Feasibility study of a randomized controlled trial protocol to examine clinical effectiveness of shoulder strapping in acute stroke patients

Appel, C; Mayston, M; Perry, L

Feasibility study of a randomized controlled trial protocol to examine clinical effectiveness of shoulder strapping in acute stroke patients

Appel, C Mayston, M Perry, L

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Publication Type:: Journal Article
Citation:: Clinical Rehabilitation, 2011, 25 (9), pp. 833 - 843
Issue Date:: 2011-09-01

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Field	Value	Language
dc.contributor.author	Appel, C	en_US
dc.contributor.author	Mayston, M	en_US
dc.contributor.author	Perry, L https://orcid.org/0000-0002-8507-1283	en_US
dc.date.issued	2011-09-01	en_US
dc.identifier.citation	Clinical Rehabilitation, 2011, 25 (9), pp. 833 - 843	en_US
dc.identifier.issn	0269-2155	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18599
dc.description.abstract	Objective: The majority of stroke patients experience upper limb motor impairment and reduced ability to perform basic activities. Shoulder strapping has been reported as a beneficial adjunct to rehabilitation therapies but has not been rigorously trialled. This study tested the feasibility of recruitment, intervention and outcome assessment protocols for future trial of the clinical effectiveness of shoulder strapping.Design and setting: Feasibility study using a randomized controlled trial in an East London stroke service.Subjects: Fourteen acute stroke patients with mild to moderate upper limb hemiparesis were recruited between October 2004 and July 2005.Intervention: Five strapping methods and criteria for use were identified from the literature. Shoulder strapping applied for one month in addition to routine rehabilitation was compared to routine rehabilitation only.Main measures: The Motor Assessment Scale, Fugl Meyer Scale-Arm section and the Nine Hole Peg Test were measured at baseline and 1, 2, 3 and 5 weeks later. The Stroke-specific Quality of Life questionnaire was delivered at 6 and 12 weeks post stroke.Results: Useful findings were demonstrated in relation to the feasibility of all elements of the protocol. Motor Assessment Scale findings showed a small-moderate (0.27) effect size for the strapping intervention used as an adjunct to routine rehabilitation compared to routine rehabilitation alone. Sample size calculation indicated 312 participants would be adequate to test a null hypothesis of nil benefit additional to routine rehabilitation.Conclusion: Findings supported the value of pilot-testing, and enabled revision of the study protocol for future definitive trial. © 2011 The Author(s).	en_US
dc.relation.ispartof	Clinical Rehabilitation	en_US
dc.relation.isbasedon	10.1177/0269215510397392	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Shoulder	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Paresis	en_US
dc.subject.mesh	Range of Motion, Articular	en_US
dc.subject.mesh	Feasibility Studies	en_US
dc.subject.mesh	Pilot Projects	en_US
dc.subject.mesh	Bandages	en_US
dc.subject.mesh	Recovery of Function	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Outcome Assessment (Health Care)	en_US
dc.subject.mesh	London	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Stroke	en_US
dc.subject.mesh	Stroke Rehabilitation	en_US
dc.subject.mesh	Outcome Assessment, Health Care	en_US
dc.title	Feasibility study of a randomized controlled trial protocol to examine clinical effectiveness of shoulder strapping in acute stroke patients	en_US
dc.type	Journal Article
utslib.citation.volume	9	en_US
utslib.citation.volume	25	en_US
utslib.for	1199 Other Medical and Health Sciences	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	9	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

Objective: The majority of stroke patients experience upper limb motor impairment and reduced ability to perform basic activities. Shoulder strapping has been reported as a beneficial adjunct to rehabilitation therapies but has not been rigorously trialled. This study tested the feasibility of recruitment, intervention and outcome assessment protocols for future trial of the clinical effectiveness of shoulder strapping.Design and setting: Feasibility study using a randomized controlled trial in an East London stroke service.Subjects: Fourteen acute stroke patients with mild to moderate upper limb hemiparesis were recruited between October 2004 and July 2005.Intervention: Five strapping methods and criteria for use were identified from the literature. Shoulder strapping applied for one month in addition to routine rehabilitation was compared to routine rehabilitation only.Main measures: The Motor Assessment Scale, Fugl Meyer Scale-Arm section and the Nine Hole Peg Test were measured at baseline and 1, 2, 3 and 5 weeks later. The Stroke-specific Quality of Life questionnaire was delivered at 6 and 12 weeks post stroke.Results: Useful findings were demonstrated in relation to the feasibility of all elements of the protocol. Motor Assessment Scale findings showed a small-moderate (0.27) effect size for the strapping intervention used as an adjunct to routine rehabilitation compared to routine rehabilitation alone. Sample size calculation indicated 312 participants would be adequate to test a null hypothesis of nil benefit additional to routine rehabilitation.Conclusion: Findings supported the value of pilot-testing, and enabled revision of the study protocol for future definitive trial. © 2011 The Author(s).

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http://hdl.handle.net/10453/18599