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Trial registered on ANZCTR
Registration number
ACTRN12609000468224
Ethics application status
Approved
Date submitted
27/05/2009
Date registered
16/06/2009
Date last updated
2/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Priming to enhance rehabilitation after stroke
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Scientific title
The effect of adding Active-Passive Bilateral Therapy to standard upper limb rehabilitation following stroke, on Action Research Arm Test score
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Secondary ID [1]
281511
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No secondary ID available
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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
4867
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Condition category
Condition code
Neurological
237219
237219
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0
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Neurodegenerative diseases
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Stroke
237282
237282
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0
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Ischaemic
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Stroke
237283
237283
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0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active-Passive Bilateral Therapy. This involves using a simple mechanical device with the arms, for 15 minutes prior to an upper rehabilitation therapy session, 5 times per week for a month. This will be administered by a physiotherapist.
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Intervention code [1]
236650
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Rehabilitation
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Comparator / control treatment
Weak cutaneous electrical stimulation of the wrist extensors of the stroke-affected upper limb, for 15 minutes prior to an upper rehabilitation therapy session, 5 times per week for a month. This will be administered by a physiotherapist.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Action Research Arm Test score. This test assesses upper limb function.
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Assessment method [1]
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Timepoint [1]
238033
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12 weeks after stroke
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Secondary outcome [1]
242188
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Modified Rivermead Mobility Index. This assesses ambulatory independence.
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Assessment method [1]
242188
0
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Timepoint [1]
242188
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12 weeks after stroke
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Secondary outcome [2]
242189
0
National Institutes of Health Stroke Scale. This assesses neurological deficit.
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Assessment method [2]
242189
0
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Timepoint [2]
242189
0
12 weeks after stroke
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Secondary outcome [3]
242190
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Modified Rankin Score. This assesses disability in activities of daily living.
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Assessment method [3]
242190
0
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Timepoint [3]
242190
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12 weeks after stroke
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Secondary outcome [4]
242191
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Stroke Impact Scale. This assesses the effect of stroke on quality of life.
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Assessment method [4]
242191
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Timepoint [4]
242191
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24 weeks after stroke
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Eligibility
Key inclusion criteria
First ever mono-hemispheric stroke
Unilateral upper limb weakness
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Minimum age
18
Years
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Maximum age
No limit
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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
Volunteers are not eligible for participation of they have any of the following:
Cardiac pacemaker (contraindication to MRI)
Epilepsy (contraindication to transcranial magnetic stimulation)
A history of previous stroke
Cognitive or communication difficulties that preclude informed consent
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
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
Completed
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Date of first participant enrolment
Anticipated
1/08/2009
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Actual
24/11/2009
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Date of last participant enrolment
Anticipated
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Actual
26/03/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
80
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Accrual to date
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Final
57
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Recruitment outside Australia
Country [1]
1810
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New Zealand
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State/province [1]
1810
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Auckland
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Funding & Sponsors
Funding source category [1]
5033
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Charities/Societies/Foundations
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Name [1]
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Stroke Foundation
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Address [1]
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P O Box 31237
Milford
Auckland 0741
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Country [1]
5033
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New Zealand
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Primary sponsor type
University
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Name
University of Auckland
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Address
Department of Medicine
University of Auckland
Private Bag 92019
Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
4549
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Hospital
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Name [1]
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Auckland City Hospital
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Address [1]
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Director, Stroke Unit
Auckland City Hospital
2 Park Rd
Grafton
Auckland 1010
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Country [1]
4549
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239128
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Health and Disability Ethics Committee Northern Region X
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Ethics committee address [1]
239128
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Ethics committee country [1]
239128
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New Zealand
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Date submitted for ethics approval [1]
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03/06/2009
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Approval date [1]
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13/08/2009
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Ethics approval number [1]
239128
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Summary
Brief summary
The purpose of this study is to test whether priming the brain before rehabilitation therapy will produce a better outcome after stroke. The priming technique being studied is called Active Passive Bilateral Therapy (APBT). This involves using a simple device which uses movement of the better hand to drive movement of the stroke-affected hand. Using this device for around 15 minutes prior to physical therapy is thought to promote beneficial changes in the stroke-affected side of the brain, so that the therapy is more effective. A previous study with chronic stroke patients has shown that people who used APBT before practicing using their affected hand 3 times per day had greater improvements in function than those who practiced without priming with APBT first. This study aims to replicate these findings in people as they take part in rehabilitation soon after stroke.
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Trial website
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Trial related presentations / publications
Stinear CM, Petoe MA, Anwar S, Barber PA, Byblow WD. Bilateral priming accelerates recovery of upper limb function after stroke: A randomized controlled trial. Stroke. 2014;45:205-210.
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Public notes
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Contacts
Principal investigator
Name
29657
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A/Prof Cathy Stinear
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Address
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Department of Medicine
University of Auckland
Private Bag 92019
Auckland
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Country
29657
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New Zealand
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Phone
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+6493737999
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Fax
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Email
29657
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[email protected]
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Contact person for public queries
Name
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Cathy Stinear
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Address
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Neurology Research Unit
Department of Medicine
University of Auckland
Private Bag 92019
Auckland 1142
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Country
12904
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New Zealand
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Phone
12904
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+64 9 92 33 779
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Fax
12904
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Email
12904
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[email protected]
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Contact person for scientific queries
Name
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Cathy Stinear
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Address
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Neurology Research Unit
Department of Medicine
University of Auckland
Private Bag 92019
Auckland 1142
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Country
3832
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New Zealand
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Phone
3832
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+64 9 92 33 779
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Fax
3832
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Email
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[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.
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