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Trial registered on ANZCTR
Registration number
ACTRN12606000230550
Ethics application status
Approved
Date submitted
6/06/2006
Date registered
6/06/2006
Date last updated
14/09/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does Splinting Prevent Contracture Following Stroke?
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Scientific title
Hand splinting to manage contracture of the wrist and improve function, and reduce pain and spasticity of adults with hemiplegia following stroke.
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Secondary ID [1]
267
0
ClinicalTrials.gov: NCT00286702
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
1208
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Condition category
Condition code
Stroke
1293
1293
0
0
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Haemorrhagic
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Stroke
2417
2417
0
0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1) Hand splint which positions the wrist in neutral, worn at night for up to 12 hours at a time for 4 weeks.
2) Hand splint which positions the wrist in extension, worn at night for up to 12 hours at a time for 4 weeks.
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Intervention code [1]
1122
0
Rehabilitation
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Comparator / control treatment
3) Control group who do not wear a hand splint
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Control group
Active
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Outcomes
Primary outcome [1]
1762
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Muscle extensibility of the wrist and long finger flexor muscles as measured using torque controlled range of motion of wrist extension with the fingers held in extension.
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Assessment method [1]
1762
0
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Timepoint [1]
1762
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Measured at baseline (pre-randomisation), and at 4 weeks and 6 weeks.
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Secondary outcome [1]
3112
0
Function as measured using the upper limb items of the Motor Assessment Scale.
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Assessment method [1]
3112
0
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Timepoint [1]
3112
0
Measured at baseline (pre-randomisation), and at 4 weeks and 6 weeks.
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Secondary outcome [2]
3113
0
Pain and Self-rated Disability as measured using the Disabilities of the Arm, Shoulder and Hand Questionnaire.
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Assessment method [2]
3113
0
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Timepoint [2]
3113
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Measured at baseline (pre-randomisation), and at 4 weeks and 6 weeks.
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Secondary outcome [3]
3114
0
Spasticity as measured using the Tardieu scale.
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Assessment method [3]
3114
0
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Timepoint [3]
3114
0
Measured at baseline (pre-randomisation), and at 4 weeks and 6 weeks.
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Eligibility
Key inclusion criteria
i. Medical diagnosis of stroke, which occurred within the previous eightweeks ii.no active wrist extension iii.Sufficient cognitive and hearing function to be able to fully participate in the trial iv.Living in the Sydney metropolitan area to be seen for follow-up clinical examinations.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(i) Previous stroke resulting in an upper limb hemiplegia.(ii) Previous upper limb trauma causing structural imbalance, or reduced range of movement, at the wrist or fingers (for example. a colles fracture).(iii) Osseous abnormality in the wrist or fingers(iv) Arthritic condition of the wrist or fingers.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation with opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
External person not involved in the study generated the sequence using Excel software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2002
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
63
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1419
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University
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Name [1]
1419
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University of Western Sydney
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Address [1]
1419
0
University of Western Sydney
Locked Bag 1797
PENRITH SOUTH DC
NSW 1797
AUSTRALIA
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Country [1]
1419
0
Australia
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Primary sponsor type
University
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Name
University of Western Sydney
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Address
Locked Bag 1797
PENRITH SOUTH DC
NSW 1797
AUSTRALIA
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Country
Australia
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Secondary sponsor category [1]
1245
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Individual
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Name [1]
1245
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Professor Anne Cusick
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Address [1]
1245
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Locked Bag 1797
PENRITH SOUTH DC
NSW 1797
AUSTRALIA
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Country [1]
1245
0
Australia
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Secondary sponsor category [2]
1246
0
Individual
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Name [2]
1246
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Dr Annie McCluskey
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Address [2]
1246
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Cumberland Campus
The University of Sydney
NSW 2006
Australia
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Country [2]
1246
0
Australia
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Secondary sponsor category [3]
1247
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Individual
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Name [3]
1247
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A/Prof Robert Herbert
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Address [3]
1247
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Cumberland Campus
The University of Sydney
NSW 2006
Australia
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Country [3]
1247
0
Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2774
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University of Western Sydney Ethics Review Committee
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Ethics committee address [1]
2774
0
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Ethics committee country [1]
2774
0
Australia
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Date submitted for ethics approval [1]
