Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial
Introduction Stroke is the second-leading cause of death and disability in the world, and patients with stroke often suffer from functional impairments and need rehabilitation. Notably, there is much evidence that rehabilitation can lead to better mortality and morbidity outcomes. The evidence for t...
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e037391.full |
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| author | Yuanyuan Chen Mei Li Jianmiao Wang Yuping Zhang Jingfen Jin |
| author_facet | Yuanyuan Chen Mei Li Jianmiao Wang Yuping Zhang Jingfen Jin |
| author_sort | Yuanyuan Chen |
| collection | DOAJ |
| description | Introduction Stroke is the second-leading cause of death and disability in the world, and patients with stroke often suffer from functional impairments and need rehabilitation. Notably, there is much evidence that rehabilitation can lead to better mortality and morbidity outcomes. The evidence for the effectiveness of rehabilitation nursing, however, is limited. Thus, this study seeks to explore whether rehabilitation nursing is not inferior to usual rehabilitation for motor functional recovery in patients with acute ischaemic stroke.Methods and analysis We will conduct an assessor-blinded parallel randomised controlled trial of patients who meet the inclusion criteria after stratification by weighted corticospinal tract lesion load. The experimental group will receive rehabilitation nursing by trained and qualified nurses (seven consecutive days, two sessions per day, 30 min each session). The control group will receive usual rehabilitation provided by therapists (seven consecutive days, two sessions per day, 30 min each session). The primary outcome measures are the Motor Assessment Scale, the Fugl-Meyer Assessment and the Action Research Arm Test. The secondary outcome measures are the modified Rankin Scale, the modified Barthel Index and the National Institute of Health Stroke Scale. Primary and secondary outcome assessment will be performed before and after the intervention, and secondary outcome be assessed at 4 and 12 weeks follow-up. We will recruit 224 patients within a period of 12–18 months from a hospital in southeastern China.Ethics and dissemination The study was approved by the Human Research Ethics Committee from the corresponding author’s hospital (approval Number is Ethical Review Study No. 2018 - 112). Peer-reviewed journals and presentations at national and international conferences will be used to disseminate the results.Trial registration number NCT03702452. |
| format | Article |
| id | doaj-art-dbc5a3a09b8d40b2977d5d4f89fac89c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-dbc5a3a09b8d40b2977d5d4f89fac89c2025-01-08T21:45:12ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037391Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trialYuanyuan Chen0Mei Li1Jianmiao Wang2Yuping Zhang3Jingfen Jin4Neurology Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China2 Dermatology Medical Cosmetology Center, Ningbo Hospital of Traditional Chinese Medicine, Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, Zhejiang, ChinaNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Nursing, Changxing County People’s Hospital, Huzhou, ChinaIntroduction Stroke is the second-leading cause of death and disability in the world, and patients with stroke often suffer from functional impairments and need rehabilitation. Notably, there is much evidence that rehabilitation can lead to better mortality and morbidity outcomes. The evidence for the effectiveness of rehabilitation nursing, however, is limited. Thus, this study seeks to explore whether rehabilitation nursing is not inferior to usual rehabilitation for motor functional recovery in patients with acute ischaemic stroke.Methods and analysis We will conduct an assessor-blinded parallel randomised controlled trial of patients who meet the inclusion criteria after stratification by weighted corticospinal tract lesion load. The experimental group will receive rehabilitation nursing by trained and qualified nurses (seven consecutive days, two sessions per day, 30 min each session). The control group will receive usual rehabilitation provided by therapists (seven consecutive days, two sessions per day, 30 min each session). The primary outcome measures are the Motor Assessment Scale, the Fugl-Meyer Assessment and the Action Research Arm Test. The secondary outcome measures are the modified Rankin Scale, the modified Barthel Index and the National Institute of Health Stroke Scale. Primary and secondary outcome assessment will be performed before and after the intervention, and secondary outcome be assessed at 4 and 12 weeks follow-up. We will recruit 224 patients within a period of 12–18 months from a hospital in southeastern China.Ethics and dissemination The study was approved by the Human Research Ethics Committee from the corresponding author’s hospital (approval Number is Ethical Review Study No. 2018 - 112). Peer-reviewed journals and presentations at national and international conferences will be used to disseminate the results.Trial registration number NCT03702452.https://bmjopen.bmj.com/content/10/9/e037391.full |
| spellingShingle | Yuanyuan Chen Mei Li Jianmiao Wang Yuping Zhang Jingfen Jin Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial BMJ Open |
| title | Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial |
| title_full | Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial |
| title_fullStr | Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial |
| title_full_unstemmed | Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial |
| title_short | Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial |
| title_sort | rehabilitation nursing for motor functional recovery of acute ischaemic stroke study protocol for a randomised controlled trial |
| url | https://bmjopen.bmj.com/content/10/9/e037391.full |
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