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

Research output: Contribution to journalMeeting abstract

Abstract

ethods: Stroke survivors with UL impairment were randomised 2:1 to receive an individually tailored DLO plus usual care (n = 23), or usual care only (n = 16), 2–4 weeks after stroke Participants wore the DLO for 8 hours daily over 8 weeks. Feasibility outcomes were recruitment, retention, adherence, adverse events. Changes in Action Research Arm Test (ARAT), 9 Hole Peg Test (9HPT), Nottingham Sensory Assessment (NSA), Motor Assessment Log (MAL), Motricity Index (MI), Modified Tardieu (MT) were assessed at baseline (T1), 8 weeks (T2) and 16 weeks (T3) by a blinded assessor.Results: 43/710 admitted strokes survivors were recruited. The target sample of 51 was not met. 22 (81%) DLO and 12 (75%) control group participants completed T2 assessment; 15 (55%) DLO and 9 (56%) control participants completed at T3. 77% of adherence diaries were returned, 25% completed; 33 adverse reactions were reported. Mean change (± SD) was greater with usual care vs DLO in all measures between T1 and T2: ARAT (9.7 ± 10.9 vs 9 ± 12.8); 9HPT(−10.3 ± 32.4 vs −14.2 ± 30.7); MAL Amount (0.8 ± 0.9 vs 1.0 ± 1.0); MI (12.1 ± 11.8 vs 16.7 ± 10.1); MT Spasticity Angle (−0.2 ± 22.7 vs −19.2 ± 35.6); NSA Touch (0.9 ± 2.4 vs 2.5 ± 1.88). Adjusting for baseline severity, between group mean differences in change were not significant (p > 0.05).Conclusion: The study was feasible, but recruitment, retention and adverse events were problematic. Preliminary data suggests no benefit over usual care. The DLO may restrict rather than dynamically facilitate movement.
Original languageEnglish
Pages (from-to)10-65
Number of pages1
JournalInternational Journal of Stroke
Volume13
Issue number3S
DOIs
Publication statusPublished - 2018
EventUK Stroke Forum 2018 - Telford
Duration: 4 Dec 2018 → …

Fingerprint

Splints
Upper Extremity
Randomized Controlled Trials
Health Services Research
Stroke
Survivors
Touch
Control Groups
Stroke Rehabilitation

Cite this

@article{e5b4afc3b23a4585beb9cec50de3717f,
title = "Dynamic Lycra Orthoses as an adjunct to upper limb rehabilitation after stroke: A feasibility randomised controlled trial",
abstract = "ethods: Stroke survivors with UL impairment were randomised 2:1 to receive an individually tailored DLO plus usual care (n = 23), or usual care only (n = 16), 2–4 weeks after stroke Participants wore the DLO for 8 hours daily over 8 weeks. Feasibility outcomes were recruitment, retention, adherence, adverse events. Changes in Action Research Arm Test (ARAT), 9 Hole Peg Test (9HPT), Nottingham Sensory Assessment (NSA), Motor Assessment Log (MAL), Motricity Index (MI), Modified Tardieu (MT) were assessed at baseline (T1), 8 weeks (T2) and 16 weeks (T3) by a blinded assessor.Results: 43/710 admitted strokes survivors were recruited. The target sample of 51 was not met. 22 (81{\%}) DLO and 12 (75{\%}) control group participants completed T2 assessment; 15 (55{\%}) DLO and 9 (56{\%}) control participants completed at T3. 77{\%} of adherence diaries were returned, 25{\%} completed; 33 adverse reactions were reported. Mean change (± SD) was greater with usual care vs DLO in all measures between T1 and T2: ARAT (9.7 ± 10.9 vs 9 ± 12.8); 9HPT(−10.3 ± 32.4 vs −14.2 ± 30.7); MAL Amount (0.8 ± 0.9 vs 1.0 ± 1.0); MI (12.1 ± 11.8 vs 16.7 ± 10.1); MT Spasticity Angle (−0.2 ± 22.7 vs −19.2 ± 35.6); NSA Touch (0.9 ± 2.4 vs 2.5 ± 1.88). Adjusting for baseline severity, between group mean differences in change were not significant (p > 0.05).Conclusion: The study was feasible, but recruitment, retention and adverse events were problematic. Preliminary data suggests no benefit over usual care. The DLO may restrict rather than dynamically facilitate movement.",
author = "Jacqui Morris",
year = "2018",
doi = "10.1177/1747493018801108",
language = "English",
volume = "13",
pages = "10--65",
journal = "International Journal of Stroke : Official Journal of the International Stroke Society",
issn = "1747-4930",
publisher = "Wiley",
number = "3S",

