Smart Autonomous Neuro-Rehabilitation System (SANaR)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Score on Mini-Mental State Examination between 18 - 24
- Score on Montreal Cognitive Assessment less than 26
- More than 2 points in upper limb motor scale MRC
- Sufficient cognitive ability to understand and follow the experimental instructions
Exclusion Criteria:
- Score on Mini-Mental State Examination below 18 or above 24
- Score on Montreal Cognitive Assessment of 26 or above
- Below 2 point in upper limb motor scale MRC
- Hemianopia
- Cognitive capacity that prohibits the execution of the experiment
- Severe impairment like spasticity, aphasia or apraxia, major pain or other neuromuscular impairments or dependent on use of orthopedic devices that would interfere with the correct execution of understanding of the experiment
- History of serious mental-health problems in acute or subacute phase
- Patients that do not give their consent to participate in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cognitive rehabilitation group
Cognitive rehabilitation training with RGS in the clinic.
|
Daily cognitive training with the Rehabilitation Gaming System (RGS) in the clinic during 6 weeks (5 days per week a 30 minutes).
|
|
Active Comparator: Passive control group
Passive/conventional cognitive training at home.
|
Daily conventional cognitive rehabilitation at home as recommended by the neurologist during 6 weeks (5 days per week a 30 minutes).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Digit Span Forward WAIS-IV from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of attention
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Corsi block tapping test from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of attention
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Trail Making Test, Part A from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of attention
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Rey Auditory Verbal Learning Test from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of episodic memory
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Digit Span Backward WAIS-IV from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of working memory
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Corsi block-tapping test reversed from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of working memory
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Frontal Assessment Battery from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of executive functioning
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Trail Making Test, Part B from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of set-shifting
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Digit Symbol Coding in WAIS-IV from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of processing speed
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Star Cancellation test from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of spatial neglect
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Montreal Cognitive Assessment from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of global cognitive ability
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Mini-Mental State Examination from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of global health status
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Barthel Index from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of independent functioning and mobility in activities of daily living
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
|
Change in Fugl-Meyer Assessment from baseline to end of treatment and to follow-up
Time Frame: Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Measurement of motor recovery after stroke
|
Measured at baseline, at 6 weeks (end of treatment), and at 3-months (follow-up)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Esther Duarte Oller, MD, PhD, Parc de Salut Mar - Hospital de l'esperança
- Study Director: Paul F.M.J. Verschure, PhD, Director SPECS
Publications and helpful links
General Publications
- Ball K, Berch DB, Helmers KF, Jobe JB, Leveck MD, Marsiske M, Morris JN, Rebok GW, Smith DM, Tennstedt SL, Unverzagt FW, Willis SL; Advanced Cognitive Training for Independent and Vital Elderly Study Group. Effects of cognitive training interventions with older adults: a randomized controlled trial. JAMA. 2002 Nov 13;288(18):2271-81. doi: 10.1001/jama.288.18.2271.
- Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T, Azulay J, Cantor J, Ashman T. Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil. 2011 Apr;92(4):519-30. doi: 10.1016/j.apmr.2010.11.015.
- Corbetta M, Ramsey L, Callejas A, Baldassarre A, Hacker CD, Siegel JS, Astafiev SV, Rengachary J, Zinn K, Lang CE, Connor LT, Fucetola R, Strube M, Carter AR, Shulman GL. Common behavioral clusters and subcortical anatomy in stroke. Neuron. 2015 Mar 4;85(5):927-41. doi: 10.1016/j.neuron.2015.02.027.
- Nair RD, Lincoln NB. Cognitive rehabilitation for memory deficits following stroke. Cochrane Database Syst Rev. 2007 Jul 18;(3):CD002293. doi: 10.1002/14651858.CD002293.pub2.
- Maier M, Ballester BR, Leiva Banuelos N, Duarte Oller E, Verschure PFMJ. Adaptive conjunctive cognitive training (ACCT) in virtual reality for chronic stroke patients: a randomized controlled pilot trial. J Neuroeng Rehabil. 2020 Mar 6;17(1):42. doi: 10.1186/s12984-020-0652-3.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SANaR
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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