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Does use of a daily muscle stretch regime prevent development contractures and muscle stiffness in stroke patients?
ISRCTN ISRCTN26501252
ClinicalTrials.gov identifier
Public title Does use of a daily muscle stretch regime prevent development contractures and muscle stiffness in stroke patients?
Scientific title
Acronym N/A
Serial number at source N0234077966
Study hypothesis 1. To evaluate the effectiveness of a daily stretch regime in the prevention of muscle stiffness and contracture in the affected arm of patients following stroke
2. To evaluate the acceptability and compliance of a new ward based stretch regime
3. To gain a better understanding of the natural history of the development of muscle stiffness and its relation to reflex hyperexcitability
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Stroke
Participants - inclusion criteria 200 adults over 18, mostly elderly.
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/01/2001
Anticipated end date 31/12/2003
Status of trial Completed
Patient information material
Target number of participants 200
Interventions Randomised controlled trial:
1. To evaluate the effectiveness of a daily stretch regime in the prevention of muscle stiffness and contracture in the affected arm of patients following stroke
2. To evaluate the acceptability and compliance of a new ward based stretch regime
3. To gain a better understanding of the natural history of the development of muscle stiffness and its relation to reflex hyperexcitability

In addition to usual care, subjects in the experimental group were prescribed two 30-min stretches for wrist and finger flexors and two 30-min stretches targeting shoulder adductors and internal rotators, per day for up to 12 weeks post stroke. Stretches were carried out by therapists and nursing staff.
Primary outcome measure(s) Measured at four, eight and twelve weeks after stroke:
1. Range of movement
2. Resistance to passive movement
3. Pain
4. Motor recovery
5. Activities of Daily Living (ADL)
Secondary outcome measure(s) No secondary outcome measures
Sources of funding North Bristol NHS Trust (UK)
Trial website
Publications 2005 results in http://www.ncbi.nlm.nih.gov/pubmed/16180595
Contact name Dr  A J  Turton
  Address Burden Neurological Institute
North Bristol NHS Trust
Frenchay Hospital
  City/town Bristol
  Zip/Postcode BS16 1ND
  Country United Kingdom
  Tel +44 (0)117 970 1212
  Fax +44 (0)117 918 6721
  Email ailee@elecdesn.demon.co.uk
Sponsor Record Provided by the NHSTCT Register - 2005 Update - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44 (0)20 7307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 30/09/2005
Last edited 07/04/2010
Date ISRCTN assigned 30/09/2005
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