Home-based Reach-to-Grasp training for people after stroke is feasible: a pilot randomised controlled trial

Area of Science:

• Neurorehabilitation
• Stroke Recovery
• Motor Function Training

Background:

• Stroke often results in residual arm deficits, impacting daily activities.
• Effective rehabilitation strategies are crucial for improving upper limb function post-stroke.

Purpose of the Study:

• To assess the feasibility and safety of a home-based Reach-to-Grasp training program.
• To determine the potential efficacy of this intervention for stroke survivors with arm impairment.

Main Methods:

• A single-blind, parallel-group randomized controlled trial (RCT) was conducted.
• Participants with residual arm deficit within 12 months post-stroke were included.
• Intervention group received 14 therapist visits over 6 weeks plus daily self-practice; control group received usual care.

Main Results:

• Forty-seven participants were randomized. The Reach-to-Grasp group showed improvements in Action Research Arm Test (ARAT) and Wolf Motor Function Test (WMFT) scores compared to usual care.
• The intervention was found to be feasible and safe, with similar incidence of arm pain between groups.
• The study was stopped early, but preliminary data suggest potential benefits.

Conclusions:

• Home-based Reach-to-Grasp training is a feasible and safe rehabilitation strategy for stroke survivors.
• The Action Research Arm Test (ARAT) is a suitable primary outcome measure.
• An estimated 240 participants are required for a future definitive two-armed trial.