NCT01658293

Brief Summary

Sensory and/or motor deficits in upper limb following stroke often have negative impacts on their daily living. Thermal stimulation with hot and cold pack alternatively incorporated into conventional rehabilitation has been reported and proved to be effective for upper limb functional recovery after stroke. However, whether hot- and cold-water stimulation alternatively based on thermal stimulation also has the effect still remains unknown. The aim of present study is to investigate the facilitated effect of hot and cold water stimulation alternatively on upper limb after stroke.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P50-P75 for not_applicable stroke

Timeline
Completed

Started Aug 2012

Typical duration for not_applicable stroke

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 1, 2012

Completed
Same day until next milestone

Study Start

First participant enrolled

August 1, 2012

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 7, 2012

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2014

Completed
Last Updated

January 26, 2022

Status Verified

January 1, 2022

Enrollment Period

2.4 years

First QC Date

August 1, 2012

Last Update Submit

January 25, 2022

Conditions

Keywords

strokefollow upupper limbrehabilitation

Outcome Measures

Primary Outcomes (2)

  • Fugl-Meyer Assessment Scale for stroke upper limb recovery

    The investigators will use the Fugl-Meyer Assessment Scale as the primary outcome measures in this study evaluating at baseline before TS and six weeks after TS, then at 3, 6 and 12 months for follow-up.

    one year

  • motricity index

    The investigators will use the motricity index as the primary outcome measures in this study evaluating at baseline before TS and six weeks after TS, then at 3, 6 and 12 months for follow-up.

    one year

Secondary Outcomes (3)

  • Semmes-Weinstein monofilaments for sensory functions

    one year

  • the modified motor assessment scale

    one year

  • Barthel index

    one year

Study Arms (2)

thermal stimulation

EXPERIMENTAL

The experimental group receiving heat and cold-water stimulation, 30 minutes a session, five sessions a week for six weeks.

Behavioral: thermal stimulation

control group

ACTIVE COMPARATOR

The control group receiving the similar intensity of ergometer exercise as the experimental group.

Behavioral: control group ergometer exercises

Interventions

The heat and cold-water will be added to the thermal group for 30-40minutes a session daily,five sessions a week for six weeks.

thermal stimulation

The control group will be given ergometer exercises with the similar duration as experimental group.

control group

Eligibility Criteria

Age30 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • a first-time ischemic or hemorrhagic stroke.
  • no severe diabetes or peripheral vascular disease causing sensory deficits.
  • no cognition problem and follow directions indicated by therapist during experiment.
  • motor deficit of the upper limb under (including) Brunnstrom stage IV, either in the arm or hand.

You may not qualify if:

  • a cardiac disease or orthopedic problem history,
  • medically unstable such as experienced unstable angina, uncontrolled hypertension according to the treating physician, psychological history before stroke.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Tzu Chi Buddhist General Hospital

Hualien City, 970, Taiwan

Location

Related Publications (1)

  • Chiu YT, Liang CC, Yu Cheng H, Lin CH, Chen JC. Alternating Hot-Cold Water Immersion Facilitates Motor Function Recovery in the Paretic Upper Limb After Stroke: A Pilot Randomized Controlled Trial. Arch Phys Med Rehabil. 2024 Sep;105(9):1642-1648. doi: 10.1016/j.apmr.2024.05.008. Epub 2024 May 10.

MeSH Terms

Conditions

StrokeParesis

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Jia-Ching Chen, master

    Tzu Chi Buddhist General Hospital, Hualien, Taiwan

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Department of Rehabilitation Medicine

Study Record Dates

First Submitted

August 1, 2012

First Posted

August 7, 2012

Study Start

August 1, 2012

Primary Completion

December 31, 2014

Study Completion

December 31, 2014

Last Updated

January 26, 2022

Record last verified: 2022-01

Locations