}

TY - JOUR

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

AU - Morris, Jacqui

PY - 2018

Y1 - 2018

N2 - ethods: Stroke survivors with UL impairment were randomised 2:1 to receive an individually tailored DLO plus usual care (n = 23), or usual care only (n = 16), 2–4 weeks after stroke Participants wore the DLO for 8 hours daily over 8 weeks. Feasibility outcomes were recruitment, retention, adherence, adverse events. Changes in Action Research Arm Test (ARAT), 9 Hole Peg Test (9HPT), Nottingham Sensory Assessment (NSA), Motor Assessment Log (MAL), Motricity Index (MI), Modified Tardieu (MT) were assessed at baseline (T1), 8 weeks (T2) and 16 weeks (T3) by a blinded assessor.Results: 43/710 admitted strokes survivors were recruited. The target sample of 51 was not met. 22 (81%) DLO and 12 (75%) control group participants completed T2 assessment; 15 (55%) DLO and 9 (56%) control participants completed at T3. 77% of adherence diaries were returned, 25% completed; 33 adverse reactions were reported. Mean change (± SD) was greater with usual care vs DLO in all measures between T1 and T2: ARAT (9.7 ± 10.9 vs 9 ± 12.8); 9HPT(−10.3 ± 32.4 vs −14.2 ± 30.7); MAL Amount (0.8 ± 0.9 vs 1.0 ± 1.0); MI (12.1 ± 11.8 vs 16.7 ± 10.1); MT Spasticity Angle (−0.2 ± 22.7 vs −19.2 ± 35.6); NSA Touch (0.9 ± 2.4 vs 2.5 ± 1.88). Adjusting for baseline severity, between group mean differences in change were not significant (p > 0.05).Conclusion: The study was feasible, but recruitment, retention and adverse events were problematic. Preliminary data suggests no benefit over usual care. The DLO may restrict rather than dynamically facilitate movement.

AB - ethods: Stroke survivors with UL impairment were randomised 2:1 to receive an individually tailored DLO plus usual care (n = 23), or usual care only (n = 16), 2–4 weeks after stroke Participants wore the DLO for 8 hours daily over 8 weeks. Feasibility outcomes were recruitment, retention, adherence, adverse events. Changes in Action Research Arm Test (ARAT), 9 Hole Peg Test (9HPT), Nottingham Sensory Assessment (NSA), Motor Assessment Log (MAL), Motricity Index (MI), Modified Tardieu (MT) were assessed at baseline (T1), 8 weeks (T2) and 16 weeks (T3) by a blinded assessor.Results: 43/710 admitted strokes survivors were recruited. The target sample of 51 was not met. 22 (81%) DLO and 12 (75%) control group participants completed T2 assessment; 15 (55%) DLO and 9 (56%) control participants completed at T3. 77% of adherence diaries were returned, 25% completed; 33 adverse reactions were reported. Mean change (± SD) was greater with usual care vs DLO in all measures between T1 and T2: ARAT (9.7 ± 10.9 vs 9 ± 12.8); 9HPT(−10.3 ± 32.4 vs −14.2 ± 30.7); MAL Amount (0.8 ± 0.9 vs 1.0 ± 1.0); MI (12.1 ± 11.8 vs 16.7 ± 10.1); MT Spasticity Angle (−0.2 ± 22.7 vs −19.2 ± 35.6); NSA Touch (0.9 ± 2.4 vs 2.5 ± 1.88). Adjusting for baseline severity, between group mean differences in change were not significant (p > 0.05).Conclusion: The study was feasible, but recruitment, retention and adverse events were problematic. Preliminary data suggests no benefit over usual care. The DLO may restrict rather than dynamically facilitate movement.

U2 - 10.1177/1747493018801108

DO - 10.1177/1747493018801108

M3 - Meeting abstract

VL - 13

SP - 10

EP - 65

JO - International Journal of Stroke : Official Journal of the International Stroke Society

JF - International Journal of Stroke : Official Journal of the International Stroke Society

SN - 1747-4930

IS - 3S

ER -