Positioning the Trunk and Upper Limb to Improve the Coordination of the Hand Movement After Stroke

NCT04782141 | Completed

• 1 other identifier: 5/KRN/2020
• Study Type: interventional
• Target: 277
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigated how torso and shoulder positioning can help restore coordinated hand movements in stroke patients.

Conditions

Stroke

Keywords

stroke; motor coordination; grip strength; rehabiliatation; stabilization; positioning

Outcome Measures

Primary Outcomes (13)

• Range of passive movement of the wrist

  The Hand Tutor allows measurements of the range of passive movement of the wrist (in mm).

  up to 10 weeks

• Range of active movement of the wrist

  The Hand Tutor allows measurements of the range of active movement of the wrist (in mm)

  up to 10 week

• Wrist extension deficit (mm). The extension deficit refers to the difference between passive and active ROM.

  The Hand Tutor allows measurements of the extension deficit (in mm)

  up to 10 weeks

• Wrist flexion deficit mm

  The Hand Tutor allows measurements of the flexion deficit (in mm). The flexion deficit refers to the difference between passive and active ROM.

  up to 10 weeks

• Wrist maximum range of motion (ROM), mm

  The Hand Tutor allows measurements of the maximum range of motion (ROM) (in mm), from flexion to extension.

  up to 10 weeks

• Frequency of wrist movement (flexion to extension), cycles#/sec

  The Hand Tutor allows measurements of the speed or frequency (i.e., the number of cycles per sec).

  up to 10 weeks

• Range of passive movement of the fingers

  The Hand Tutor allows measurements of the passive movement of the fingers (in mm)

  up to 10 weeks

• Range of active movement of the fingers

  The Hand Tutor allows measurements of the active movement of the fingers (in mm)

  up to 10 weeks

• Fingers extension deficit mm

  The Hand Tutor allows measurements of the extension deficit (in mm). The extension deficit refers to the difference between passive and active ROM.

  up to 10 weeks

• Fingers flexion deficit mm

  The Hand Tutor allows measurements of the flexion deficit (in mm). The flexion deficit refers to the difference between passive and active ROM.

  up to 10 weeks

• Fingers maximum range of motion (ROM), mm

  The Hand Tutor allows measurements of the maximum range of motion (ROM) (in mm), from flexion to extension of each finger.

  up to 10 weeks

• Frequency of fingers movement (flexion to extension), cycles#/sec

  The Hand Tutor allows measurements of the speed or frequency (i.e., the number of cycles per sec)

  up to 10 weeks

• Assessment of the grip strength

  Grip strength, kg (a manusl electronic dynamometr (EH 101) was used for grip strength

  up to 10 weeks

Study Arms (1)

Positioning the trunk and upper limb to improve the coordination the hand.

EXPERIMENTAL

The study investigated the effects of the trunk and upper limb positioning on improving wrist and hand coordination.

Procedure: hand motor coordination in a sitting positin; Procedure: hand motor coordination in a supine position with the upper extremity positioned perpendicularly to the trunk; Procedure: hand motor coordination in a supine position with adduction in the humeral joint, elbow flexion in the intermediate position

Interventions

hand motor coordination in a sitting positin PROCEDURE

The subject sat on the therapeutic table (without back support), feet resting on the floor. The upper limb was examined in adduction, with the elbow bent in the intermediate position between pronation and supination of the forearm. Wrist and a hand free from stabilization.

Positioning the trunk and upper limb to improve the coordination the hand.

hand motor coordination in a supine position with the upper extremity positioned perpendicularly to the trunk PROCEDURE

motor tasks carried out in starting positions: supine with the upper extremity positioned perpendicularly to the trunk; the upper limb in adduction and flexion in the humeral joint, elbow extension, forearm in the intermediate position; elbow, wrist, hand free from stabilization.

Positioning the trunk and upper limb to improve the coordination the hand.

hand motor coordination in a supine position with adduction in the humeral joint, elbow flexion in the intermediate position PROCEDURE

In the supine position, the upper limb was held beside the subject's body (adduction in the humeral joint, elbow flexion in the intermediate position between pronation and supination of the forearm. Wrist and a hand free from stabilization.

Positioning the trunk and upper limb to improve the coordination the hand.

Eligibility Criteria

• Age: 20 Years - 87 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• Control Group

Sponsors & Collaborators

• Military Institute od Medicine National Research Institute: lead

Study Sites (1)

Military Institute of Medicine

Warsaw, Masovian District, 04-141, Poland

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Anna Olczak, MD

  Rehabilitation Clinic, Military Institute of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD; Senior Specjalit of the Rehabilitation Clinc

Study Record Dates

• First Submitted: March 1, 2021
• First Posted: March 4, 2021
• Study Start: August 5, 2019
• Primary Completion: March 15, 2020
• Study Completion: March 15, 2020
• Last Updated: March 4, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)