Dynamic Lycra Orthoses as an adjunct to upper limb rehabilitation after stroke: a feasibility randomised controlled trial

Jacqui Morris, Alexandra John, Peter Donnan

Research output: Contribution to journalMeeting abstract

Abstract

Background and Aims: Upper Limb (UL) recovery after stroke at six
months is incomplete in up to 66% of cases. Recovery requires high dose
repetitive task training that is challenging to achieve. Dynamic LycraVR
Orthoses (DLO) are lycra garments designed to provide dynamic support and sensory feedback and may optimise task practice conditions. Often used in rehabilitation, evidence of effects in stroke is scant. The aim
of this study was to examine feasibility of conducting a randomised controlled trial of DLO in stroke rehabilitation
Method: Design: Randomised controlled feasibility trial
Participants: Stroke survivors with UL activity limitation, admitted to
two stroke units 2–4 weeks following stroke onset, randomised 2:1 to
intervention or control groups. Intervention: After provision of individually tailored dynamic lycra orthosis (DLO), participants wore the DLO for eight hours per day
over eight weeks. The control group received usual care. Feasibility outcomes were recruitment and retention rates, recorded adherence, withdrawal and completion, missing data, adverse events. Changes in Action Research Arm Test, Nine Hole Peg Test, Nottingham Sensory Assessment, Motor Assessment Log, Motricity Index, Modified Tardieu were assessed at eight weeks.
Results: Recruitment was complete on 30/12/17. Of 43 participants, 25
received the DLO. Outcome assessment is ongoing with completion by
28/2/18. To date, non-completion of assessment occurred with eight
intervention group participants, four because of issues with the DLO,
and with four control group participants. Conclusion: This study provides an assessment of feasibility of DLO as an adjunct to rehabilitation after stroke. Results will be reported in May 2018. Trial registration number: Registration No:NCT03063970
Original languageEnglish
Pages (from-to)10-65
Number of pages1
JournalEuropean Stroke Journal
Volume3
Issue number1
DOIs
Publication statusPublished - 16 May 2018
EventEuropean Stroke Organisation Conference 2018 - Gothenburg, Sweden
Duration: 16 May 201818 May 2018

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Splints
Upper Extremity
Randomized Controlled Trials
Stroke
Control Groups
Sensory Feedback
Clothing
Health Services Research
Survivors
Stroke Rehabilitation
Rehabilitation
Outcome Assessment (Health Care)

Cite this

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title = "Dynamic Lycra Orthoses as an adjunct to upper limb rehabilitation after stroke: a feasibility randomised controlled trial",
abstract = "Background and Aims: Upper Limb (UL) recovery after stroke at sixmonths is incomplete in up to 66{\%} of cases. Recovery requires high doserepetitive task training that is challenging to achieve. Dynamic LycraVROrthoses (DLO) are lycra garments designed to provide dynamic support and sensory feedback and may optimise task practice conditions. Often used in rehabilitation, evidence of effects in stroke is scant. The aimof this study was to examine feasibility of conducting a randomised controlled trial of DLO in stroke rehabilitationMethod: Design: Randomised controlled feasibility trialParticipants: Stroke survivors with UL activity limitation, admitted totwo stroke units 2–4 weeks following stroke onset, randomised 2:1 tointervention or control groups. Intervention: After provision of individually tailored dynamic lycra orthosis (DLO), participants wore the DLO for eight hours per dayover eight weeks. The control group received usual care. Feasibility outcomes were recruitment and retention rates, recorded adherence, withdrawal and completion, missing data, adverse events. Changes in Action Research Arm Test, Nine Hole Peg Test, Nottingham Sensory Assessment, Motor Assessment Log, Motricity Index, Modified Tardieu were assessed at eight weeks.Results: Recruitment was complete on 30/12/17. Of 43 participants, 25received the DLO. Outcome assessment is ongoing with completion by28/2/18. To date, non-completion of assessment occurred with eightintervention group participants, four because of issues with the DLO,and with four control group participants. Conclusion: This study provides an assessment of feasibility of DLO as an adjunct to rehabilitation after stroke. Results will be reported in May 2018. Trial registration number: Registration No:NCT03063970",
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Dynamic Lycra Orthoses as an adjunct to upper limb rehabilitation after stroke: a feasibility randomised controlled trial. / Morris, Jacqui; John, Alexandra; Donnan, Peter.

