Home-based reach-to-grasp training for people after stroke: Study protocol for a feasibility randomized controlled trial

Turton, Ailie J., Cunningham, Paul, Heron, Emma, van Wijck, Frederike, Sackley, Cath, Rogers, Chris, Wheatley, Keith, Jowett, Sue, Wolf, Steven L. and van Vliet, Paulette (2013) Home-based reach-to-grasp training for people after stroke: Study protocol for a feasibility randomized controlled trial. Trials, 14. ISSN 1745-6215

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Abstract

Background: This feasibility study is intended to assess the acceptability of home-based task-specific reach-to-grasp (RTG) training for people with stroke, and to gather data to inform recruitment, retention, and sample size for a definitive randomized controlled trial. Methods/design: This is to be a randomized controlled feasibility trial recruiting 50 individuals with upper-limb motor impairment after stroke. Participants will be recruited after discharge from hospital and up to 12 months post-stroke from hospital stroke services and community therapy-provider services. Participants will be assessed at baseline, and then electronically randomized and allocated to group by minimization, based on the time post-stroke and extent of upper-limb impairment. The intervention group will receive 14 training sessions, each 1 hour long, with a physiotherapist over 6 weeks and will be encouraged to practice independently for 1 hour/day to give a total of 56 hours of training time per participant. Participants allocated to the control group will receive arm therapy in accordance with usual care. Participants will be measured at 7 weeks post-randomization, and followed-up at 3 and 6 months post-randomization. Primary outcome measures for assessment of arm function are the Action Research Arm Test (ARAT) and Wolf Motor Function Test (WMFT). Secondary measures are the Motor Activity Log, Stroke Impact Scale, Carer Strain Index, and health and social care resource use. All assessments will be conducted by a trained assessor blinded to treatment allocation. Recruitment, adherence, withdrawals, adverse events (AEs), and completeness of data will be recorded and reported. Discussion: This study will determine the acceptability of the intervention, the characteristics of the population recruited, recruitment and retention rates, descriptive statistics of outcomes, and incidence of AEs. It will provide the information needed for planning a definitive trial to test home-based RTG training. Trial registration: ISRCTN: ISRCTN56716589

Item Type:	Article
Additional Information:	Funding information: This study is supported by the Stroke Association (TSA 2009/01).
Faculty \ School:	Faculty of Medicine and Health Sciences > Allied Health Professions (former - to 2013)
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation
Related URLs:	http://www.trialsjournal.com/content/14/...
Depositing User:	Pure Connector
Date Deposited:	25 Jun 2013 10:30
Last Modified:	28 Mar 2025 05:13
URI:	https://ueaeprints.uea.ac.uk/id/eprint/42865
DOI:	10.1186/1745-6215-14-109

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