Brain Vital Signs M-Score: Point-of-care Monitoring for Motor Recovery After Stroke
The purpose of this study is to investigate brain signals relating to motor function, using electroencephalography (EEG) technology. The aims of the study can be separated into 3 specific study objectives:
- Record EEG data from control participants and individuals with stroke during basic motor tasks and build a database of EEG signals to enable analysis of motor control.
- Apply signal processing algorithms to extract EEG features related to motor control.
- Develop a framework/the motor score (M-Score) that uses the EEG signals, in combination with machine learning approaches, to quantify motor control ability.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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British Columbia
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Surrey, British Columbia, Canada, V3V 1Z2
- HealthTech Connex Centre for Neurology Studies
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
Age requirements:
- Younger adult control participants (19-40 years old)
- Older adult control participants (41-80 years old)
- Individuals with stroke (19-80 years old)
- Capacity to follow single stage commands
Stroke specific inclusion criteria
- Upper-limb disability as a result of a stroke (>1 month ago)
Exclusion Criteria:
- Cognitive difficulties that undermine ability to give informed consent (Montreal Cognitive Assessment (MoCA) score below 23).
- Severe paralysis such that the participant cannot perform simple movements (such as finger tapping, clicking a mouse, etc.)
- History of head trauma, a major psychiatric diagnosis, neurodegenerative disorder or substance abuse
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Individuals with stroke
Participants in sub-acute and chronic phases post-stroke (>1 month post-stroke) will be recruited for participation in this study.
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Non-invasive brain activity will be measured with electroencephalography (EEG).
EEG uses scalp sensors to monitor the brain's electrical activity.
EEG sensors are placed on the scalp and passively record neural activity with high time resolution.
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Adult control participants
Even age distributions will be recruited in the adult control group, stratified under 40 years old and over 40 years old.
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Non-invasive brain activity will be measured with electroencephalography (EEG).
EEG uses scalp sensors to monitor the brain's electrical activity.
EEG sensors are placed on the scalp and passively record neural activity with high time resolution.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Resting state EEG measures
Time Frame: 1 day
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EEG uses scalp sensors to monitor the brain's electrical activity.
EEG sensors are placed on the scalp and passively record neural activity with high time resolution.
The principal recording system for this study will be a 32-channel g.Nautilus EEG system (g.tec
medical engineering).
Secondary recording systems may be used: 8-channel g.Nautilus EEG system (g.tec
medical engineering) and 64-channel, high-density BrainAmp EEG system (BrainProducts).Participants will be seated while wearing the EEG cap and asked to sit quietly with either eyes open (with a fixation dot or cross to reduce eye movements) or eyes closed.
Resting state recordings will be approximately 5-10 minutes in length.
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1 day
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Motor task EEG measures
Time Frame: 1 day
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While completing EEG scans, participants will be asked to execute simple motor movements. .
Study will focus on finger tapping task (with mouse-like button for recording movement timing).
Participants will be asked to complete self-paced movements with approximately 10-15 second inter-trial spacing.
Recording will occur in two-minute intervals, followed by a rest period, repeated until approximately 40 trials have been collected.
Other motor movements, such as flexion of the upper limbs or flexion of the lower limbs, may also be considered.
During EEG recordings changes in motor oscillations (alpha, beta, & gamma range) will be analyzed.
During EMG recordings, muscle tonicity/spasticity and functional firing patterns will be analyzed.
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1 day
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Imagery task EEG measures
Time Frame: 1 day
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During EEG recording participants could be asked to engage in mental imagery of motor movements stated above.
Here, potential changes in oscillatory patterns in the motor cortex will be measured and detected.
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1 day
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Wolf Motor Function Test
Time Frame: 1 day
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The Wolf Motor Function Test (WMFT) quantifies upper extremity motor ability using timed functional tasks.
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1 day
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Fugl-Meyer Assessment
Time Frame: 1 day
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The Fugl-Meyer Assessment (FMA) is a performance-based impairment index designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia.
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1 day
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Box-and-Block Test
Time Frame: 1 day
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This test is used to quantify the gross manual dexterity of each hand and arm.
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1 day
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Nine-Hole Peg Test
Time Frame: 1 day
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This test is used to quantify the fine manual dexterity of each hand and arm.
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1 day
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
- HTC_MScore_001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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