A STudy of Upper Arm Rehabilitation in Stroke Survivors- ASTAR

Feasibility of an Upper Limb Functional Training Programme to Support Self-management in Stroke Survivors (ASTAR)

This feasibility study will explore the clinical effectiveness of additional upper limb therapy compared to standard care delivered to Stroke Survivors at Sussex Rehabilitation Centre (SRC). Randomization via sealed envelope will allocate treatment group to either routine care or upper limb training for self-management plus routine care. If randomized to upper limb training, a patient will undertake 10 therapy sessions with an instructor from the Action for Rehabilitation for Neurological Injury (ARNI) program during their hospital stay. The last two ARNI-led sessions will be filmed by a nurse/carer on either their own tablet/phone or an i-pad. Participants in the ARNI group will be encouraged to continue doing their personalized exercises while in hospital and continued at home. The participants in the ARNI group will also be given a task-training board to take home.

This randomized controlled trial will measure outcomes of each group over six months. Each patient in the study will have upper limb physical measurements taken by a blinded Research Nurse (RN2) at baseline. Research Nurse (RN1) will gather data in a Clinical Report File from a weekly exercise diary completed by the patient or carer and well-being questionnaires. On discharge, RN2 will conduct upper limb measurements, collect completed hospital diaries and issue new ones to take4 home. RN1 will give a weekly phone call or text reminders so that patients to complete exercise diaries at home. At 6 months RN2 will do final measurements and complete patient questionnaires in an out patients clinic visit.

The investigators aim to recruit 36 patients and anticipate 30(8.3%) will complete the 6 month follow-up.

The study sponsor will be the University of Sussex. However, as the study is run in rehabilitation unit in an NHS hospital, University Hospitals Sussex NHS Trust will host the study.

Inclusion Criteria:

• Stroke Survivors admitted to Sussex Rehabilitation Centre
• Aged 18 years or over
• Have an upper limb affected by stroke
• Have capacity to consent to participate in the study
• Medically stable

Exclusion Criteria:

• Aged under 18 years
• AMTS <8
• Have a neurological deficit which does not involve upper limb
• Presence of a terminal illness with shortened life expectancy <6 months.