BurtVision™ for Arm Rehabilitation in Chronic Stroke Survivors:
BurtVision™ for Arm Rehabilitation in Chronic Stroke Survivors: a Comparison of Unimanual vs. Unimanual and Bimanual Tasks During Robot-assisted Arm Training
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Catherine Adans-Dester, PhD
- Phone Number: 617-952-6321
- Email: CADANS-DESTER@PARTNERS.ORG
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female, 18-80 years old;
- Unilateral ischemic or hemorrhagic stroke at least 6 months and no more than 5 years prior to study enrollment;
- Upper extremity hemiparesis as characterized by initial scores on upper limb subtest of the Fugl-Meyer Assessment (FMA-UE) between 12 and 40;
- Some active pro-supination range of motion;
- Some active metacarpal-phalangeal joint in the hemiparetic hand;
- Intact cognitive function to understand the robotic therapy procedures (MMSE>23 and able to follow 3 step command) during initial evaluation visit;
Exclusion Criteria:
- Undergoing upper-limb rehabilitation therapy during the period of the study.
- Severe spasticity (defined as a Modified Ashworth scale score of 3 or more) that would prevent safe use of the robotic system;
- Visual impairments as assessed by the NIH Stroke Scale Visual Field subscale (only subjects with no visual loss will participate in the study); or hemispatial neglect that would impair the subject's ability to play the interactive games (as assessed with the line bisection test);
- Severe proprioceptive deficits that impair the ability to process haptic or visual feedback, as assessed by physical examination during screening;
- Communication impairments such aphasia that impair the subject's ability of providing feedback (as reported by a physician in his/her medical record);
- Individuals with open wounds or recent fracture (<3 months) in the upper extremity, fragile skin or active infection;
- Upper-extremity orthopedic injuries or severe pain resulting in movement limitations.
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 |
|---|---|
|
Active Comparator: Unimanual robot-assisted upper-limb rehabilitation
Participants randomized to this arm of the study will undergo 18 one-hour sessions of robot-assisted upper-limb rehabilitation.
During the sessions, study participants will only train their hemiparetic arm (unimanual tasks only).
|
18 one-hour sessions of unimanual upper-limb tasks during robot-assisted training with the Burt.
|
|
Experimental: Bimanual robot-assisted upper-limb rehabilitation
Participants randomized to this arm of the study will undergo 18 one-hour sessions of robot-assisted upper-limb rehabilitation.
During the sessions, study participants will train their hemiparetic arm as well as interacting with the contralateral arm for bimanual tasks (unimanual + bimanual tasks).
|
18 one-hour sessions of combination of unimanual and bimanual upper-limb tasks during robot-assisted training with the BurtVision.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Motor Activity Log- Amount of Use
Time Frame: Data will be collected at baseline and at 7-8 weeks
|
Self-reported measures of upper extremity activity performance in daily life (amount of use)
|
Data will be collected at baseline and at 7-8 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fugl-Meyer Assessment, Upper-Extremity portion
Time Frame: Data will be collected at baseline and at 7-8 weeks
|
Assessment of the severity of upper-limb motor impairments
|
Data will be collected at baseline and at 7-8 weeks
|
|
Wolf Motor Function Test
Time Frame: Data will be collected at baseline and at 7-8 weeks
|
Assessment of arm functional limitations
|
Data will be collected at baseline and at 7-8 weeks
|
|
Stroke Impact Scale
Time Frame: Data will be collected at baseline and at 7-8 weeks
|
Self-reported measure of quality of life after stroke
|
Data will be collected at baseline and at 7-8 weeks
|
|
Motor Activity Log- Quality of Use
Time Frame: Data will be collected at baseline and at 7-8 weeks
|
Self-reported measures of upper extremity activity performance in daily life (quality of use)
|
Data will be collected at baseline and at 7-8 weeks
|
|
Upper-Extremity Accelerometry
Time Frame: Data will be collected at baseline and at 7-8 weeks
|
Amount of arm use over 72 hours recording with wrist-worn sensors
|
Data will be collected at baseline and at 7-8 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Paolo Bonato, PhD, Harvard Medical School, Spaulding Rehabilitation Hospital
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- 2021P001807
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
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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