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CompletedNCT00359255Updated May 10, 2017

The Effect of Additional Arm Therapy on Arm Function After Stroke

An interventional study of Education manual and An inpatient homework based exercise program for the upper limb post stroke in Stroke, sponsored by University of British Columbia. Completed at 4 sites in Canada. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2017-05-10.

Sponsored by University of British Columbia · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

This study would focus on a new method of adding extra arm exercise to the usual therapy delivered in the hospital. We propose to design an exercise program for the affected arm and hand that would be given to the client as homework and done in the client's hospital room. The program would be designed and monitored by a therapist that works in the hospital.

We believe that this program will: 1) increase arm and hand recovery over usual care received in the hospital, 2) help people make the move from therapist run exercise to self management of exercise, and 3) promote family involvement in therapy.

Read the detailed description

In total 250 participants admitted for stroke rehabilitation at 4 BC sites will be randomly assigned to either the experimental or the control group. The extra arm and hand exercise program (experimental group) will receive usual therapy plus 60 minutes per day of additional arm exercises. This program will last for 4 weeks while the participant is in the hospital. The arm and hand program will include muscle strengthening and stretching, repetitive reaching, folding, stacking, pushing and pulling tasks, picking up objects, and activities that use speed and accuracy. The family will be encouraged to participate in the program with the participant. The control group will receive usual therapy only.

02

Conditions studied

  • Stroke

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Keywords

  • Exercise
  • rehabilitation
  • upper limb
  • inpatient
  • RCT
  • activities of daily living
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 120 is above the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

University of British Columbia is the lead sponsor of 1,309 studies on the registry; 253 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. 19 years of age or older
  2. arm recovery as a rehabilitation goal
  3. have palpatable movement of wrist extension
  4. able to follow 3 step verabal commands

Exclusion criteria

Exclusion Criteria:

  1. unstable cardiovascular status (congestive heart failure, uncontrolled hypertension, uncontrolled atrial fibrillation, or left ventricular failure),
  2. significant musculo-skeletal problems (e.g., rheumatoid arthritis) or neurological conditions (e.g., Parkinson's disease) due to conditions other than stroke,
  3. receptive aphasia
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
120 participants (actual)

Study arms

  • Active comparator
    1

    Behavioral: Education manual

  • Experimental
    2

    Behavioral: An inpatient homework based exercise program for the upper limb post stroke

Interventions

  • BehavioralEducation manual

    The control arm was given education on stroke, the affected arm post strooke, bone health, and healthy living. This information was given in a booklet format and administered once weekly by the site coordinator.

  • BehavioralAn inpatient homework based exercise program for the upper limb post stroke

    The experimental arm was given arm exercises graded based on motor impairment and administered by the site coordinator. The exercises were given in a booklet with written and photographic instructions. These exercises were monitored on a twice-weekly basis. The intervention was to be completed once daily for 45 minutes, 5 days per week, and supervised by the site coordinator. Exercises consisted of range of motion, strengthening, and use of the arm in daily activites such as buttoning, pouring and throwing.

06

What researchers measure

Primary outcomes

  1. The primary outcome is the ability to use the paretic arm in activities of daily living. This outcome will be measured pre and post program.

Secondary outcomes

  1. Secondary outcomes include amount of use and quality of movement of the paretic arm, motor recovery, strength, tone, and health related quality of life. Each of these measures will be evaluated pre and post program.

07

Study locations

4 sites
  • Kelowna General Hospital
    Kelowna, British Columbia, Canada
  • GF Strong Rehab Center
    Vancouver, British Columbia, Canada
  • Holy Family Hospital
    Vancouver, British Columbia, Canada
  • Victoria General Hospital
    Victoria, British Columbia, Canada
08

References and documents

Publications

  • Harris JE, Eng JJ, Miller WC, Dawson AS. A self-administered Graded Repetitive Arm Supplementary Program (GRASP) improves arm function during inpatient stroke rehabilitation: a multi-site randomized controlled trial. Stroke. 2009 Jun;40(6):2123-8. doi: 10.1161/STROKEAHA.108.544585. Epub 2009 Apr 9. PubMed 19359633 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 10, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00359255
Lead sponsor
University of British Columbia
Collaborators
Heart and Stroke Foundation of Canada
Responsible party
Janice Eng (Principal Investigator, University of British Columbia) — Principal investigator
First posted
Aug 1, 2006
Start date
Jul 2006
Primary completion
Dec 2008
Completion
Dec 2008
Last update
May 10, 2017

Study contacts

Janice Eng, Ph.D
principal investigator · The University of British Columbia

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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