Use of Repetitive Facilitative Exercise Program in Established Stroke

A Randomized Controlled Evaluation of a Repetitive Facilitative Exercise Program for Adults With an Established Stroke and Upper Extremity Impairment

The purpose of this study is to assess whether a novel therapy approach (repetitive facilitative exercise (RFE)) is more effective than conventional rehabilitation in facilitating the recovery of upper extremity function following stroke.

Inclusion Criteria:

• Age greater than 18 years
• Having a single ischemic or hemorrhagic hemispheric stroke of more than 6 months duration
• The ability to selectively demonstrate active extension of at least 10 degrees at the metacarpo-phalangeal joint and the interphalangeal joints and 20 degrees at the wrist
• Capable of effectively participating in the study

Exclusion Criteria:

• Upper extremity contracture/pain that interfere with study technique
• Pre-existing upper extremity neurologic or orthopedic disorders
• Unstable medical condition
• BMI > 35
• Active treatment of condition during 3 months prior to enrollment in study (botulinum toxin, therapy, tendon release, etc.)
• Language or cognitive/perceptual deficits or scheduling problems that would limit participation
• Inability to provide informed consent