Examining the Effectiveness of Combined Rehabilitation and Botulinum Toxin Injection on Functional Improvement of the Upper Limb After Stroke
Study Details
Study Description
Brief Summary
The purpose of this study is to examine the effects of a combination of "Botulinum Toxin (BT) and Upper Limb (UL) rehabilitation" compared to "BT only" on UL motor function in adults with spasticity after stroke using a pre-post design. The research question is whether combination of BT and UL rehabilitation compared to BT only is more effective in improving the UL function, range of motion and pain.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: upper limb rehabilitation for total of 6 months upper limb rehabiliation |
Other: upper limb rehabiliation
3 months upper rehabilation (twice a week) and then 3 more months upper limb rehabitation ( twice a week)
|
Outcome Measures
Primary Outcome Measures
- Modified Ashworth [up tp 2013]
Secondary Outcome Measures
- Goal attaiment Scale [up tp 2013]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
over 18 years of age
-
at least 4 months post stroke
-
present with UL spasticity (MAS >1 in elbow and/or spasticity of the hand, wrist or shoulder)
-
present with at lease a stage 3 of CMSA
-
able to comply with the requirements of the protocol and UL therapy programme.
Exclusion Criteria:
-
significant cognitive and speech impairments
-
other upper limb impairments such as frozen shoulder
-
another diagnosis which could contribute to upper limb spasticity .
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Toronto Rehabiliation institute | Toronto | Ontario | Canada | M5G 2A2 |
Sponsors and Collaborators
- Toronto Rehabilitation Institute
- University of Toronto
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BTul Rehab