Tracking of Upper Limb Sensory and Motor Recovery in Asian Stroke Survivors
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Clinical and technological-aided assessments and questionnaires.
- Кому может быть актуально
- Состояния в реестре: Stroke. Базовые параметры: 21 лет — 90 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Сингапур
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Deep Phenotyping of Upper Limb Sensori-motor Recovery in Asian Stroke Survivors: Concept, Development and Implementation of a Rehabilomics-driven Technology-assisted Data Platform
Обзор
As Singapore's population is aging rapidly, the incidence rate of stroke has been increasing in the past years. Rehabilitation is essential for the resumption of daily activities, and with the appropriate care, it is possible for stroke-survivors to regain most of their functions. Hence, this study aims to better understand upper limb recovery covering different stages post-stroke in a representative cohort of Asian adults
Подробное описание
Stroke is a leading contributor to disability in Singapore, partially driven by a reduced ability to use the upper limb in their daily lives. Reduced upper limb use commonly results from a variety of impairments such as motor, sensory and cognitive impairments.
The aim of this longitudinal and observational study is to gather a rich multi-modal database on the time-course of upper limb recovery in a representative cohort after stroke and characterise the relationship between upper limb recovery, common post-stroke impairments and quality of life.
Вмешательства
- Другое Clinical and technological-aided assessments and questionnaires
Assessments and questionnaires related to upper limb function and quality of life will be used
Первичные конечные точки
- Fugl-Meyer Assessment (FMA) [Срок оценки: Inpatient: week 1 of admission]
Критерии участия
Критерии включения
- Stroke confirmed by neurologists, neurosurgeons and brain imaging (CT, CT angiogram, MRI, MR angiogram)
- First ever confirmed stroke
- Asian ethnicity
- Age 21-90 years
- Montreal Cognitive Assessment (MOCA) scores 21/30 and above
- Admission to rehabilitation ward is within 8 weeks of stroke onset
Критерии исключения
- Recurrent stroke or transient ischaemic attack (TIA)
- Upper limb impairment not related to stroke: e.g., subarachnoid haemorrhage, traumatic brain injury or brain tumours
- Bilateral upper limb impairment.
- Uncontrolled medical conditions such as hypertension, hypotension, diabetes mellitus, unstable angina, cardiac failure or sepsis will be excluded.
- Active fractures or arthritis of upper limb joints/bones
- Visual Analogue Scale (VAS) pain > 5/10
- MOCA < 21/30
- Severe behavioural disturbance or agitation or epilepsy or untreated depression
- Life expectancy < 6 months
- End organ failures on replacements (renal dialysis or renal replacement therapies)
- Minimally responsive or unresponsive awareness (vegetative) states
- Pregnancy or lactation states
- Admission to rehab ward later than 8 weeks post-stroke
- (For TMS assessments only) History of epilepsy or seizures, or cranial surgeries, or have metal implants in body or head, or have implanted electronics, or have metallic valve, or skull fracture or brain injury, or head or brain surgeries.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Сингапур · 1 центр
- Tan Tock Seng Hospital — Singapore
Публикации
- Cheng HJ, Chin LF, Kanzler CM, Lehner R, Kuah CWK, Kager S, Josse E, Samkharadze T, Sidarta A, Gonzalez PC, Lie E, Zbytniewska-Megret M, Wee SK, Liang P, Gassert R, Chua K, Lambercy O, Wenderoth N. Upper limb sensorimotor recovery in Asian stroke survivors: a study protocol for the development and implementation of a Technology-Assisted dIgitaL biOmaRker (TAILOR) platform. Front Neurol. 2023 Nov 3 PMID 38107648
Идентификаторы
NCT: NCT05322837 · DSRB 2021/00919