An interventional study of Conventional upper limb stroke rehabilitation and Neuro Hand Orthosis Program (NHOP) in Paralytic Stroke, sponsored by St Luke's Hospital, Singapore. Status unknown at 1 site in Singapore. Open to participants aged 50 Years to 89 Years. Per ClinicalTrials.gov, last updated 2009-02-05.
Sponsored by St Luke's Hospital, Singapore · Not applicable, Interventional, and Treatment
The implementation of Neuro Hand Orthosis Upper Limb Program can significantly improve the severe stroke paralytic arm in subacute rehabilitation as compared with the use of conventional therapy.
The neuro hand orthosis is based on a design of dynamic hand orthosis for orthopaedic patients. We attempt to apply such an orthosis on stroke patients to aid in regaining movement from severe paralytic arm by helping the patients to support their wrist and finger in a functional position for grasping. The patient is then encouraged to produce voluntary movement from the severe paralytic arm to transport an object (ball) from place to place either in sitting or standing position.
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.
7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.
This study's planned enrollment of 30 is below the median of 50 across 5,369 interventional studies indexed under Stroke.
Browse Stroke studies →St Luke's Hospital, Singapore is the lead sponsor of 3 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Conventional stroke upper limb rehabilitation is given
Other: Conventional upper limb stroke rehabilitation
Neuro Hand Orthosis Program is given
Device: Neuro Hand Orthosis Program (NHOP)
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.
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".
Action Research Arm Test (ARAT)
Time frame: week 4 , week 10 , 6 months and 12 months
Motricity Index
Time frame: week 4 , week 10 , 6 months and 12 months
Motor Activity Log (MAL)
Time frame: At admission, week 4 , week 10 , 6 months and 12 months
Modified Ashworth Scale for grading Spasticity
Time frame: At admission, week 4 , week 10 , 6 months and 12 months
Shoulder pain at admission
Time frame: At admission, week 4 , week 10 , 6 months and 12 months
This study is status unknown, as verified in Feb 2009. You cannot join it, but the record below documents what was studied.
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St Luke's Hospital, Singapore