In: European Stroke Journal, Vol. 3, No. 1, 16.05.2018, p. 10-65.

Research output: Contribution to journalMeeting abstract

TY - JOUR

T1 - Dynamic Lycra Orthoses as an adjunct to upper limb rehabilitation after stroke: a feasibility randomised controlled trial

AU - Morris, Jacqui

AU - John, Alexandra

AU - Donnan, Peter

PY - 2018/5/16

Y1 - 2018/5/16

N2 - Background and Aims: Upper Limb (UL) recovery after stroke at sixmonths is incomplete in up to 66% of cases. Recovery requires high doserepetitive task training that is challenging to achieve. Dynamic LycraVROrthoses (DLO) are lycra garments designed to provide dynamic support and sensory feedback and may optimise task practice conditions. Often used in rehabilitation, evidence of effects in stroke is scant. The aimof this study was to examine feasibility of conducting a randomised controlled trial of DLO in stroke rehabilitationMethod: Design: Randomised controlled feasibility trialParticipants: Stroke survivors with UL activity limitation, admitted totwo stroke units 2–4 weeks following stroke onset, randomised 2:1 tointervention or control groups. Intervention: After provision of individually tailored dynamic lycra orthosis (DLO), participants wore the DLO for eight hours per dayover eight weeks. The control group received usual care. Feasibility outcomes were recruitment and retention rates, recorded adherence, withdrawal and completion, missing data, adverse events. Changes in Action Research Arm Test, Nine Hole Peg Test, Nottingham Sensory Assessment, Motor Assessment Log, Motricity Index, Modified Tardieu were assessed at eight weeks.Results: Recruitment was complete on 30/12/17. Of 43 participants, 25received the DLO. Outcome assessment is ongoing with completion by28/2/18. To date, non-completion of assessment occurred with eightintervention group participants, four because of issues with the DLO,and with four control group participants. Conclusion: This study provides an assessment of feasibility of DLO as an adjunct to rehabilitation after stroke. Results will be reported in May 2018. Trial registration number: Registration No:NCT03063970

AB - Background and Aims: Upper Limb (UL) recovery after stroke at sixmonths is incomplete in up to 66% of cases. Recovery requires high doserepetitive task training that is challenging to achieve. Dynamic LycraVROrthoses (DLO) are lycra garments designed to provide dynamic support and sensory feedback and may optimise task practice conditions. Often used in rehabilitation, evidence of effects in stroke is scant. The aimof this study was to examine feasibility of conducting a randomised controlled trial of DLO in stroke rehabilitationMethod: Design: Randomised controlled feasibility trialParticipants: Stroke survivors with UL activity limitation, admitted totwo stroke units 2–4 weeks following stroke onset, randomised 2:1 tointervention or control groups. Intervention: After provision of individually tailored dynamic lycra orthosis (DLO), participants wore the DLO for eight hours per dayover eight weeks. The control group received usual care. Feasibility outcomes were recruitment and retention rates, recorded adherence, withdrawal and completion, missing data, adverse events. Changes in Action Research Arm Test, Nine Hole Peg Test, Nottingham Sensory Assessment, Motor Assessment Log, Motricity Index, Modified Tardieu were assessed at eight weeks.Results: Recruitment was complete on 30/12/17. Of 43 participants, 25received the DLO. Outcome assessment is ongoing with completion by28/2/18. To date, non-completion of assessment occurred with eightintervention group participants, four because of issues with the DLO,and with four control group participants. Conclusion: This study provides an assessment of feasibility of DLO as an adjunct to rehabilitation after stroke. Results will be reported in May 2018. Trial registration number: Registration No:NCT03063970

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JF - European Stroke Journal

SN - 2396-9873

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