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Trial registered on ANZCTR
Registration number
ACTRN12611000309987
Ethics application status
Approved
Date submitted
27/06/2007
Date registered
23/03/2011
Date last updated
21/01/2022
Date data sharing statement initially provided
21/01/2022
Date results provided
21/01/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
Recovery of the arm after stroke
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Scientific title
In acute, very weak stroke patients does electromyographic (EMG) triggered electrical stimulation increase strength and activity in the arm compared to conventional therapy alone?
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Secondary ID [1]
259796
0
Nil
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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
2127
0
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Condition category
Condition code
Stroke
2223
2223
0
0
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Ischaemic
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Neurological
259537
259537
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention group -usual therapy (physiotherapy and occupational therapy interventions including strengthening, cyclical electrical stimulalation, task specific training of reaching and manipulation) and EMG triggered electrical stimulation to 4 major muscles of the upper limb (UL). They will receive the intervention for 5 days a week for 4 weeks.
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Intervention code [1]
1602
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Rehabilitation
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Comparator / control treatment
Control group - usual therapy (physiotherapy and occupational therapy interventions including strengthening, cyclical electrical stimulalation, task specific training of reaching and manipulation)
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Control group
Active
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Outcomes
Primary outcome [1]
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Muscle strength of the affected arm using hand-held dynamometry and manual muscle testing.
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Assessment method [1]
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Timepoint [1]
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Primary outcome measured at baseline (pre-randomisation), and at 4 weeks and 20 weeks
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Secondary outcome [1]
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Activity using the Motor Assessment Scale and Nine Hole Peg test
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Assessment method [1]
5159
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Timepoint [1]
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Measured at baseline (pre-randomisation), and at 4 weeks and 20 weeks
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Eligibility
Key inclusion criteria
Diagnosis of stroke less than 4 weeks before, medically stable, no previous stroke with residual deficits, previously able to manipulate objects independently, less than grade 3 muscle strength in 3 out of 4 of the following muscle groups of the affected UL , shoulder flexors, elbow extensors, wrist extensors, thumb abductors, have sufficient cognition and communication to understand the purpose of the study and give informed consent.
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Minimum age
50
Years
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Maximum age
85
Years
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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
Demand style cardiac pacemaker, severe receptive aphasia, previous stroke resulting in hemiplegia/ hemiparesis or any barriers to taking part in a physical rehabilitation programme.
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Study design
Purpose of the study
Treatment
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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)
After informed consent has been received and the intial measurements completed the group allocation will be determined by ringing a contact person off-site who will open a sealed opaque envelope to inform of group allocation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
External person not involved in recruitment, intervention or measurement will generate 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
Blind assessors
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
2/07/2007
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Actual
6/08/2007
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Date of last participant enrolment
Anticipated
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Actual
25/10/2010
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Date of last data collection
Anticipated
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Actual
19/11/2010
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Sample size
Target
70
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Accrual to date
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Final
33
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Bankstown-Lidcombe Hospital - Bankstown
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Recruitment hospital [2]
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St George Hospital - Kogarah
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Recruitment postcode(s) [1]
36447
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2200 - Bankstown
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Recruitment postcode(s) [2]
36448
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2217 - Kogarah
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NSW Physiotherapists Registration Board, now The Physiotherapy Council of NSW
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Address [1]
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Level 6, North Wing
477 Pitt St
Sydney
NSW 2000
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Country [1]
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Australia
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Funding source category [2]
264678
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Charities/Societies/Foundations
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Name [2]
264678
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Physiotherapy Research Foundation
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Address [2]
264678
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PO Box 437
Hawthorn BC
VIC 3122
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Country [2]
264678
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Australia
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Primary sponsor type
University
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Name
University of Sydney
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Address
Faculty of Health Sciences
PO Box 170
Lidcombe
NSW 1825
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Bankstown-Lidcombe Hospital
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Address [1]
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Eldridge Rd
Bankstown
NSW 2200
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Country [1]
263813
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Australia
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Secondary sponsor category [2]
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Hospital
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Name [2]
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St George Public Hospital
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Address [2]
263814
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Gray St
Kogarah
NSW 2217
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Country [2]
263814
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney South West Area Health Service HREC
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Ethics committee address [1]
4208
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Locked Bag 7017 Liverpool BC NSW 1871
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Ethics committee country [1]
4208
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Australia
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Date submitted for ethics approval [1]
4208
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Approval date [1]
4208
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29/09/2006
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Ethics approval number [1]
4208
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2006/076
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Ethics committee name [2]
4209
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University of Sydney HREC
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Ethics committee address [2]
4209
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Level 6 Jane Foss Russell Building G02 University of Sydney NSW 2006
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Ethics committee country [2]
4209
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Australia
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Date submitted for ethics approval [2]
4209
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Approval date [2]
4209
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03/11/2006
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Ethics approval number [2]
4209
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9655
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Ethics committee name [3]
266672
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Human Research Ethics committee Concord Repatriation General Hospital
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Ethics committee address [3]
266672
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Concord Repatriation General Hospital Concord NSW 2139
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Ethics committee country [3]
266672
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Australia
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Date submitted for ethics approval [3]
266672
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Approval date [3]
266672
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20/01/2009
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Ethics approval number [3]
266672
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08/CRGH/164
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Summary
Brief summary
People who have had a severe stroke generally remain very disabled. An EMG triggered electrical stimulation machine measures electrical activity in muscles and provides electrical stimulation when a threshold level of muscle activity is reached, hence it provides feedback to people with weak muscles and strengthens muscles. Seventy very weak, acute stroke patients will be allocated to receive EMG triggered electrical stimulation to muscles of their arm in addition to conventional therapy or conventional therapy only. Measures of muscle strength and activity will be taken before and after the intervention. This intervention has the potential to increase the likelihood of returning to independence after a severe stroke.
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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
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Dr Simone Dorsch
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Address
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School of Allied Health
Australian Catholic University
PO Box 968
North Sydney
NSW 2059
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Country
27536
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Australia
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Phone
27536
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+61 414811168
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Fax
27536
0
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Email
27536
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[email protected]
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Contact person for public queries
Name
10791
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Ms Simone Dorsch
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Address
10791
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C/O Physiotherapy Department
Bankstown-Lidcombe Hospital
Eldridge Rd
Bankstown NSW 2200
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Country
10791
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Australia
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Phone
10791
0
61 414 811 168
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Fax
10791
0
61 2 9722 7125
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ms Simone Dorsch
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Address
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C/O Physiotherapy Department
Bankstown-Lidcombe Hospital
Eldridge Rd
Bankstown NSW 2200
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Country
1719
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Australia
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Phone
1719
0
61 414 811 168
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Fax
1719
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61 2 9729 2277
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Email
1719
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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.
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