Graded Repetitive Arm Supplementary Program (GRASP): Difference between revisions

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== Research ==
== Research ==
According to a pilot sham controlled, double-blinded randomized trial, the addition of transcranial random noise stimulation improves motor outcomes of GRASP in sub-acute stroke.<ref>Arnao V, Riolo M, Carduccio F, Tuttolomondo A, D’Amelio M, Brighina F, et al. Effects of transcranial random noise stimulation combined with Graded Repetitive Arm Supplementary Program (GRASP) on motor rehabilitation of the upper limb in sub-acute ischemic stroke patients: a randomized pilot study. J Neural Transmis. 2019 Dec;126(12):1701-6.</ref> The use of a tablet computer was found feasible in monitoring the usage of GRASP and ensuring adherence.<ref>Levy T, Killington M, Lannin N, Crotty M. Viability of using a computer tablet to monitor an upper limb home exercise program in stroke, Physiother Theory Pract. 2021 37:2, 331-41</ref> Virtually delivered GRASP was effective in a small sample and the implementation of GRASP in community settings has been equally effective.<ref>Yang CL, Waterson S, Eng JJ. Implementation and evaluation of the virtual Graded Repetitive Arm Supplementary Program (GRASP) for individuals with stroke during the COVID-19 pandemic and beyond. Phys Ther. 2021</ref><ref>Yang CL, Bird ML, Eng JJ. Implementation and evaluation of the Graded Repetitive Arm Supplementary Program (GRASP) for people with stroke in a real world community setting: Case Report. Phys Ther. 2021</ref>
According to a pilot sham controlled, double-blinded randomized trial, the addition of transcranial random noise stimulation improves motor outcomes of GRASP in sub-acute stroke.<ref>Arnao V, Riolo M, Carduccio F, Tuttolomondo A, D’Amelio M, Brighina F, et al. Effects of transcranial random noise stimulation combined with Graded Repetitive Arm Supplementary Program (GRASP) on motor rehabilitation of the upper limb in sub-acute ischemic stroke patients: a randomized pilot study. J Neural Transmis. 2019 Dec;126(12):1701-6.</ref> The use of a tablet computer was found feasible in monitoring the usage of GRASP and ensuring adherence.<ref>Levy T, Killington M, Lannin N, Crotty M. Viability of using a computer tablet to monitor an upper limb home exercise program in stroke, Physiother Theory Pract. 2021 37:2, 331-41</ref> Virtually delivered GRASP was effective in a small sample<ref>Yang CL, Waterson S, Eng JJ. Implementation and evaluation of the virtual Graded Repetitive Arm Supplementary Program (GRASP) for individuals with stroke during the COVID-19 pandemic and beyond. Phys Ther. 2021</ref> and the implementation of GRASP in community settings has been equally effective.<ref>Yang CL, Bird ML, Eng JJ. Implementation and evaluation of the Graded Repetitive Arm Supplementary Program (GRASP) for people with stroke in a real world community setting: Case Report. Phys Ther. 2021</ref>


== Resources  ==
== Resources  ==

Revision as of 15:46, 2 May 2021

Original Editor - Arnold Fredrick D'Souza Top Contributors - Arnold Fredrick D'Souza

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Top Contributors - Arnold Fredrick D'Souza  

Description
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The Graded Repetitive Arm Supplementary Program (GRASP) was developed by Janice Eng, PhD, PT/OT and Jocelyn Harris, PhD, OT with Andrew Dawson, MD, FRCP and Bill Miller, PhD, OT.

Indication
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GRASP is effective and safe for use in sub-acute stroke.[1]

Clinical Presentation[edit | edit source]

To initiate GRASP, subjects must have a grade 1 score for wrist extensors and demonstrate active scapula elevation against gravity.

The GRASP can be progressed based on the Fugl-Meyer Assessment Upper Extremity sub-score.

  • Level 1: 10 - 25
  • Level 2: 26 - 45
  • Level 3: 46 - 58

Research[edit | edit source]

According to a pilot sham controlled, double-blinded randomized trial, the addition of transcranial random noise stimulation improves motor outcomes of GRASP in sub-acute stroke.[2] The use of a tablet computer was found feasible in monitoring the usage of GRASP and ensuring adherence.[3] Virtually delivered GRASP was effective in a small sample[4] and the implementation of GRASP in community settings has been equally effective.[5]

Resources[edit | edit source]

Videos[edit | edit source]

Manuals[edit | edit source]

Instructor’s Manual for Hospital & Home GRASP

Home GRASP Participant Exercise Manual

Hospital GRASP Patient Exercise Manual

GRASP Exercise Log

Target board for GRASP

GRASP equipment kit

References[edit | edit source]

  1. ↑ Harris JE, Eng JJ, Miller WC, Dawson AS. A self-administered Graded Repetitive Arm Supplementary Program (GRASP) improves arm function during inpatient stroke rehabilitation: a multi-site randomized controlled trial. Stroke. 2009 Jun 1;40(6):2123-8.
  2. ↑ Arnao V, Riolo M, Carduccio F, Tuttolomondo A, D’Amelio M, Brighina F, et al. Effects of transcranial random noise stimulation combined with Graded Repetitive Arm Supplementary Program (GRASP) on motor rehabilitation of the upper limb in sub-acute ischemic stroke patients: a randomized pilot study. J Neural Transmis. 2019 Dec;126(12):1701-6.
  3. ↑ Levy T, Killington M, Lannin N, Crotty M. Viability of using a computer tablet to monitor an upper limb home exercise program in stroke, Physiother Theory Pract. 2021 37:2, 331-41
  4. ↑ Yang CL, Waterson S, Eng JJ. Implementation and evaluation of the virtual Graded Repetitive Arm Supplementary Program (GRASP) for individuals with stroke during the COVID-19 pandemic and beyond. Phys Ther. 2021
  5. ↑ Yang CL, Bird ML, Eng JJ. Implementation and evaluation of the Graded Repetitive Arm Supplementary Program (GRASP) for people with stroke in a real world community setting: Case Report. Phys Ther. 2021
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