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Effects of external-focus feedback on motor skill acquisition after stroke
ISRCTN ISRCTN40620137
ClinicalTrials.gov identifier
Public title Effects of external-focus feedback on motor skill acquisition after stroke
Scientific title
Acronym Motor skill acquisition
Serial number at source 4425
Study hypothesis In healthy subjects, feedback inducing an external focus of attention (about movement effects) produces more effective movements compared with feedback that induces an internal focus of attention (about body movements). It is unclear whether this extends to people with stroke.

Objective:
To examine whether feedback inducing an internal or external focus was more effective for retraining the hemiplegic arm.
Lay summary
Ethics approval MREC approved (ref: 05/Q2709/126)
Study design Multicentre non-randomised interventional phase II treatment trial
Countries of recruitment United Kingdom
Disease/condition/study domain Topic: Stroke Research Network; Subtopic: Rehabilitation; Disease: Therapy type
Participants - inclusion criteria 1. Diagnosis of stroke of ischaemic or haemorrhagic origin
2. Score of between 25 and 60 on the Fugl-Meyer Assessment (arm section)
3. Informed written consent
Participants - exclusion criteria 1. Upper limb movement deficits attributable to non-stroke pathology
2. Severe somato-sensory disturbance (less than 1 on the Erasmus MC Modified Nottingham Sensory Assessment)
3. More than 18 months post-stroke
4. Moderate to severe receptive aphasia (less than 5 on 'receptive skills' of Sheffield Test for Acquired Language Disorders)
Anticipated start date 10/07/2007
Anticipated end date 25/06/2008
Status of trial Completed
Patient information material
Target number of participants Planned sample size: 42; UK sample size: 42
Interventions Forty-two people with stroke performed three reaching tasks in a counterbalanced, within-subject design.
Primary outcome measure(s) Faster movements
Secondary outcome measure(s) 1. Increased percentage time to peak deceleration
2. Increased percentage time to peak velocity
Sources of funding The Stroke Association (UK)
Trial website
Publications
Contact name Dr  Paulette  van Vliet
  Address University of Birmingham
School of Health Sciences
Edgbaston
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Email p.vanvliet@bham.ac.uk
Sponsor University of Birmingham (UK)
  Address Edgbaston
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Sponsor website: http://www.bham.ac.uk
Date applied 21/10/2010
Last edited 21/10/2010
Date ISRCTN assigned 21/10/2010
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