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Home-based reach-to-grasp training for people after stroke: Study protocol for a feasibility randomized controlled trial

Turton, Ailie; Cunningham, Paul; Heron, Emma; van Wijck, Frederike; Sackley, Cath; Rogers, Chris; Wheatley, Keith; Jowett, Sue; Wolf, Steven L; van Vliet, Paulette

Authors

Ailie Turton Ailie.Turton@uwe.ac.uk
Senior Lecturer in Occupational Therapy

Paul Cunningham Paul6.Cunningham@uwe.ac.uk
Senior Lecturer in Neuro Rehab Physio Therapy

Emma Heron

Frederike van Wijck

Cath Sackley

Chris Rogers

Keith Wheatley

Sue Jowett

Steven L Wolf

Paulette van Vliet



Abstract

Background

This feasibility study is intended to assess the acceptability of home-based task-specific reach-to-grasp (RTG) training for people with stroke, and to gather data to inform recruitment, retention, and sample size for a definitive randomized controlled trial.

Methods/design

This is to be a randomized controlled feasibility trial recruiting 50 individuals with upper-limb motor impairment after stroke. Participants will be recruited after discharge from hospital and up to 12 months post-stroke from hospital stroke services and community therapy-provider services. Participants will be assessed at baseline, and then electronically randomized and allocated to group by minimization, based on the time post-stroke and extent of upper-limb impairment. The intervention group will receive 14 training sessions, each 1 hour long, with a physiotherapist over 6 weeks and will be encouraged to practice independently for 1 hour/day to give a total of 56 hours of training time per participant. Participants allocated to the control group will receive arm therapy in accordance with usual care. Participants will be measured at 7 weeks post-randomization, and followed-up at 3 and 6 months post-randomization. Primary outcome measures for assessment of arm function are the Action Research Arm Test (ARAT) and Wolf Motor Function Test (WMFT). Secondary measures are the Motor Activity Log, Stroke Impact Scale, Carer Strain Index, and health and social care resource use. All assessments will be conducted by a trained assessor blinded to treatment allocation. Recruitment, adherence, withdrawals, adverse events (AEs), and completeness of data will be recorded and reported.

Discussion

This study will determine the acceptability of the intervention, the characteristics of the population recruited, recruitment and retention rates, descriptive statistics of outcomes, and incidence of AEs. It will provide the information needed for planning a definitive trial to test home-based RTG training.

Trial registration
ISRCTN: ISRCTN56716589

Journal Article Type Article
Publication Date Apr 25, 2013
Journal Trials
Print ISSN 1745-6215
Publisher BMC
Peer Reviewed Peer Reviewed
Volume 14
Issue 1
Pages 109
Institution Citation Turton, A., Cunningham, P., Heron, E., van Wijck, F., Sackley, C., Rogers, C., …van Vliet, P. (2013). Home-based reach-to-grasp training for people after stroke: Study protocol for a feasibility randomized controlled trial. Trials, 14(1), 109. https://doi.org/10.1186/1745-6215-14-109
DOI https://doi.org/10.1186/1745-6215-14-109
Keywords stroke, hand, arm, physical therapy, occupational therapy, rehabilitation, home, reach, grasp, task-specific training
Publisher URL http://dx.doi.org/10.1186/1745-6215-14-109
Additional Information Additional Information : The dataset for this study is available from the UWE Research Data Repository: http://researchdata.uwe.ac.uk/178/

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