- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT02852369
Task Oriented Training and Evaluation at Home (TOTE Home)
Objective: To determine the effectiveness of an upper extremity, task oriented training program delivered at home (TOTE Home) for people who are in the subacute recovery phase of a stroke.
Method: A single-subject AB series design with a follow-up to assess the effectiveness of TOTE Home which includes a maximum of 30, one hour sessions of training conducted in participants' homes. Repeated target measures of accelerometry and level of confidence to be analyzed throughout the study. Change scores from standardized assessments to be evaluated at baseline, post-intervention, and follow-up time periods.
Studieöversikt
Detaljerad beskrivning
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- upper extremity hemiparesis due to a stroke but met minimal movement criteria in the affected arm and hand (at least 10 degrees of active movement at the wrist, elbow, and shoulder movement, along with 10 degrees of active movement in the thumb and two other fingers)
- minimal cognitive deficits as demonstrated by a 24 or higher on the Mini-Mental Status Exam
- able to identify at least five specific tasks participants wish to achieve with their affected upper extremity. This was assessed with the Canadian Occupational Performance Measure (COPM)
- at least 21 years of age
- able to communicate in English
- 3-12 months after their stroke which would classify them in the subacute level of recovery
- all formal occupational therapy was completed.
Exclusion Criteria:
- upper extremity pain that interfered with activities of daily living
- requiring maximal assistance for mobility
- arm or hand injury (unrelated to the stroke)
- upper extremity amputations
- inability to participate due to any illness, social or geographical reason, and any other diagnosis or limiting conditions that would affect participation
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: Task Oriented Training
The intervention administered during each of the training sessions was modeled after the protocol outlined in Winstein et al. (2013) however implementation was in the participant's home setting and involved tasks in the participant's real world. The manual entitled, "Upper-Extremity Task-Specific Training After Stroke or Disability" by Lang and Birkenmeier (2014) was also utilized to give a general overview of task specific training for the upper extremity and to help guide each activity the participant chose to work on. |
The intervention administered during each of the training sessions was modeled after the protocol outlined in Winstein et al. (2013) however implementation was in the participant's home setting and involved tasks in the participant's real world. The manual entitled, "Upper-Extremity Task-Specific Training After Stroke or Disability" by Lang and Birkenmeier (2014) was also utilized to give a general overview of task specific training for the upper extremity and to help guide each activity the participant chose to work on. |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
---|---|
Movement of the hemiparetic upper extremity as measured by accelerometry
Tidsram: 24 hour recordings over 8 day periods
|
24 hour recordings over 8 day periods
|
Samarbetspartners och utredare
Sponsor
Utredare
- Studiestol: Marsha Neville, PhD, OT, Texas Woman's University
Publikationer och användbara länkar
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- TOTE Home 001
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
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