A pilot cross-over RCT including participants with sub-acute stroke is conducted in an inpatient rehabilitation setting. The experimental group (EG) receives an arm-hand boost program on top of their usual care program. The control group (CG) receives a dose-matched program of strengthening exercises for the lower limbs and general reconditioning. After 4 weeks, a cross-over is performed. Before, after 4 weeks and after 8 weeks of additional therapy, different clinical outcome measures for the upper limb are administered.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
20
The arm-hand boost program is provided 1 hour/day, 5x/week for 4 weeks, on top of their usual care program. The focus of the boost program is on scapula-setting, core-stability when reaching, movements with 30-60° flexion/abduction in shoulder, fine manipulation and integration in complex ADL tasks. Additionally, patients exercise 1 hour per week using the Armeo Power (Hocoma). Therefore, the additional arm-hand boost program consists of 24 one-hour sessions, provided over four weeks.
A dose-matched program of strengthening exercises for the lower limbs and general reconditioning
Jessa Hospital, Campus Sint-Ursula
Herk-de-Stad, Belgium
Change from Fugl-Meyer Assessment-Upper Extremity at 4 weeks
UL assessment - Function
Time frame: Between baseline and first 4 weeks of study
Change from Fugl-Meyer Assessment-Upper Extremity at 8 weeks
UL assessment - Function
Time frame: Between baseline and end of study (=8 weeks)
Change from Action Research Arm Test at 4 weeks
UL Assessment - Activities
Time frame: Between baseline and first 4 weeks of study
Change from Action Research Arm Test at 8 weeks
UL Assessment - Activities
Time frame: Between baseline and end of study (=8 weeks)
Change from Jebsen Taylor hand function test at 4 weeks
UL Assessment - Activities
Time frame: Between baseline and first 4 weeks of study
Change from Jebsen Taylor hand function test at 8 weeks
UL Assessment - Activities
Time frame: Between baseline and end of study (=8 weeks)
Change from Rivermead Motor Assessment Arm function at 4 weeks
UL Assessment - Activities
Time frame: Between baseline and first 4 weeks of study
Change from Rivermead Motor Assessment Arm function at 8 weeks
UL Assessment - Activities
Time frame: Between baseline and end of study (=8 weeks)
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Change from Stroke upper limb capacity scale (SULCS) at 4 weeks
UL Assessment - Activities
Time frame: Between baseline and first 4 weeks of study
Change from Stroke upper limb capacity scale (SULCS) at 8 weeks
UL Assessment - Activities
Time frame: Between baseline and end of study (=8 weeks)
Change from Box & Block test at 4 weeks
UL Assessment - Activities
Time frame: Between baseline and first 4 weeks of study
Change from Box & Block test at 8 weeks
UL Assessment - Activities
Time frame: Between baseline and end of study (=8 weeks)