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Sponsored by: |
St George's, University of London |
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Information provided by: | St George's, University of London |
ClinicalTrials.gov Identifier: | NCT00360789 |
The purpose of this study is to test the hypothesis that adding functional strength training to UK conventional therapy improves muscle function and walking than either UK conventional therapy alone or increased intensity of UK conventional therapy.
Condition | Intervention | Phase |
---|---|---|
Stroke |
Behavioral: Conventional UK physical therapy Behavioral: Increased intensity of UK conventional physical therapy (PT) Behavioral: UK conventional PT plus functional strength training |
Phase I Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | The Effects of Standardized Physical Therapy and Functional Strength Training on Upper Limb Function and Neuromuscular Weakness After Stroke: a Pilot Study |
Estimated Enrollment: | 30 |
Study Start Date: | June 2005 |
Estimated Study Completion Date: | December 2006 |
Neuromuscular weakness occurs frequently after stroke and the processes underlying recovery are still poorly understood. Accepted practice in UK physiotherapy is to avoid training of muscle strength after stroke but there is preliminary evidence that it might be effective.
An observer-blind randomised pilot clinical trial (Phase II). Subjects will be within 3 months of first stroke with some voluntary movement in the paretic upper limb.
A Research Physiotherapist, blinded to measurement, will recruit subjects, allocate subjects to one of three intervention groups using sequentially numbered sealed envelopes containing previously allocated intervention cards and provide interventions. Ten participants will be recruited to each group therefore the trial will recuit 30 participants. The Research Assessor, blinded to intervention allocation will undertake all measurements.
Conventional therapy (control) will be provided as normal for the clinical setting, the additional conventional therapy (experimental 1)or functional strength training (experimental 2) will be provided for one hour, five times a week for six weeks. Subjects in the two experimental groups will also receive the conventional therapy standard in their clinical setting.
Blinded measurement will be made before randomisation, at the end of intervention and 12-weeks thereafter. Primary outcomes are the Action Research Arm Test (ARAT)and the Nine Hole Peg Test (9HPT). The secondary outcomes are peak torque around the elbow joint in elbow flexion and extension, grip force, pinch force, smoothness of movement during turning a cranked wheel and reciprocal inniveration of biceps and triceps during turning of a cranked wheel.
Data will be analysed using descriptive statistics and the estimation of standard deviations will be used to inform a power calculation to estimate sample size for a Phase II randomised controlled trial.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Valerie M Pomeroy, PhD | +44(0)20 8725 5327 | v.pomeroy@sgul.ac.uk |
United Kingdom | |
St George's Hospital NHS Trust | Recruiting |
London, United Kingdom, SW17 0RE |
Study Chair: | Valerie M Pomeroy, PhD | St George's, University of London |
Study ID Numbers: | GR070116MA |
Study First Received: | August 3, 2006 |
Last Updated: | August 3, 2006 |
ClinicalTrials.gov Identifier: | NCT00360789 |
Health Authority: | United Kingdom: Research Ethics Committee |
STROKE REHABILITATION pHYSICAL THERAPY |
Cerebral Infarction Asthenia Stroke Vascular Diseases Brain Ischemia Central Nervous System Diseases |
Ischemia Brain Infarction Brain Diseases Infarction Cerebrovascular Disorders |
Nervous System Diseases Cardiovascular Diseases |