SALGOT - Stroke Arm Longitudinal study at the University of Gothenburg, prospective cohort study protocol
Identifieur interne : 002999 ( Main/Merge ); précédent : 002998; suivant : 002A00SALGOT - Stroke Arm Longitudinal study at the University of Gothenburg, prospective cohort study protocol
Auteurs : Margit Alt Murphy [Suède] ; Hanna C. Persson [Suède] ; Anna Danielsson [Suède] ; Jurgen Broeren [Suède] ; Sa Lundgren-Nilsson [Suède] ; Katharina S. Sunnerhagen [Suède]Source :
- BMC Neurology [ 1471-2377 ] ; 2011.
Abstract
Recovery patterns of upper extremity motor function have been described in several longitudinal studies, but most of these studies have had selected samples, short follow up times or insufficient outcomes on motor function. The general understanding is that improvements in upper extremity occur mainly during the first month after the stroke incident and little if any, significant recovery can be gained after 3-6 months. The purpose of this study is to describe the recovery of upper extremity function longitudinally in a non-selected sample initially admitted to a stroke unit with first ever stroke, living in Gothenburg urban area.
A sample of 120 participants with a first-ever stroke and impaired upper extremity function will be consecutively included from an acute stroke unit and followed longitudinally for one year. Assessments are performed at eight occasions: at day 3 and 10, week 3, 4 and 6, month 3, 6 and 12 after onset of stroke. The primary clinical outcome measures are Action Research Arm Test and Fugl-Meyer Assessment for Upper Extremity. As additional measures, two new computer based objective methods with kinematic analysis of arm movements are used. The ABILHAND questionnaire of manual ability, Stroke Impact Scale, grip strength, spasticity, pain, passive range of motion and cognitive function will be assessed as well. At one year follow up, two patient reported outcomes, Impact on Participation and Autonomy and EuroQol Quality of Life Scale, will be added to cover the status of participation and aspects of health related quality of life.
This study comprises a non-selected population with first ever stroke and impaired arm function. Measurements are performed both using traditional clinical assessments as well as computer based measurement systems providing objective kinematic data. The ICF classification of functioning, disability and health is used as framework for the selection of assessment measures. The study design with several repeated measurements on motor function will give us more confident information about the recovery patterns after stroke. This knowledge is essential both for optimizing rehabilitation planning as well as providing important information to the patient about the recovery perspectives.
ClinicalTrials.gov:
Url:
DOI: 10.1186/1471-2377-11-56
PubMed: 21612620
PubMed Central: 3120665
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">SALGOT - <underline>S</underline>troke <underline>A</underline>rm <underline>L</underline>ongitudinal study at the University of <underline>Got</underline>henburg, prospective cohort study protocol</title><author><name sortKey="Alt Murphy, Margit" sort="Alt Murphy, Margit" uniqKey="Alt Murphy M" first="Margit" last="Alt Murphy">Margit Alt Murphy</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Persson, Hanna C" sort="Persson, Hanna C" uniqKey="Persson H" first="Hanna C" last="Persson">Hanna C. Persson</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Danielsson, Anna" sort="Danielsson, Anna" uniqKey="Danielsson A" first="Anna" last="Danielsson">Anna Danielsson</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Broeren, Jurgen" sort="Broeren, Jurgen" uniqKey="Broeren J" first="Jurgen" last="Broeren">Jurgen Broeren</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Lundgren Nilsson, Sa" sort="Lundgren Nilsson, Sa" uniqKey="Lundgren Nilsson " first=" Sa" last="Lundgren-Nilsson"> Sa Lundgren-Nilsson</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Sunnerhagen, Katharina S" sort="Sunnerhagen, Katharina S" uniqKey="Sunnerhagen K" first="Katharina S" last="Sunnerhagen">Katharina S. Sunnerhagen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21612620</idno><idno type="pmc">3120665</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120665</idno><idno type="RBID">PMC:3120665</idno><idno type="doi">10.1186/1471-2377-11-56</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001B83</idno><idno type="wicri:Area/Pmc/Curation">001B83</idno><idno type="wicri:Area/Pmc/Checkpoint">001993</idno><idno type="wicri:Area/Ncbi/Merge">001A60</idno><idno type="wicri:Area/Ncbi/Curation">001A60</idno><idno type="wicri:Area/Ncbi/Checkpoint">001A60</idno><idno type="wicri:Area/Main/Merge">002999</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">SALGOT - <underline>S</underline>troke <underline>A</underline>rm <underline>L</underline>ongitudinal study at the University of <underline>Got</underline>henburg, prospective cohort study protocol</title><author><name sortKey="Alt Murphy, Margit" sort="Alt Murphy, Margit" uniqKey="Alt Murphy M" first="Margit" last="Alt Murphy">Margit Alt Murphy</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Persson, Hanna C" sort="Persson, Hanna C" uniqKey="Persson H" first="Hanna C" last="Persson">Hanna C. Persson</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Danielsson, Anna" sort="Danielsson, Anna" uniqKey="Danielsson A" first="Anna" last="Danielsson">Anna Danielsson</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Broeren, Jurgen" sort="Broeren, Jurgen" uniqKey="Broeren J" first="Jurgen" last="Broeren">Jurgen Broeren</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Lundgren Nilsson, Sa" sort="Lundgren Nilsson, Sa" uniqKey="Lundgren Nilsson " first=" Sa" last="Lundgren-Nilsson"> Sa Lundgren-Nilsson</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Sunnerhagen, Katharina S" sort="Sunnerhagen, Katharina S" uniqKey="Sunnerhagen K" first="Katharina S" last="Sunnerhagen">Katharina S. Sunnerhagen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Neurology</title><idno type="eISSN">1471-2377</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Recovery patterns of upper extremity motor function have been described in several longitudinal studies, but most of these studies have had selected samples, short follow up times or insufficient outcomes on motor function. The general understanding is that improvements in upper extremity occur mainly during the first month after the stroke incident and little if any, significant recovery can be gained after 3-6 months. The purpose of this study is to describe the recovery of upper extremity function longitudinally in a non-selected sample initially admitted to a stroke unit with first ever stroke, living in Gothenburg urban area.</p></sec><sec><title>Methods/Design</title><p>A sample of 120 participants with a first-ever stroke and impaired upper extremity function will be consecutively included from an acute stroke unit and followed longitudinally for one year. Assessments are performed at eight occasions: at day 3 and 10, week 3, 4 and 6, month 3, 6 and 12 after onset of stroke. The primary clinical outcome measures are Action Research Arm Test and Fugl-Meyer Assessment for Upper Extremity. As additional measures, two new computer based objective methods with kinematic analysis of arm movements are used. The ABILHAND questionnaire of manual ability, Stroke Impact Scale, grip strength, spasticity, pain, passive range of motion and cognitive function will be assessed as well. At one year follow up, two patient reported outcomes, Impact on Participation and Autonomy and EuroQol Quality of Life Scale, will be added to cover the status of participation and aspects of health related quality of life.</p></sec><sec><title>Discussion</title><p>This study comprises a non-selected population with first ever stroke and impaired arm function. Measurements are performed both using traditional clinical assessments as well as computer based measurement systems providing objective kinematic data. The ICF classification of functioning, disability and health is used as framework for the selection of assessment measures. The study design with several repeated measurements on motor function will give us more confident information about the recovery patterns after stroke. This knowledge is essential both for optimizing rehabilitation planning as well as providing important information to the patient about the recovery perspectives.</p></sec><sec><title>Trial registration</title><p>ClinicalTrials.gov: <ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov/ct2/show/NCT01115348">NCT01115348</ext-link></p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Broeks, Jg" uniqKey="Broeks J">JG Broeks</name></author><author><name sortKey="Lankhorst, Gj" uniqKey="Lankhorst G">GJ Lankhorst</name></author><author><name sortKey="Rumping, K" uniqKey="Rumping K">K Rumping</name></author><author><name sortKey="Prevo, Aj" uniqKey="Prevo A">AJ Prevo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nakayama, H" uniqKey="Nakayama H">H Nakayama</name></author><author><name sortKey="Jorgensen, Hs" uniqKey="Jorgensen H">HS 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White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rabin, R" uniqKey="Rabin R">R Rabin</name></author><author><name sortKey="De Charro, F" uniqKey="De Charro F">F de Charro</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rasch, G" uniqKey="Rasch G">G Rasch</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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