- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT03364374
Postural Control and Fine Motor Skills in People With Stroke
Biomechanical Assessment of the Relationship Between Postural Control and Fine Motor Skills in People With Stroke
Studieoversigt
Detaljeret beskrivelse
Current stroke rehabilitation practice guidelines support an interprofessional approach which integrates discipline-specific goals into a comprehensive plan of care. However, there has been a failure to implement interprofessional guidelines into today's stroke rehabilitation clinical practice. Instead it is common that one discipline focuses on recovery of posture, while another discipline focuses on recovery of fine motor skills. The investigators argue that control of the hand is not independent from postural control. In fact, treating them separately ignores the kinematic and muscular linkages connecting the trunk to the hand via the scapula and proximal arm. It also ignores evidence that postural and hand muscles have overlapping cortical representations thus likely have similar neural control networks. Hence, the overall goal of this project is to demonstrate the relationship of posture and fine motor skills to advance stroke rehabilitation.
The study will include two groups, stroke survivors and neurologically healthy controls, and both will perform a tracing task while seated on a backless bench. The task will be performed twice, at baseline and after giving participants cues to improve their posture. Both task repetitions will be performed in a single session on the same day. Kinetic and kinematic data will be collected to evaluate posture, postural stability and fine motor performance. Data collected at baseline will be used to examine the relationship between postural impairments and fine motor deficits. Additionally, we will evaluate the effects of postural cues on body segment alignment, stability and fine motor performance.
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
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South Carolina
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Charleston, South Carolina, Forenede Stater, 29425
- Medical University of South Carolina
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Stroke survivors:
Inclusion Criteria:
- experienced uni-hemispheric ischemic or hemorrhagic stroke 3 mo - 7 yrs prior
- ability to grasp and hold a stylus for the duration of the experiments
- passive motion throughout the paretic UE within 20° of normal
- dominant side affected
Exclusion Criteria:
- lesion in brainstem or cerebellum
- presence of other neuro-disease impairing motor skills
- unable to understand 3-step directions
- pain, orthopedic condition or impaired corrected vision that would alter reaching
Healthy Controls:
Inclusion Criteria:
- no history of stroke or incomplete spinal cord injury
- no medical, orthopedic, neurological, or uncorrected visual condition that would limit the ability to participate in upper extremity testing
Exclusion Criteria:
- none
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
---|---|
Stroke survivors
Individuals that experienced uni-hemispheric ischemic or hemorrhagic stroke
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A therapist will provide verbal/physical cues to improve the participants posture
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Controls
Healthy controls with no history of stroke
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A therapist will provide verbal/physical cues to improve the participants posture
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Change in tracing smoothness from baseline to after postural counseling
Tidsramme: Within 24 hours
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Change in the average jerk of the hand trajectory during a tracing task
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Within 24 hours
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Change in center of pressure displacement from baseline to after postural counseling
Tidsramme: Within 24 hours
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Change in the maximum center of pressure displacement during a tracing task
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Within 24 hours
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Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Christian Finetto, PhD, Medical University of South Carolina
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- Pro00040824
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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