- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00900692
Dynamic Splinting for Excessive Pronation Following CVA (SupPro Botox)
July 10, 2013 updated by: Dynasplint Systems, Inc.
Dynamic Splinting for Excessive Pronation Following CVA: A Randomized, Controlled Tial
The purpose of this study is to examine range of motion and lasting effects of Botox injections along with the use of the Supination Dynasplint.
Study Overview
Study Type
Interventional
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Indiana
-
Indianapolis, Indiana, United States, 46250
- Rehabilitation Associates of Indiana
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria
Patients enrolled will have been diagnosed with excessive pronation following a stroke and will display the following symptoms:
- Pronation Contracture
- Ability to provide consent and follow directions as related to the protocol
Exclusion Criteria
- Treatment with Benzodiazepines
- Treatment with Baclofen (pump or oral)
- Treatment with Dantrolene sodium
- Treatment with Tizanidine
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dynasplint Group
Along with the standard of care Botox and manual therapy, patients will use the Supination Dynasplint every day
|
Dynamic splinting utilizes the protocols of Low-Load Prolonged Stretch (LLPS) with calibrated adjustable tension to increase Total End Range Time (TERT)to reduce contracture.
The Dynasplint or "Experimental" group will add this therapy to their standard of care regimen
|
No Intervention: Standard of care
Patients in the standard of care group will have the standard Botox treatments and manual therapy with no additional interventions.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
ROM changes with use of treatment
Time Frame: 20 weeks
|
20 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Marc E Duerden, MD, Rehabilitation Associates of Indiana
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Lai JM, Francisco GE, Willis FB. Dynamic splinting after treatment with botulinum toxin type-A: a randomized controlled pilot study. Adv Ther. 2009 Feb;26(2):241-8. doi: 10.1007/s12325-008-0139-2. Epub 2009 Feb 4.
- Andreasen DS, Aviles AA, Allen SK, Guthrie KB, Jennings BR, Sprigle SH. Exoskeleton for forearm pronation and supination rehabilitation. Conf Proc IEEE Eng Med Biol Soc. 2004;2004:2714-7. doi: 10.1109/IEMBS.2004.1403778.
- Winchester P, McColl R, Querry R, Foreman N, Mosby J, Tansey K, Williamson J. Changes in supraspinal activation patterns following robotic locomotor therapy in motor-incomplete spinal cord injury. Neurorehabil Neural Repair. 2005 Dec;19(4):313-24. doi: 10.1177/1545968305281515.
- Cooper. Et al. Proceedings of the Stroke Disparities Advisory Panel Meeting, Nov 08, 2002, Bethesda MD, National Institute of Neurological Disorders and Stroke
- McKinley W, Tewksbury MA, Sitter P, Reed J, Floyd S. Assistive technology and computer adaptations for individuals with spinal cord injury. NeuroRehabilitation. 2004;19(2):141-6.
- Horsley SA, Herbert RD, Ada L. Four weeks of daily stretch has little or no effect on wrist contracture after stroke: a randomised controlled trial. Aust J Physiother. 2007;53(4):239-45. doi: 10.1016/s0004-9514(07)70004-1. Erratum In: Aust J Physiother. 2008;54(1):38.
- Nuismer BA, Ekes AM, Holm MB. The use of low-load prolonged stretch devices in rehabilitation programs in the Pacific northwest. Am J Occup Ther. 1997 Jul-Aug;51(7):538-43. doi: 10.5014/ajot.51.7.538.
- Bloemen-Vrencken JH, de Witte LP, Post MW. Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation. Spinal Cord. 2005 Aug;43(8):462-75. doi: 10.1038/sj.sc.3101750.
- Tsao CC, Mirbagheri MM. Upper limb impairments associated with spasticity in neurological disorders. J Neuroeng Rehabil. 2007 Nov 29;4:45. doi: 10.1186/1743-0003-4-45.
