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Home-based Graded Repetitive Arm Supplementary Program for Quality of Life and Functional Upper Limb Recovery

RecruitingNAAges 18 Years - anyAllUniversidad Miguel Hernandez de Elche
NCT07146789 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

In post-stroke rehabilitation of the affected upper limb, increasing treatment intensity has been shown to lead to better outcomes compared to conventional approaches with fewer hours of therapy per day and week. However, logistical, human, and material constraints in neurorehabilitation centres often limit the feasibility of increasing treatment intensity. The GRASP programme (Graded Repetitive Arm Supplementary Program) is a home-based exercise intervention grounded in motor learning principles and conducted weekly under the supervision of an occupational therapist. This strategy enables the intensity of upper limb rehabilitation to be increased by up to seven additional hours per week. This project aims to evaluate the effectiveness of the Spanish version of the HomeGRASP programme, implemented as an adjunct to conventional occupational therapy, in improving quality of life, autonom

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📋 Eligibility rules (as published)
Inclusion Criteria: * Be of legal age. * Have suffered only one stroke and be clinically stable. * At least 3 months must have passed since the stroke and less than 12 months. * Signing of informed consent * Be able to communicate any adverse effects (e.g. shoulder pain) * Be able to follow instructions and perform the exercises independently for one hour. If they are not able to do so, have the help of a caregiver to ensure that the exercises are performed. * Perform at least 10º of active wrist or finger extension. * Ability to raise the scapula of the affected upper limb against gravity. Exclusion Criteria: * Having neurological conditions other than stroke. * Experiencing excessive pain in the affected upper limb that prevents the patient from correctly performing the exercises proposed in the programme. Visual Analogue Scale (VAS \> 7). * Having a visual perception deficit that prevents the patient from correctly performing the exercises proposed in the programme. * Excessive muscle tone (spasticity or hypertonia) that prevents the person from correctly performing the exercises proposed in the programme. Asworth \> 2. * A Folstein Mini-Mental State Examination (MMSE) score of ≥22 is required.
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What it tests

  • occupational therapy combined with HomeGRASP program
  • occupational therapy
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Where

1 site
Fundación Hopitalarias, Centro sociosanitario Nuestra señora del Carmen
Valencia, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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