Constraint-Induced Therapy Modified for Rehabilitating Arm Function in Stroke Survivors w/Plegic Hands
Chronic Stroke Survivors With Plegic Hand
About this trial
This is an interventional treatment trial for Chronic Stroke Survivors With Plegic Hand focused on measuring stroke, rehabilitation, physical therapy, occupational therapy, arm
Eligibility Criteria
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.
Sites / Locations
- University of Alabama at Birmingham
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Placebo Comparator
No Intervention
Expanded CI therapy
Placebo Control
Usual & Customary Care Control
3.5 hours of training for the more-affected arm set in the laboratory for 15 consecutive weekdays
Stretching, movement exercises, and EMG biofeedback for the same duration as the experimental intervention.
Treatments available to participants as part of their regular medical care, such as conventional physical or occupational therapy. For some participants, this would involve no treatment, since all participants were more than one year post stroke.f standard clinical care.