Effects of Wheelchair Skills Training Program in Acute Stroke Patients: Randomized Controlled Pilot Study

2021 ◽  
Vol 29 (3) ◽  
pp. 25-38
Author(s):  
Yu-Jin Jung ◽  
◽  
Ji-Hee Kim
Keyword(s):  
Pilot Study ◽  
Acute Stroke ◽  
Training Program ◽  
Skills Training ◽  
Stroke Patients ◽  
Randomized Controlled

Modified Constraint-Induced Therapy in Acute Stroke: A Randomized Controlled Pilot Study

2005 ◽  
Vol 19 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Stephen J. Page ◽  
Peter Levine ◽  
Anthony C. Leonard
Keyword(s):  
Pilot Study ◽  
Acute Stroke ◽  
Upper Limb ◽  
Motor Deficits ◽  
Stroke Patients ◽  
Rehabilitation Hospital ◽  
Randomized Controlled ◽  
Hospital Patients ◽  
Upper Limb Hemiparesis ◽  
And Function

To determine modified constraint-induced therapy (mCIT) feasibility and compare its efficacy to traditional rehabilitation (TR) in acute stroke patients exhibiting upper limb hemiparesis. Method. Before-after, multiple baseline, randomized controlled pilot study. Setting. Rehabilitation hospital. Patients. Ten stroke patients < 14 d poststroke and exhibiting upper limb hemiparesis and affected limb nonuse. Interventions. Five patients were administered mCIT, consisting of structured therapy emphasizing more affected arm use in valued activities 3 d/week for 10 weeks and less affected arm restraint 5 d/week for 5 h. Five other patients received 1/2 sessions of traditional motor rehabilitation for the affected arm, which included affected limb manual dexterity exercises and stretching, as well as compensatory strategies with the unaffected limb. The TR regimens occurred 3 d/week for 10 weeks. Main Outcome Measures. The Fugl-Meyer Assessment of Motor Recovery (Fugl-Meyer), Action Research Arm Test (ARA), and Motor Activity Log (MAL). Results. Before intervention, all patients exhibited stable motor deficits and more affected arm nonuse. After intervention, mCIT patients displayed increased affected arm use (+ 2.43 on the MAL amount of use scale), uniformly exhibited increases on the Fugl-Meyer and ARA (mean change scores = + 18.7 and + 21.7, respectively), and were able to again perform valued activities. TR patients exhibited nominal change in affected limb use (+ 0.07 on the MAL amount of use scale) and modest changes on the Fugl-Meyer and ARA (+ 4.4 and + 4.8, respectively). Fugl-Meyer and ARA changes were significant for the mCIT group only (P < 0.01). Conclusions. mCIT is a promising regimen for improving more affected limb use and function in acute cerebrovascular accident. However, larger confirmatory studies need to be performed.

scholarly journals Effect of early sleep apnoea treatment with adaptive servo-ventilation in acute stroke patients on cerebral lesion evolution and neurological outcomes: study protocol for a multicentre, randomized controlled, rater-blinded, clinical trial (eSATIS: early Sleep Apnoea Treatment in Stroke)

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Simone B. Duss ◽  
Anne-Kathrin Brill ◽  
Sébastien Baillieul ◽  
Thomas Horvath ◽  
Frédéric Zubler ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Acute Stroke ◽  
Acute Ischaemic Stroke ◽  
Sleep Apnoea ◽  
Resonance Imaging ◽  
Stroke Patients ◽  
Adaptive Servo Ventilation ◽  
Randomized Controlled ◽  
The Impact

Abstract Background Sleep-disordered breathing (SDB) is highly prevalent in acute ischaemic stroke and is associated with worse functional outcome and increased risk of recurrence. Recent meta-analyses suggest the possibility of beneficial effects of nocturnal ventilatory treatments (continuous positive airway pressure (CPAP) or adaptive servo-ventilation (ASV)) in stroke patients with SDB. The evidence for a favourable effect of early SDB treatment in acute stroke patients remains, however, uncertain. Methods eSATIS is an open-label, multicentre (6 centres in 4 countries), interventional, randomized controlled trial in patients with acute ischaemic stroke and significant SDB. Primary outcome of the study is the impact of immediate SDB treatment with non-invasive ASV on infarct progression measured with magnetic resonance imaging in the first 3 months after stroke. Secondary outcomes are the effects of immediate SDB treatment vs non-treatment on clinical outcome (independence in daily functioning, new cardio-/cerebrovascular events including death, cognition) and physiological parameters (blood pressure, endothelial functioning/arterial stiffness). After respiratory polygraphy in the first night after stroke, patients are classified as having significant SDB (apnoea-hypopnoea index (AHI) > 20/h) or no SDB (AHI < 5/h). Patients with significant SDB are randomized to treatment (ASV+ group) or no treatment (ASV− group) from the second night after stroke. In all patients, clinical, physiological and magnetic resonance imaging studies are performed between day 1 (visit 1) and days 4–7 (visit 4) and repeated at day 90 ± 7 (visit 6) after stroke. Discussion The trial will give information on the feasibility and efficacy of ASV treatment in patients with acute stroke and SDB and allows assessing the impact of SDB on stroke outcome. Diagnosing and treating SDB during the acute phase of stroke is not yet current medical practice. Evidence in favour of ASV treatment from a randomized multicentre trial may lead to a change in stroke care and to improved outcomes. Trial registration ClinicalTrials.gov NCT02554487, retrospectively registered on 16 September 2015 (actual study start date, 13 August 2015), and www.kofam.ch (SNCTP000001521).

Combined effects of sensory cueing and limb activation on unilateral neglect in subacute left hemiplegic stroke patients: a randomized controlled pilot study

2013 ◽  
Vol 27 (7) ◽  
pp. 628-637 ◽  
Author(s):  
Kenneth NK Fong ◽  
Nicole YH Yang ◽  
Marko KL Chan ◽  
Dora YL Chan ◽  
Andy FC Lau ◽  
...  
Keyword(s):  
Pilot Study ◽  
Combined Effects ◽  
Stroke Patients ◽  
Unilateral Neglect ◽  
Randomized Controlled

scholarly journals Effectiveness of a tailored neck training program on neck strength, movement, and fatigue in under-19 male rugby players: a randomized controlled pilot study

2015 ◽  
pp. 137 ◽  
Author(s):  
Matthew Barrett ◽  
Terence McLoughlin ◽  
Kieran Gallagher ◽  
Don Gatherer ◽  
Michael Parratt ◽  
...  
Keyword(s):  
Pilot Study ◽  
Training Program ◽  
Randomized Controlled ◽  
Neck Strength ◽  
Rugby Players

Tailor-made rehabilitation approach using multiple types of hybrid assistive limb robots for acute stroke patients: A pilot study

2015 ◽  
Vol 28 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Hiroyuki Fukuda ◽  
Takashi Morishita ◽  
Toshiyasu Ogata ◽  
Kazuya Saita ◽  
Koichi Hyakutake ◽  
...  
Keyword(s):  
Pilot Study ◽  
Acute Stroke ◽  
Stroke Patients ◽  
Hybrid Assistive Limb
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