Status:
COMPLETED
Constraint-Induced Therapy Modified for Rehabilitating Arm Function in Stroke Survivors w/Plegic Hands
Lead Sponsor:
University of Alabama at Birmingham
Conditions:
Chronic Stroke Survivors With Plegic Hand
Eligibility:
All Genders
19+ years
Phase:
PHASE1
PHASE2
Brief Summary
The purpose of this study is to compare modified CI therapy for strokes survivors with very limited function to an alternative package of conventional physical rehabilitation techniques
Detailed Description
Constraint-Induced Movement therapy or CI therapy is a rehabilitation method, based on behavioral neuroscience studies of deafferented monkeys, that has been shown in controlled studies to produce lar...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- 1a. The ability to initiate extension against gravity at the wrist or at least one digit and initiate extension and flexion at the elbow.
- 1b. No active movement required for the wrist, fingers or thumb. At least 20° active extension required at elbow.
- 2\. Actively move the shoulder at least 30 degrees in flexion, abduction, or scaption 3. Score less than 4 on the Modified Ashworth Scale for all impaired joints 4. Passive range of motion criteria \> or equal to 90° shoulder flexion, \> or equal to 90° shoulder abduction, \> or equal to 45° shoulder external rotation, \< or equal to 30° short of normal elbow extension, forearm supination to at least neutral, forearm pronation 45° or more from neutral, \< equal to 35° short of normal wrist extension, and \< equal to 35° short of normal metacarpophalangeal extension on all the digits.
- Other Exclusion Criteria. Among the principal exclusion criteria are:
- Less than 6 months post-stroke.
- Motor problems that are not primarily unilateral.
- Other neurological or musculoskeletal conditions, including excessive pain, affecting UE function.
- Insufficient stamina or serious uncontrolled medical problems.
- Serious cognitive deficits including inadequate ability to follow test instructions.
- Less than 19 years old. Grade 4 MMC for wrist, thumb, fingers; i.e., individuals who can actively extend the wrist \> or equal to 10°, abduct the thumb or equal to 10°, and initiate extension of at least two additional digits will be excluded.
Exclusion
Key Trial Info
Start Date :
October 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 1 2009
Estimated Enrollment :
21 Patients enrolled
Trial Details
Trial ID
NCT00366210
Start Date
October 1 2005
End Date
September 1 2009
Last Update
December 25 2014
Active Locations (1)
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1
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294