Using goal setting to improve treatment for upper limb spasticity after stroke

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study focuses on patients who have experienced ischemic or hemorrhagic strokes and are dealing with upper limb spasticity. Participants will undergo a goal attainment scaling process alongside a comprehensive assessment of their motor functioning before and after receiving botulinum toxin-A (BTX-A). Following this, patients will be randomized into two groups: one will follow a prescribed exercise program while the other will exercise at their own discretion, with health-related quality of life being evaluated at the start and end of the two-week period. The study aims to assess the effectiveness of structured goal setting and exercise on recovery outcomes.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* patient's or caregiver's approval
* ischemic or hemorrhagic stroke diagnosed using head CT/MRI
* at least one upper limb muscle spasticity (MAS ≥ 3)
* candidate for BTX-A treatment or already given BTX-A in the past
* patient's or caregiver's capability for goal attainment protocol cooperation (Mini Mental Examination ≥ 24 points)

Exclusion Criteria:

* aphasic patients without caregiver's presence
* other neurological or musculoskeletal diseases that could affect the treatment outcome

Where it's running

• University Rehabilitation Institute, Republic of Slovenia
  Ljubljana, Slovenia Recruiting

Study contacts

• Principal investigator: Nataša Bizovičar, MD, PhD — University Rehabilitation Institute, Republic of Slovenia
• Study coordinator: Metka Moharić, MD, PhD
• Email: metka.moharic@ir-rs.si
• Phone: +386 1 4758441

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.