Mental Practice in Chronic, Stroke Induced Hemiparesis



Status:Completed
Conditions:Neurology
Therapuetic Areas:Neurology
Healthy:No
Age Range:21 - 80
Updated:1/6/2017
Start Date:September 2010
End Date:December 2016

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Mental Practice in Chronic, Stroke-Induced Hemiparesis

Stroke is the leading cause of disability in the United States, producing motor impairments
that compromise performance of valued activities. Hemiparesis (or weakness in one arm) is
particularly disabling, is the primary impairment underlying stroke-related disability, and
the most frequent impairment treated by therapists in the United States. This study will
test efficacy of a promising technique in reducing arm disability and increasing function,
thereby improving outcomes and health, reducing care costs, for community dwelling patients
with stroke-induced hemiparesis.


Inclusion Criteria:

- a Fugl-Meyer score > 27, which is indicative of minimal to moderate arm impairment;

- stroke experienced > 6 months prior to study enrollment;

- minimal cognitive impairment, a score > 25 on the Folstein Mini Mental Status
Examination (MMSE);

- age > 21 years old and < 80 years old;

- have experienced one clinical stroke as verified by a physician;

- discharged from all forms of physical rehabilitation targeting the affected arm.

Exclusion Criteria:

- < 21 years old;

- excessive pain in the affected hand, arm or shoulder, as measured by a score > 5 on a
10-point visual analog scale;

- excessive spasticity in the affected biceps, triceps, wrist, or fingers, as defined
as a score of greater than or equal to 2 on the Modified Ashworth Spasticity Scale;

- currently participating in any experimental rehabilitation or drug studies targeting
UE;

- mirrors movements(i.e., involuntary movements by the unaffected hand during attempts
at unilateral movement by the stroke-affected hand during attempts at unilateral
movement by the stroke-affected hand);

- history of parietal stroke (because some data suggest that ability to estimate manual
motor performance through mental imagery is disturbed after parietal lobe damage);

- affected arm joint restriction that in the opinion of the investigator would hinder
study participation
We found this trial at
2
sites
281 W. Lane Ave
Columbus, Ohio 43210
(614) 292-6446
Ohio State University The Ohio State University’s main Columbus campus is one of America’s largest...
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Cleveland, Ohio 44109
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Cleveland, OH
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