The Effect of Additional Arm Therapy on Arm Function After Stroke
The Effect of a Supplementary Exercise Program for Upper Extremity Function in Stroke Rehabilitation
2 other identifiers
interventional
120
1 country
4
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable stroke
Started Jul 2006
Typical duration for not_applicable stroke
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2006
CompletedFirst Submitted
Initial submission to the registry
July 28, 2006
CompletedFirst Posted
Study publicly available on registry
August 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedMay 10, 2017
May 1, 2017
2.4 years
July 28, 2006
May 8, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (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 Outcomes (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.
Study Arms (2)
1
ACTIVE COMPARATOR2
EXPERIMENTALInterventions
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.
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.
Eligibility Criteria
You may qualify if:
- years of age or older
- arm recovery as a rehabilitation goal
- have palpatable movement of wrist extension
- able to follow 3 step verabal commands
You may not qualify if:
- unstable cardiovascular status (congestive heart failure, uncontrolled hypertension, uncontrolled atrial fibrillation, or left ventricular failure),
- significant musculo-skeletal problems (e.g., rheumatoid arthritis) or neurological conditions (e.g., Parkinson's disease) due to conditions other than stroke,
- receptive aphasia
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
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
Related Publications (1)
Harris JE, Eng JJ, Miller WC, Dawson AS. A self-administered Graded Repetitive Arm Supplementary Program (GRASP) improves arm function during inpatient stroke rehabilitation: a multi-site randomized controlled trial. Stroke. 2009 Jun;40(6):2123-8. doi: 10.1161/STROKEAHA.108.544585. Epub 2009 Apr 9.
PMID: 19359633RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Janice Eng, Ph.D
The University of British Columbia
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
July 28, 2006
First Posted
August 1, 2006
Study Start
July 1, 2006
Primary Completion
December 1, 2008
Study Completion
December 1, 2008
Last Updated
May 10, 2017
Record last verified: 2017-05