A Pilot Study of Neuro Hand Orthosis Program In Stroke Upper Limb Rehabilitation
NCT ID: NCT00646347
Last Updated: 2009-02-05
Study Results
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Basic Information
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UNKNOWN
NA
30 participants
INTERVENTIONAL
2008-03-31
2010-07-31
Brief Summary
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Detailed Description
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Since intensive arm usage is associated with neuro reorganisation, we propose designing a program with the neuro hand to encourage usage of the paralysed hand and help overcome the barriers of poor motivation and lack of arm usage through self practice program.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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A
Conventional stroke upper limb rehabilitation is given
Conventional upper limb stroke rehabilitation
Patient will be given a ten weeks conventional upper limb therapy. 3 sessions will be provided weekly in the first 4 weeks and 2 therapy sessions will be provided weekly in the subsequent 6 weeks. Patients will receive half an hour of conventional therapy in each session.
Patient will be taught to carry out two and half hours conventional self practice exercise daily for a period of ten weeks.
B
Neuro Hand Orthosis Program is given
Neuro Hand Orthosis Program (NHOP)
The NHO is based on a design of dynamic hand orthosis for orthopaedic patients after hand surgery. We use it to support CVA patient's wrist and finger to perform grasping to transport an object (ball) from place to place to achieve the follows;
1. NHO can assist stroke patients to experience successful hand grasping with an object and produce voluntary movement from their paralytic arm. This successful experience will positively reinforce the patient to continue to use their paralytic arm and change the patient's behavior and perception in the arm usage.
2. The NHO Program is able to engage patients to perform their exercises and activities by themselves independently with the effect of intensive therapy.
The intervention (NHOP) group will receive same treatment intensity as the control group but with a "Neuro Hand Orthosis".
Interventions
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Conventional upper limb stroke rehabilitation
Patient will be given a ten weeks conventional upper limb therapy. 3 sessions will be provided weekly in the first 4 weeks and 2 therapy sessions will be provided weekly in the subsequent 6 weeks. Patients will receive half an hour of conventional therapy in each session.
Patient will be taught to carry out two and half hours conventional self practice exercise daily for a period of ten weeks.
Neuro Hand Orthosis Program (NHOP)
The NHO is based on a design of dynamic hand orthosis for orthopaedic patients after hand surgery. We use it to support CVA patient's wrist and finger to perform grasping to transport an object (ball) from place to place to achieve the follows;
1. NHO can assist stroke patients to experience successful hand grasping with an object and produce voluntary movement from their paralytic arm. This successful experience will positively reinforce the patient to continue to use their paralytic arm and change the patient's behavior and perception in the arm usage.
2. The NHO Program is able to engage patients to perform their exercises and activities by themselves independently with the effect of intensive therapy.
The intervention (NHOP) group will receive same treatment intensity as the control group but with a "Neuro Hand Orthosis".
Eligibility Criteria
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Inclusion Criteria
* Right Hemiplegia with right hand dominant
* Able to stand with minimum assistance
* AMT score not lesser then 7/10
* Motricity Index Arm Score \<36/100
Exclusion Criteria
* Pre-existence shoulder or upper limb pain
* Pre-existence moderate or severe hand oedema
* Patients with terminal disease
* Resident of Institution (eg, Nursing home etc prior to admission)
* Pre-existing upper limb disability on affected arm
* Psychiatric problem
50 Years
89 Years
ALL
No
Sponsors
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National Council Of Social Service, Singapore
OTHER
St Luke's Hospital, Singapore
OTHER
Responsible Party
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St Luke's Hosptial
Principal Investigators
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Gribson Yu Chun Chan, Master
Role: PRINCIPAL_INVESTIGATOR
St Luke's Hospital, Singapore
Locations
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St Luke's Hospital (Singapore)
Singapore, 2 Bukit Batok, Street11, Singapore
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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slhdoc02
Identifier Type: -
Identifier Source: org_study_id
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