Comparing Different Rehabilitation Exercise Strategies for Improving Arm Recovery After Stroke

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Device, Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The purpose of this research study is to measure the effect of participating in extra arm exercise in addition to standard rehabilitation exercises in the Acute Rehabilitation Unit. This study will compare two different ways to perform the extra arm exercise. The first is following a customized program of hand and arm exercises that will be developed for study participants by an experienced rehabilitation therapist. The second is moving a participants arm back and forth when they are sitting in their wheelchair by using a moveable wheelchair arm rest (Boost).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 84
Healthy Volunteers: f
View:

• 18 to 84 years of age

• Experienced a single stroke or multiple strokes \>3 days and \< 4 weeks prior to study enrollment, and currently admitted or accepted into Acute Rehabilitation program for stroke.

• UE Fugl-Meyer Motor Score \<42/66

• Absence of moderate to severe shoulder pain while using the movable wheelchair arm rest device (\<6 on the 10-point visual analog pain scale)

• Absence of severe tone at the affected UE (score \<4 on the Modified Ashworth Spasticity Scale)

• Deem to be an appropriate candidate for manual wheelchair by ARU clinicians. A patient who has been able to transfer into a wheelchair while at ARU (with or without assistance) and has tolerated sitting in the wheelchair for at least 30 minutes.

Locations
United States
California
Rancho Research Institute
RECRUITING
Downey
University of California Irvine
RECRUITING
Orange
Casa Colina Hospital and Centers for Healthcare
RECRUITING
Pomona
Contact Information
Primary
Vicky Chan, PT, DPT
vchan2@hs.uci.edu
(949) 447 - 8339
Backup
Christine Kim, OTR/L
chrissyk@ranchoresearch.org
(562) 385 - 8116
Time Frame
Start Date: 2023-09-15
Estimated Completion Date: 2025-08-31
Participants
Target number of participants: 60
Treatments
Experimental: Boost - Moveable wheelchair Arm rest
Movable wheelchair arm rest device group: participants in this group will be provided with a wheelchair equipped with movable wheelchair arm rest device and will be trained by training therapists on how to use the device. Therapists will determine if the participant is capable of using the device in either a stationary mode or overground mode. Afterwards, participants will be allowed to utilize the device within the inpatient facility on their own. The investigators encourage at least 30 minutes per day of device use, although this is not required or limited to 30 minutes. Therapists may adjust the difficulty of the device utilize to provide additional challenge as they deem suitable for the participant. Once participants are discharged from the unit, they will be allowed to keep the movable wheelchair arm rest devices until their 3-month post stroke follow up visit, the last visit of the study.
Active_comparator: Electronic Arm Exercises
Electronic exercise program designed by training therapists. These exercises will be assigned to the participants electronically using a commercial home exercise program platform commonly used by hospital systems (i.e.: Medbridge). They will be encouraged to exercise for 30 min/day in addition to the regular rehabilitation therapy at Acute Rehab Unit (ARU), although this is not required or limited to 30 minutes. Therapists may adjust the difficulty of exercise program to provide additional challenge as they deem suitable for the participant. Once participants are discharged from the unit, they will be allowed to keep the electronic exercise program until their 3-month post stroke follow up visit, the last visit of the study.
Related Therapeutic Areas
Sponsors
Collaborators: Flint Rehabilitation Devices, LLC, Casa Colina Hospital and Centers for Healthcare, Rancho Research Institute, Inc., Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Leads: University of California, Irvine

This content was sourced from clinicaltrials.gov