- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning 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
Studieöversikt
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Faktisk)
Kontakter och platser
Studieorter
-
-
South Carolina
-
Charleston, South Carolina, Förenta staterna, 29425
- Medical University of South Carolina
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Testmetod
Studera befolkning
Beskrivning
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
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
Intervention / Behandling |
---|---|
Stroke survivors
Individuals that experienced uni-hemispheric ischemic or hemorrhagic stroke
|
A therapist will provide verbal/physical cues to improve the participants posture
|
Controls
Healthy controls with no history of stroke
|
A therapist will provide verbal/physical cues to improve the participants posture
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Change in tracing smoothness from baseline to after postural counseling
Tidsram: Within 24 hours
|
Change in the average jerk of the hand trajectory during a tracing task
|
Within 24 hours
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Change in center of pressure displacement from baseline to after postural counseling
Tidsram: Within 24 hours
|
Change in the maximum center of pressure displacement during a tracing task
|
Within 24 hours
|
Samarbetspartners och utredare
Utredare
- Huvudutredare: Christian Finetto, PhD, Medical University of South Carolina
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- Pro00040824
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Studerar en amerikansk FDA-reglerad produktprodukt
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
Kliniska prövningar på Postural counseling
-
International Rescue CommitteeGeorge Washington University; World Health OrganizationHar inte rekryterat ännuVåld i intim partner
-
Riphah International UniversityAvslutadLungsjukdom kroniskPakistan
-
Northwestern UniversityGeorgetown UniversityAnmälan via inbjudanKroniska njursjukdomar | Genetisk predispositionFörenta staterna
-
Riphah International UniversityRekryteringBäckenorgan framfallPakistan
-
Universidad Complutense de MadridSociedad Española de Neumología y Cirugía TorácicaAvslutadBarn | Neurologisk störning | Respiratorisk komplikation
-
University of California, BerkeleyNational Institute of Mental Health (NIMH); Ministry of Health, Tanzania; Management and Development for Health och andra samarbetspartnersRekrytering
-
Azienda Unità Sanitaria Locale Reggio EmiliaAzienda Usl di Bologna; Fondazione I.R.C.C.S. Istituto Neurologico Carlo... och andra samarbetspartnersAktiv, inte rekryterandeQuadriplegisk cerebral paresItalien
-
Riphah International UniversityAvslutadMuskuloskeletala sjukdomar i nackenPakistan
-
Gazi UniversityAvslutad