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

J. Morris, A. John, P. Donnan, S. McFarlane, L. Wedderburn

Research output: Contribution to journalMeeting abstractpeer-review


Introduction: Dynamic Lycra Orthoses (DLO) are commercially available lycra sleeves designed to provide dynamic support, sensory feedback and control spasticity, however evidence in upper limb rehabilitation is scant. This feasibility randomised controlled trial examined DLO as an adjunct to rehabilitation.
Methods: 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 vs19.2±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
Article number246
Pages (from-to)60-60
Number of pages1
JournalInternational Journal of Stroke : Official Journal of the International Stroke Society
Issue number3 Suppl
Publication statusPublished - 3 Dec 2018
EventUK Stroke Forum 2018 - Telford, United Kingdom
Duration: 5 Dec 20186 Oct 2022


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