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NCT03702452

The Effect and Mechanism of wCST-LL Based Precision Rehabilitation Nursing on Motor Dysfunction After Acute Stroke

Status unknown NA Last updated 12 February 2020
What this trial tests

NA trial testing functional rehabilitation nursing program in Acute Ischemic Stroke in 212 participants. Status unknown.

Timeline
21 November 2018
Primary endpoint
31 December 2020
31 December 2021

Quick facts

Lead sponsorSecond Affiliated Hospital, School of Medicine, Zhejiang University
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment212
Start date21 November 2018
Primary completion31 December 2020
Estimated completion31 December 2021
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University

Who can join

Adults 18 to 90, any sex, with Acute Ischemic Stroke. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Ischemic stroke is the main cause of disability in the world. More than 70% of stroke patients show various degrees of neural function impairment. Motor rehabilitation in acute phase is beneficial for improving patient's structure and function of corticospinal tract. However, it is difficult to obtain effective rehabilitation during the acute phase of stroke because of the insufficiency of professional rehabilitation therapists in stroke wards in China.The present study is to verify that nursing-directed rehabilitation can compensate for the shortage of professional rehabilitation therapists. Our previous study indicated that nursing-directed motor function rehabilitation provided more obvious effect on stroke patients with a weighted corticospinal tract lesion load (wCST-LL) smaller than 2ml. We assume that implementing rehabilitation nursing based on the wCST-LL can realize nursing-directed, wCST-LL-based precision motor rehabilitation during acute phase of ischemic stroke.The present study is to conduct randomized clinical trial to confirm the effect of nursing-directed precision rehabilitation for motor function in acute stroke patients grouped by wCST-LL, and to evaluate the effect of this precision rehabilitation by using functional scale, and to explore the histopathologic mechanism of the precision rehabilitation nursing by mean of neuroelectrophysiology and neuroimaging examination. This study might provide theoretical support for motor rehabilitation in patients during acute phase of stroke.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Activities of daily living measurement after ischemic stroke: Rasch analysis of the modified Barthel Index.
    Yang H, Chen Y, Wang J, Wei H, et al · · 2021 · cited 37× · PMID 33655956 · DOI 10.1097/md.0000000000024926
  2. Physical rehabilitation approaches for the recovery of function and mobility following stroke.
    Todhunter-Brown A, Sellers CE, Baer GD, Choo PL, et al · · 2025 · cited 16× · PMID 39932103 · DOI 10.1002/14651858.cd001920.pub4
  3. The controlling nutritional status score and risk factors associated with malnutrition in patients with acute ischemic stroke.
    Chen Y, Yang H, Lan M, Wei H, et al · · 2023 · cited 12× · PMID 36970524 · DOI 10.3389/fneur.2023.1067706
  4. Effectiveness of Rehabilitation Nursing versus Usual Therapist-Led Treatment in Patients with Acute Ischemic Stroke: A Randomized Non-Inferiority Trial.
    Wang J, Zhang Y, Chen Y, Li M, et al · · 2021 · cited 12× · PMID 34188460 · DOI 10.2147/cia.s306255
  5. Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial.
    Wang J, Chen Y, Zhang Y, Li M, et al · · 2020 · cited 7× · PMID 32978194 · DOI 10.1136/bmjopen-2020-037391
  6. Whether perceived limb heaviness affects return to work among patients with ischemic stroke.
    Chen Y, Yang H, Chen Y, Wei H, et al · · 2024 · cited 1× · PMID 39686446 · DOI 10.1097/md.0000000000040466
  7. Limb heaviness as a sensorimotor disorder alters rehabilitation adherence after a stroke.
    Chen Y, Yang H, Chen Y, Wei H, et al · · 2022 · cited 1× · PMID 36061991 · DOI 10.3389/fneur.2022.840808

Verify or expand the search:

Other recruiting trials for Acute Ischemic Stroke

Currently open trials in the same condition.

Other Second Affiliated Hospital, School of Medicine, Zhejiang University trials

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Data sources for this page

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