- Bryden AM, Kilgore KL, Lind BB, Yu DT. Triceps denervation as a predictor of elbow flexion contractures in C5 and C6 tetraplegia. Arch Phys Med Rehabil. 2004 Nov;85(11):1880-5. doi: 10.1016/j.apmr.2004.01.042.
- Lannin NA, Herbert RD. Is hand splinting effective for adults following stroke? A systematic review and methodologic critique of published research. Clin Rehabil. 2003 Dec;17(8):807-16. doi: 10.1191/0269215503cr682oa.
- Naik AK, Pathirathna S, Jevtovic-Todorovic V. GABAA receptor modulation in dorsal root ganglia in vivo affects chronic pain after nerve injury. Neuroscience. 2008 Jul 17;154(4):1539-53. doi: 10.1016/j.neuroscience.2008.04.061. Epub 2008 May 3.
- Mahmood NS, Kadavigere R, Avinash KR, Rao VR. Magnetic resonance imaging in acute cervical spinal cord injury: a correlative study on spinal cord changes and 1 month motor recovery. Spinal Cord. 2008 Dec;46(12):791-7. doi: 10.1038/sc.2008.55. Epub 2008 Jun 10. Erratum In: Spinal Cord. 2009 Jun;47(6):504. Ramesh, A K [corrected to Avinash, K R].
- Harvey L, de Jong I, Goehl G, Mardwedel S. Twelve weeks of nightly stretch does not reduce thumb web-space contractures in people with a neurological condition: a randomised controlled trial. Aust J Physiother. 2006;52(4):251-8. doi: 10.1016/s0004-9514(06)70004-6.
- Patrick JH, Farmer SE, Bromwich W. Muscle stretching for treatment and prevention of contracture in people with spinal cord injury. Spinal Cord. 2002 Aug;40(8):421-2; author reply 423. doi: 10.1038/sj.sc.3101340. No abstract available.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
May 1, 2009
Primary Completion (Anticipated)
September 1, 2016
Study Completion (Anticipated)
October 1, 2016
Study Registration Dates
First Submitted
May 12, 2009
First Submitted That Met QC Criteria
May 12, 2009
First Posted (Estimate)
May 13, 2009
Study Record Updates
Last Update Posted (Estimate)
July 11, 2013
Last Update Submitted That Met QC Criteria
July 10, 2013
Last Verified
July 1, 2013
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2009.001
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.
Clinical Trials on Pronation Contracture
-
University of HaifaCompleted
-
University of British ColumbiaCompleted
-
University of SevilleRecruiting
-
University Hospital, MontpellierCompletedPronation-Supination of the Forearm, Impairment ofFrance
-
Riphah International UniversityCompletedPronation; Ankle | DistortionPakistan
-
University of SevilleCompleted
-
Southwest Hospital, ChinaUnknownAchilles Tendon ContractureChina
-
Mayo ClinicCompletedContracture of Elbow JointUnited States
-
Jeppe Lange, MDCompletedDupuytrens ContractureDenmark
Clinical Trials on Dynasplint
-
Universidade Norte do ParanáHopital du Sacre-Coeur de MontrealCompletedAcquired Fixed Flexion Deformity of the Knee (Disorder)Canada
-
Dynasplint Systems, Inc.McMurry UniversityTerminated
-
University of AlbertaCross Cancer InstituteCompletedTrismus | Neoplasms, Head and NeckCanada
-
Dynasplint Systems, Inc.TerminatedHallux LimitusUnited States
-
Dynasplint Systems, Inc.Terminated
-
Dynasplint Systems, Inc.UnknownDistal Radius Fracture | Wrist Contracture
-
Dynasplint Systems, Inc.McMurry UniversityTerminatedDiabetes Mellitus | Ankle Contracture | Ankle EquinusUnited States
-
Dynasplint Systems, Inc.Completed
-
Vanderbilt University Medical CenterCompletedHead and Neck Cancer | TrismusUnited States