Status:

ACTIVE_NOT_RECRUITING

Progressive Abduction Loading Therapy

Lead Sponsor:

Northwestern University

Collaborating Sponsors:

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Shirley Ryan AbilityLab

Conditions:

Stroke, Acute

Eligibility:

All Genders

18-85 years

Phase:

NA

Brief Summary

This study attempts to minimize the development of a common movement impairment following stroke known as "flexion synergy" that makes it extremely difficult to reach outward with the arm. Participant...

Detailed Description

Eighty-six individuals with acute (admission to in-patient rehabilitation) severe hemiparetic stroke (Chedoke McMaster Stroke Assessment arm score of Stage 2 or 3 out of 7) will participate in this st...

Eligibility Criteria

Inclusion

  • Hemiparesis confined to one side, (CMSA Stage 2 or 3 out of 7)
  • Stroke impacting parenchyma of the middle cerebral artery distribution
  • Within 90 days post-stroke
  • 18 to 85 years old
  • No or Mild-to-moderate Aphasia (NIHSS #9 Best Language. = 0 or 1- Describe picture; No or Mild-to-moderate Aphasia)
  • No or Mild extinction and inattention (NIHSS 11 Extinction and Inattention. = 0 or 1- No abnormality or Inattention to one modality.)
  • Ability to perform a 3-step motor command with the unaffected arm
  • Capacity to provide informed consent

Exclusion

  • Premorbid and persistent disability or motor impairment of the upper extremities
  • Brainstem and/or cerebellar lesion
  • Comorbidity medically contraindicating motor assessments
  • Any other chronic neurological condition
  • Pain or hypersensitivity limiting motor assessments
  • Limb edema limiting study motor assessments

Key Trial Info

Start Date :

August 27 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 31 2026

Estimated Enrollment :

86 Patients enrolled

Trial Details

Trial ID

NCT04118998

Start Date

August 27 2021

End Date

August 31 2026

Last Update

October 8 2025

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Department of Physical Therapy and Human Movement Sciences

Chicago, Illinois, United States, 60611

2

Shirley Ryan AbilityLab

Chicago, Illinois, United States, 60611

3

Northwestern Medicine Marianjoy Rehabilitation Hospital

Wheaton, Illinois, United States, 60187