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The Effect of Additional Arm Therapy on Arm Function After Stroke

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00359255
Recruitment Status : Completed
First Posted : August 1, 2006
Last Update Posted : May 10, 2017
Heart and Stroke Foundation of Canada
Information provided by (Responsible Party):
Janice Eng, University of British Columbia

Brief Summary:

This study would focus on a new method of adding extra arm exercise to the usual therapy delivered in the hospital. We propose to design an exercise program for the affected arm and hand that would be given to the client as homework and done in the client's hospital room. The program would be designed and monitored by a therapist that works in the hospital.

We believe that this program will: 1) increase arm and hand recovery over usual care received in the hospital, 2) help people make the move from therapist run exercise to self management of exercise, and 3) promote family involvement in therapy.

Condition or disease Intervention/treatment Phase
Stroke Behavioral: Education manual Behavioral: An inpatient homework based exercise program for the upper limb post stroke Not Applicable

Detailed Description:
In total 250 participants admitted for stroke rehabilitation at 4 BC sites will be randomly assigned to either the experimental or the control group. The extra arm and hand exercise program (experimental group) will receive usual therapy plus 60 minutes per day of additional arm exercises. This program will last for 4 weeks while the participant is in the hospital. The arm and hand program will include muscle strengthening and stretching, repetitive reaching, folding, stacking, pushing and pulling tasks, picking up objects, and activities that use speed and accuracy. The family will be encouraged to participate in the program with the participant. The control group will receive usual therapy only.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 120 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Other
Official Title: The Effect of a Supplementary Exercise Program for Upper Extremity Function in Stroke Rehabilitation
Study Start Date : July 2006
Actual Primary Completion Date : December 2008
Actual Study Completion Date : December 2008

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: 1 Behavioral: Education manual
The control arm was given education on stroke, the affected arm post strooke, bone health, and healthy living. This information was given in a booklet format and administered once weekly by the site coordinator.

Experimental: 2 Behavioral: An inpatient homework based exercise program for the upper limb post stroke

The experimental arm was given arm exercises graded based on motor impairment and administered by the site coordinator. The exercises were given in a booklet with written and photographic instructions. These exercises were monitored on a twice-weekly basis.

The intervention was to be completed once daily for 45 minutes, 5 days per week, and supervised by the site coordinator. Exercises consisted of range of motion, strengthening, and use of the arm in daily activites such as buttoning, pouring and throwing.

Primary Outcome Measures :
  1. The primary outcome is the ability to use the paretic arm in activities of daily living. This outcome will be measured pre and post program.

Secondary Outcome Measures :
  1. Secondary outcomes include amount of use and quality of movement of the paretic arm, motor recovery, strength, tone, and health related quality of life. Each of these measures will be evaluated pre and post program.

Information from the National Library of Medicine

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Ages Eligible for Study:   19 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. 19 years of age or older
  2. arm recovery as a rehabilitation goal
  3. have palpatable movement of wrist extension
  4. able to follow 3 step verabal commands

Exclusion Criteria:

  1. unstable cardiovascular status (congestive heart failure, uncontrolled hypertension, uncontrolled atrial fibrillation, or left ventricular failure),
  2. significant musculo-skeletal problems (e.g., rheumatoid arthritis) or neurological conditions (e.g., Parkinson's disease) due to conditions other than stroke,
  3. receptive aphasia

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 identifier (NCT number): NCT00359255

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Canada, British Columbia
Kelowna General Hospital
Kelowna, British Columbia, Canada
GF Strong Rehab Center
Vancouver, British Columbia, Canada
Holy Family Hospital
Vancouver, British Columbia, Canada
Victoria General Hospital
Victoria, British Columbia, Canada
Sponsors and Collaborators
University of British Columbia
Heart and Stroke Foundation of Canada
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Principal Investigator: Janice Eng, Ph.D The University of British Columbia
Publications of Results:
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Responsible Party: Janice Eng, Principal Investigator, University of British Columbia Identifier: NCT00359255    
Other Study ID Numbers: C05-0680
First Posted: August 1, 2006    Key Record Dates
Last Update Posted: May 10, 2017
Last Verified: May 2017
Keywords provided by Janice Eng, University of British Columbia:
upper limb
activities of daily living
Additional relevant MeSH terms:
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Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases