Upper extremity (UE) Training for Stroke

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
NYU Langone Health, New York, NY
Stroke
Upper extremity (UE) Training - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a self-initiated arm training protocol can be improved by using Ecological Momentary Assessment (EMA) and Motivational Interviewing (MI) methods.

See full description

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Upper extremity (UE) Training will improve 4 primary outcomes and 4 secondary outcomes in patients with Stroke. Measurement will happen over the course of Day 39 visit.

Day 39 visit
Decision making factors effecting the program adherence through semi-structured interviews
Rates of adherence at individual and group level measured through duration
Rates of adherence at individual and group level measured through frequency
Rates of adherence at individual and group level measured through intensity
Day 65
Change scores in Canadian Occupational Performance Measure from baseline to discharge and baseline to follow-up
Change scores in Fugl-Meyer Assessment from baseline to discharge and baseline to follow-up
Change scores in Motor Activity Log from baseline to discharge and baseline to follow-up
Change scores in UE accelerometry data calculated using bilateral magnitude ratio from baseline to discharge and baseline to follow-up.

Trial Safety

Trial Design

1 Treatment Group

Experimental Group
1 of 1
Experimental Treatment

This trial requires 15 total participants across 1 different treatment group

This trial involves a single treatment. Upper Extremity (UE) Training is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Experimental GroupSubjects with motor impairment will work closely with an occupational therapist to identify a goal and select activities that they will work on at home to improve the function of their affected arm.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: day 4 visit, day 37-39 visit, day 65-67 visit
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly day 4 visit, day 37-39 visit, day 65-67 visit for reporting.

Closest Location

NYU Langone Health - New York, NY

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Adults (> 18 years old) diagnosed with stroke at least 6 months ago at the time of screening
Living in the community
Have presence of UE motor impairment on the affected side (Fugl-Meyer Assessment scores < 66)
Availability of mobile technology (tablet or smartphone) with internet connection to use phone app and Zoom videochat)
Be medically stable
Able to provide written consent

Patient Q&A Section

Can stroke be cured?

"While all strokes can be attributed to vascular factors or ischemic damage, some will be the result of a clot. Of these, some such as large intracranial aneurysm, the hemorrhage of emboli, may be curable." - Anonymous Online Contributor

Unverified Answer

How many people get stroke a year in the United States?

"About 6 million people worldwide have strokes annually. Strokes account for 9% of all deaths in the United States, with stroke killing between 20 and 30 million people each year. Strokes become more common in the elderly and in blacks, women and those with a smaller amount of schooling. Rates are higher among those of low income, uninsured and less educated. Strokes are the cause of 10 million cases of disability, the majority of which are due to stroke." - Anonymous Online Contributor

Unverified Answer

What is stroke?

"Stroke is a sudden interruption in the normal function of part of the brain. Symptoms that may occur include problems in balancing, walking or speaking, or feeling tired. It is the second largest cause of brain disorders in the UK.\n" - Anonymous Online Contributor

Unverified Answer

What causes stroke?

"The mechanism underlying an ischemic stroke remains uncertain, but factors which contribute include emboli, blockage of flow of blood to the brain, or the development of blood clots. There is no known cure available for stroke, but most strokes can be prevented with good preventive measures such as healthy lifestyle, controlling cholesterol, blood pressure, diabetes and obesity, and stopping smoking." - Anonymous Online Contributor

Unverified Answer

What are common treatments for stroke?

"Stroke has long-term physical and mental effects affecting daily life. People are likely to experience disability if the cause of a stroke is not adequately controlled, which may cause a patient to visit health professionals frequently. The use of medications to minimize the effects of the stroke, including hypertension, diabetes, statins, and antiplatelet drugs appear to be common. The high prevalence of stroke is a significant factor for many patients to experience physical, mental, and emotional impairments and challenges health professionals and patients to provide effective treatments." - Anonymous Online Contributor

Unverified Answer

What are the signs of stroke?

"Findings that are consistent with a stroke include loss of consciousness, non-fluent aphasia and loss of function of limbs or extremities. Aphasia, blurred vision, headache, or numbness may all be signs of a stroke.\n" - Anonymous Online Contributor

Unverified Answer

Is upper extremity (ue) training typically used in combination with any other treatments?

"UE training was used in most of the patients, with or without other treatments. Despite the high frequency of physiotherapy, a high percentage of patients did not use physiotherapy." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets stroke?

"Stroke occurs at a wide range of ages; the peak age of stroke occurrence at diagnosis is 65 years and 5 days. The mean age of stroke diagnosis for both men and women is 51 years and 10 days." - Anonymous Online Contributor

Unverified Answer

Is upper extremity (ue) training safe for people?

"The study shows that ue training can be safely performed by skilled professionals even without an ue board. Also, the study shows that an ue board can potentially be effective to perform exercises or exercise programs." - Anonymous Online Contributor

Unverified Answer

What is upper extremity (ue) training?

"Recent findings has demonstrated the feasibility of a physiotherapy intervention that has the immediate goal of improving the safety of a chronically ill person, by improving the quality of life." - Anonymous Online Contributor

Unverified Answer

Have there been any new discoveries for treating stroke?

"New treatments such as endovenous thrombectomy appear promising for acute stroke and could benefit patients at high risk, but require further evidence in larger multi-site clinical trials." - Anonymous Online Contributor

Unverified Answer

Has upper extremity (ue) training proven to be more effective than a placebo?

"UE training was more effective than a placebo at improving motor impairments, reducing disability, and reducing functional and social limitations. UE training should be considered as a component of stroke rehabilitation programs." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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