To quantify changes in range of motion (RoM) and muscle strain of the shoulder in hemi paretic stroke survivors compared to healthy controls in order to identify potential contracted or paretic muscles.
ID
Source
Brief title
Condition
- Central nervous system infections and inflammations
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Shoulder Range of Motion (RoM) and related shoulder muscle strains.
Secondary outcome
Clinical phenotype:
Current shoulder pain (using 0-100 mm Visual Analog Scale (VAS);
Spasticity: Modified Ashworth Scale (0-5)
Degree of paralysis: Brunnstrom stage (0-6).
Status of motor recovery and arm function of the hemiparetic arm. Fugl-Meyer
upper extremity.
Background summary
Upper extremity paresis and/or spasticity is a common disability after stroke.
The recovery rate of arm-hand function is poor. Despite intensive therapy,
30-66% of the patients do not have full arm function 6 months after stroke. The
exact mechanism underlying the limited arm function is not clear. The arm range
of motion (RoM) is thought to be limited because of muscle paresis, shortening
of connective or muscle tissue, altered proprioception and pain. Data on range
of motion of the shoulder related to the performance of activities of daily
living, in combination with identification of potential muscle contraction (low
muscle strain) or paresis (high muscle strain), can give more insight in these
causes. This knowledge may contribute to tailored therapy and prognosis.
Study objective
To quantify changes in range of motion (RoM) and muscle strain of the shoulder
in hemi paretic stroke survivors compared to healthy controls in order to
identify potential contracted or paretic muscles.
Study design
cross-sectional, observational
Study burden and risks
Patients and Controls are introduces in the Laboratory for Kinematics and
NeuroMechanics.
After the short introduction the patients with undergo a limited medical
examination to check inclusion and exclusion criteria and determine the
clinical phenotype.
All volunteers participate in the motion registration of the thorax, shoulder
and arm.
Six standardized arm motions and six Activities of Daily Living (ADL) are
recorded three times by means of an electromagnetic tracking system, which
takes about 3 quarters of an hour.
There are no risks related to the experiment.
PObox 9600
2300 RC Leiden
NL
PObox 9600
2300 RC Leiden
NL
Listed location countries
Age
Inclusion criteria
6-24 months after first ever stroke
no shoulder complaints prior to stroke
no or limited shoulde pain after stroke (Visual Analog Scale score [1-10] < 1)
Paresis and or spasticity of the affected shouder (modified Asworth Scale [0-5] > 0)
Limited mobility: forward arm elevation < 60 degrees
Exclusion criteria
repeated insults
electronic implant devices
shoulder surgery
neglect
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL35077.058.10 |