Exploring New Approaches in Reaching Behavior Post Stroke

Completed

Phase N/A Results N/A

Trial Description

After 4 weeks of training the hypothesis that the more natural training program would yield greater functional changes was proven correct.

Detailed Description

Analysis indicated that both methods improved reaching without trunk use Reaching performance scale (RPS), but the trunk -stabilized group led to more significant changes. Training under less restrictive conditions associated with Task-Related Training (TRT) (auditory feedback from trunk sensor) as compared to stabilized TRT, led to improved functional and impairment measure scores (WMFT, FM and shoulder flexion). Conclusion: Fading feedback with both training methods, during extended TRT reaching/grasping practice generally led to some improvements. However, as demonstrated by impairment and functional outcome measures, using TRT with an auditory feedback signals is a more effective approach than forcing the stabilization of the trunk during rehabilitation of the upper-limb.

Conditions

Interventions

  • Stabilization training Behavioral
    Intervention Desc: training of arm function with the trunk stabilized
    ARM 1: Kind: Experimental
    Label: 1
    Description: stabilization training group
  • Auditory training group Behavioral
    Intervention Desc: response to an auditory signal
    ARM 1: Kind: Experimental
    Label: 2
    Description: auditory response training group

Trial Design

  • Allocation: Randomized
  • Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
  • Purpose: Treatment
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary WMFT 1 year No
Secondary FM and shoulder flexion 1 year No

Sponsors