking hours for the duration of the intervention. Participants will be asked to meet daily movement count goals based on information from the monitor. Participants will have 6 virtual sessions with a therapist who will teach and monitor exercises thru an online platform (Zoom Video Communications), work with participants to generate and progress daily movement goals and discuss barriers and potential solutions to exercise adherence and/or meeting movement goals.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
62
The intervention involves a combination of daily homework based upper limb exercises and feedback from an activity monitor to motivate use of the affected upper limb. Participants will be supported through virtual sessions with a therapist.
University of Calgary
Calgary, Alberta, Canada
GF Strong Rehab Centre
Vancouver, British Columbia, Canada
Riverview Health Centre
Winnipeg, Manitoba, Canada
Dalhousie University
Halifax, Nova Scotia, Canada
Parkwood Institute
London, Ontario, Canada
Toronto Rehabilitation Institute - University Health Network
Toronto, Ontario, Canada
Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada
Hand counts captured using an activity monitor
Participants wear the activity monitor on stroke affected arm during waking hours for 3 consecutive days
Time frame: Post intervention (immediately following 3 weeks of intervention)
ArmCAM (Arm Capacity and Movement Test)
The online upper extremity functional assessment consists of 10 items that measure gross movements, supported reach, functional reach and grasp movements, functional wrist movement, and fine motor skills.
Time frame: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Stroke Impact Scale - hand and strength scales
Evaluate how stroke has impacted health and life
Time frame: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Hand count measured during the intervention sessions
Daily hand count data captured using activity monitor on the stroke affected arm during intervention period
Time frame: Daily counts within 3 week intervention
REACH Scale
A self-report measure for individuals with stroke that captures how the affected arm and hand is being used outside of the clinical setting.
Time frame: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Hand counts captured using an activity monitor
Participants wear the activity monitor on stroke affected arm during waking hours for 3 consecutive days
Time frame: Follow up (two months after completion of intervention)
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