2774
0
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Approval date [1]
2774
0
08/08/2002
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Ethics approval number [1]
2774
0
01/166
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Ethics committee name [2]
2775
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Sydney Adventist Hospital Ethics Committee
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Ethics committee address [2]
2775
0
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Ethics committee country [2]
2775
0
Australia
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Date submitted for ethics approval [2]
2775
0
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Approval date [2]
2775
0
12/07/2002
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Ethics approval number [2]
2775
0
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Ethics committee name [3]
2776
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St Joseph’s Hospital Quality Care Committee
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Ethics committee address [3]
2776
0
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Ethics committee country [3]
2776
0
Australia
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Date submitted for ethics approval [3]
2776
0
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Approval date [3]
2776
0
13/06/2002
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Ethics approval number [3]
2776
0
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Ethics committee name [4]
2777
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South Eastern Sydney Area Health Service Human Research Ethics Committee Eastern Section
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Ethics committee address [4]
2777
0
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Ethics committee country [4]
2777
0
Australia
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Date submitted for ethics approval [4]
2777
0
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Approval date [4]
2777
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28/08/2002
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Ethics approval number [4]
2777
0
02/152
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Ethics committee name [5]
2778
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South Western Sydney Area Health Service Research Ethics Committee
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Ethics committee address [5]
2778
0
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Ethics committee country [5]
2778
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Australia
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Date submitted for ethics approval [5]
2778
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Approval date [5]
2778
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19/11/2002
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Ethics approval number [5]
2778
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02/113
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Ethics committee name [6]
2779
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St Vincent’s Hospital Sydney Human Research Ethics Committee
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Ethics committee address [6]
2779
0
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Ethics committee country [6]
2779
0
Australia
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Date submitted for ethics approval [6]
2779
0
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Approval date [6]
2779
0
07/01/2003
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Ethics approval number [6]
2779
0
Q02/128
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Ethics committee name [7]
2780
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Western Sydney Area Health Service Human Research Ethics Committee
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Ethics committee address [7]
2780
0
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Ethics committee country [7]
2780
0
Australia
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Date submitted for ethics approval [7]
2780
0
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Approval date [7]
2780
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02/03/2004
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Ethics approval number [7]
2780
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HREC2003/12/4.18(1737)
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Summary
Brief summary
Contracture after stroke is a condition that causes pain and disability in adults with hemiplegia after stroke. It is commonly treated by using hand splints. This trial aimed to evaluate the effect of two types of hand splints used clinically during rehabilitation to prevent contracture: a hand splint that positions the wrist in neutral and a hand splint that positions the wrist in extension. The trial’s primary hypotheses were (i) do commonly prescribed hand splints prevent contracture in people with hemiplegia after stroke, and (ii) do commonly prescribed hand splints improve function, and reduce pain and/or spasticity in people with hemiplegia following stroke. The trial assessed changes in outcomes at four weeks (following removal of splints) and at six weeks (follow-up). All outcomes were measured by a research assistant blind to treatment group allocation.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
35337
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Address
35337
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Country
35337
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Phone
35337
0
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Fax
35337
0
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Email
35337
0
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Contact person for public queries
Name
10311
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Natasha Lannin
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Address
10311
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Rehabilitation Studies Unit
PO Box 6, Ryde NSW 2112
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Country
10311
0
Australia
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Phone
10311
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+61 2 98089236
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Fax
10311
0
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Email
10311
0
[email protected]
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Contact person for scientific queries
Name
1239
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Natasha Lannin
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Address
1239
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Rehabilitation Studies Unit
PO Box 6 Ryde NSW 2112
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Country
1239
0
Australia
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Phone
1239
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+61 2 98089236
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Fax
1239
0
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Email
1239
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF