RecruitingNot ApplicableNCT06883357

The Effects of Home-based Graded Repetitive Arm Supplementary Program Group on Stroke.

The Effects of Home-based Graded Repetitive Arm Supplementary Program Group on Stroke: the Randomized Controlled Trial.

Sponsor

National Taiwan University Hospital

Enrollment

52 participants

Start Date

Mar 17, 2025

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

Graded repetitive arm supplementary program (GRASP) is a self administrated, home-based rehabilitation program and has been incorporated in Canadian Stroke Best Practice Recommendations. Past studies indicated that the home-based GRASP program could facilitate the motor function and motor recovery and prevent learned nonuse of affected upper limb of stroke patients. There is lacking of research and application of the home-based GRASP program in Taiwan. Therefore, this study aims to explore the effects of the home-based GRASP program, which is mainly executed in the form of group intervention, on the affected upper limb of stroke patients.

Eligibility

Min Age: 20 Years

Inclusion Criteria5

Age is above 20 years old.
Onset of first stroke complicated with hemiplegia or hemiparesis.
The affected upper limb remains partially voluntary movements including lifting to chest level and holding for five seconds; slight flexion and extension of wrist and hand.
Understanding and complying with two-steps commands.
Understanding the content of trial and willing to sign informed consent.

Exclusion Criteria6

Complicating with other neurological disease.
Having Orthopedic diseases affecting the movements of upper limbs.
Having symptoms of pain to affect the movements of upper limbs.
Unstable vital sign or medical condition.
Participating another rehabilitative or drug research meanwhile.
Receiving botulinum toxin injection within three months.

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Interventions

BEHAVIORALGraded repetitive arm supplementary program (GRASP)

Graded repetitive arm supplementary program (GRASP) is a self administrated, home-based rehabilitation program. home-based GRASP program could facilitate the motor function and motor recovery and prevent learned nonuse of affected upper limb of stroke patients. Participants in experimental group will receive Home GRASP program which will be executed 1hour at home per day. In addition, Participants will be requested to return hospital for follow-up and adjusting the training program in group discussion 3 times per week, lasting 4-6 weeks, and totally 12-18 sessions.