Unique ID issued by UMIN | UMIN000048825 |
---|---|
Receipt number | R000055611 |
Scientific Title | A Study of the Effect of Upper Limb Functional Training with Goal Setting by Aid for Decision-Making in Occupation Choice for Hand on the Amount of Use and Motor Function of the Upper Limb of the Paralyzed Side |
Date of disclosure of the study information | 2022/09/01 |
Last modified on | 2023/04/27 04:28:06 |
Investigation of the Effectiveness of Upper Extremity Functional Training with Goal Setting by Aid for Decision-Making in Occupation Choice for Hand
Effect of upper limb function training with ADOC-H
A Study of the Effect of Upper Limb Functional Training with Goal Setting by Aid for Decision-Making in Occupation Choice for Hand on the Amount of Use and Motor Function of the Upper Limb of the Paralyzed Side
Effect of upper limb function training with ADOC-H
Japan |
cerebral infarction, cerebral hemorrhage
Rehabilitation medicine |
Others
NO
The purpose of this study was to determine whether the intervention combining goal-setting for upper limb use in daily life using the ADOC-H, monitoring and problem-solving in addition to regular upper limb function training and ADL training increases the amount of use of the paralyzed upper limb in daily life in general, and whether it increases scores of motor function of the paralyzed upper limb using international evaluation indicators.
Efficacy
Motor Activity Log
Fugl-Meyer Assessment (Upper Extremity Motor)
Interventional
Parallel
Non-randomized
Open -no one is blinded
Active
No need to know
2
Treatment
Maneuver |
The intervention that goal setting of upper limb use in daily life by Aid for Decision-making in Occupation Choice for Hand(ADOC-H), monitoring and problem-solving technique in addition to conventional occupational therapy.
Goal setting: The occupational therapist conducts an interview using the ADOC-H within 7 days of admission and decides with the patient on the activities to be performed with the paralyzed upper limb in daily living situations. The decided items are printed on paper and placed on the subject's bedside table so that the patient can check them at any time. When the patient is able to use the paralyzed upper limb in the selected situation and the occupational therapist determines that the patient is able to use the upper limb in other situations, another interview using the ADOC-H is conducted and the content is updated.
Monitoring: The occupational therapist monitors the patient's ability to use the paralytic upper extremity in the areas determined by the ADOC-H at each intervention. Problem-solving: We discuss with the patient how to use the paralytic upper limb, and encourage use of the paralytic upper limb by providing advice, introducing self-help devices, and making environmental adjustments as needed.
The data pool (Tokuda et al, 2020) is used as the control group about Fugl-Meyer Assessment (Upper Extremity Motor).
20 | years-old | <= |
Not applicable |
Male and Female
Patients aged 20 years or older who have been admitted to Ina Central Hospital and have been diagnosed with stroke (cerebral infarction, cerebral hemorrhage).
1)Patients with limited range of motion of the upper limbs and weakness in the history before the onset of stroke.
2)Patients with cognitive decline with a Mini-Mental State Examination of less than 24 points
3)Patients who have difficulty communicating with ADOC-H due to impaired consciousness or higher brain dysfunction
4)Patients who could not provide informed consent
5)Patients who scored 0 points on either the knee-mouth test or the finger test of the SIAS paralyzed upper limb movement item at the time of admission, or patients who scored 5 points on both items.
6)Patients with recurrent stroke during hospitalization
15
1st name | Masato |
Middle name | |
Last name | Ikegami |
Ina Central Hospital
Department of Rehabilitation
396-8555
1313-1 Koshiroukubo, Ina, Nagano
0265-72-3121
masakk0208@gmail.com
1st name | Masato |
Middle name | |
Last name | Ikegami |
Ina Central Hospital
Department of Rehabilitation
396-8555
1313-1 Koshiroukubo, Ina, Nagano
0265-72-3121
reha@inahp.jp
Ina Central Hospital
None
Self funding
Ethics Review Committee of Ina Central Hospital
1313-1 Koshiroukubo, Ina, Nagano
0265-72-3121
reha@inahp.jp
YES
22-13
Shinshu university
伊那中央病院(長野県)
2022 | Year | 09 | Month | 01 | Day |
Unpublished
Completed
2022 | Year | 07 | Month | 30 | Day |
2022 | Year | 08 | Month | 17 | Day |
2022 | Year | 09 | Month | 02 | Day |
2023 | Year | 03 | Month | 31 | Day |
2023 | Year | 03 | Month | 31 | Day |
2023 | Year | 03 | Month | 31 | Day |
2022 | Year | 09 | Month | 01 | Day |
2023 | Year | 04 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055611