Benefits of Applying Neuroprosthesis for Improving Reaching and Grasping Functions in Stroke Patients

Restoration of Reaching and Grasping Functions in Stroke Patients Using Functional Electrical Stimulation.

Sponsors

Lead Sponsor: Toronto Rehabilitation Institute

Collaborator: The Physicians' Services Incorporated Foundation

Source Toronto Rehabilitation Institute
Brief Summary

Functional electrical stimulation (FES) is a process that uses low intensity electrical pulses generated by an electric stimulator to create muscle contractions. By contracting muscles in a specific sequence, one can generate various body functions such as grasping, walking, and standing. Final goal of the study is to evaluate if FES training when applied early during rehabilitation will help stroke patients to use their hands more effectively after discharge from a rehabilitation facility, compared to those patients who have not received FES training.

Detailed Description

Neuroprosthesis are systems that apply functional electrical stimulation to cause muscle contractions. If the muscle contractions are sequenced properly one can generate various functions such as grasping, standing, and walking. Recent studies of others and our pilot study indicate that a neuroprosthesis can be successfully applied as a training device to help stroke patients who have hemiplegic arm to relearn how to reach and grasp various objects. The objective of this research program is to confirm these preliminary results with the broader population of stroke patients, and if successful to propose a method to introduce this rehabilitation treatment into Toronto Rehabilitation Institute, Stroke Unit as a primary intervention for hand function recovery. Specifically, our aim is to1)develop an exercise protocol that uses a neuroprosthesis for reaching and grasping developed by our team in combination with the standard physiotherapy treatments to enhance recovery of hemiplegic arm and hand; and 2) assess qualitatively and quantitatively improvements in the reaching and grasping functions achieved with standard rehabilitation treatment.

Overall Status Completed
Start Date April 2003
Completion Date December 2005
Primary Completion Date June 2005
Phase Phase 3
Study Type Interventional
Primary Outcome
Measure Time Frame
REL Hand Function Test 45 min
Fugl-Meyer Assessment 30 min
Secondary Outcome
Measure Time Frame
Barthel Index 25 min
Functional Independence Measure 25 min
Chedoke-McMaster Stages of Motor Recovery 30 min
Enrollment 40
Condition
Intervention

Intervention Type: Device

Intervention Name: Neuroprosthesis

Description: The Compex Motion neuroprosthesis, developed by Drs.R. Popovic and Thierry Keller, and company Compex SA, is a flexible device designed to improve grasping function in both SCI and stroke patients. This multi-channel surface stimulation system for grasping provides both palmar and lateral grasp, and holds a number of advantages over the other existing neuroprostesis.

Other Name: Functional Electrical Stimulation (FES)

Eligibility

Criteria:

Inclusion Criteria:

- Patient must be motivated to participate in the FES study, and must sign the letter of consent.

- Patients must have hemiplegia and the stroke must be confirmed with a CT scan.

- Patients must understand that the role of this study is to enhance recovery and not to guarantee it.

Exclusion Criteria:

- Patients who is motivated and does not sign the letter of consent.

- Patient who has serious cognitive or psychological impairments.

- Patients who has skin rush, allergy or wounds.

- Alcohol or drug abuse.

- Edema in his/her upper extremity.

- Patients with Shoulder Hand Syndrome

- Global aphasia

- Patients who shows early recovery of the function.

Gender: All

Minimum Age: N/A

Maximum Age: N/A

Healthy Volunteers: No

Overall Official
Last Name Role Affiliation
Milos Popovic, Ph.D Principal Investigator University of Toronto
Location
Facility: Toronto Rehabilitation Institute
Location Countries

Canada

Verification Date

February 2009

Responsible Party

Name Title: M. Popovic

Organization: Toronto Rehab Institute

Keywords
Has Expanded Access No
Condition Browse
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Treatment

Masking: None (Open Label)

Source: ClinicalTrials.gov