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Study purpose This study will explore whether an additional rehabilitation program that focus on either upper or lower extremity training facilitate the recovery in upper or lower extremity.
The recovery in both neurological status and motor functions will be explored.
Design A single-blinded (assessor-blinded) randomized controlled trial. Interventions The participants will be randomly assigned into two experiment groups (enhanced upper extremity program; and enhanced lower-extremity program).
Both groups receive routine rehabilitation including daily 50 mins of physical therapy and 50 mins of occupational therapy.
The enhanced upper extremity program group receives additional daily 50 mins program focusing on training of the hemiplegic upper extremity, while the enhanced lower-extremity program group receives additional daily 50 mins program focusing on training of the hemiplegic lower extremity. The participants receive 20-day training over a 4-week period. The additional program is designed to be specific to either upper-extremity or lower-extremity. Accordingly, one group can be used as the control group of the other one.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| enhanced upper-extremity program, EUEP | Experimental | Both groups receive routine rehabilitation including daily 50 mins of physical therapy and 50 mins of occupational therapy. The EUP group receives additional daily 50 mins program focusing on training of the hemiplegic upper extremity. The participants receive 20-day training over a 4-weekperiod. The additional program is designed to be specific to either upper-extremity or lower-extremity. Accordingly, one group can be used as the control group of the other one. |
|
| enhanced lower-extremity program,ELLP) | Experimental | Both groups receive routine rehabilitation including daily 50 mins of physical therapy and 50 mins of occupational therapy. The ELP group receives additional daily 50 mins program focusing on training of the hemiplegic lower extremity. The participants receive 20-day training over a4-weekperiod. The additional program is designed to be specific to either upper-extremity or lower-extremity. Accordingly,one group can be used as the control group of the other one. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| UFT | Other | The EUEP group receives additional daily 50 mins program focusing on training of the hemiplegic upper extremity, |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fugl-Meyer Assessment (upper extremity subscale) | The primary outcome is the change from baseline upper extremity subscale of Fugl-Meyer assessment at the end to 4-wk (post-intervention). | 0-, 4- week |
| Measure | Description | Time Frame |
|---|---|---|
| Action Research Arm Test (ARAT) | A test that measures the upper extremity motor functions after the stroke. | 0-, 4-, 8-, 12-, 24 week |
| Berg Balance Test | A test that measures the balance functions. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| WanFang Hospital | New Taipei City | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34695300 | Derived | Clark B, Whitall J, Kwakkel G, Mehrholz J, Ewings S, Burridge J. The effect of time spent in rehabilitation on activity limitation and impairment after stroke. Cochrane Database Syst Rev. 2021 Oct 25;10(10):CD012612. doi: 10.1002/14651858.CD012612.pub2. |
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| LFT | Other | The ELEP group receives additional daily 50 mins program focusing on training of the hemiplegic lower extremity. |
|
| 0-, 4-, 8-, 12-, 24 week |
| Fugl-Meyer Assessment (lower extremity subscale) | The FMA-LE (0-34) measures the lower extremity motor functions after the stroke. | 0-, 4-, 8-, 12-, 24 week |
| Fugl-Meyer Assessment (upper extremity subscale) | FMA-UE (0-66), the subscale of FMA that measures the poststroke neuro-motor functions. | 0-, 4-, 8-, 12-, 24 week |
| Time required for 10 meter walking | measuring the walking speed over a 10-meter distance | 0-, 4-, 8-, 12-, 24 week |
| Stroke Impact Scale | A measure for stroke-specific quality of life | 0-, 4-, 8-, 12-, 24 week |
| Barthel Index | to measure the activity of daily living | 0-, 4-, 8-, 12-, 24 week |