- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04940403
BurtVision™ for Arm Rehabilitation in Chronic Stroke Survivors:
August 31, 2022 updated by: Paolo Bonato, Spaulding Rehabilitation Hospital
BurtVision™ for Arm Rehabilitation in Chronic Stroke Survivors: a Comparison of Unimanual vs. Unimanual and Bimanual Tasks During Robot-assisted Arm Training
The focus of this study is to perform a preliminary assessment of the efficacy of the BurtVision system.
While the Burt robotic-arm assists the patient's upper-limb in their movements, BurtVision will allow the patient to perform unimanual and bimanual activities while leveraging augmented reality games.
The investigators will compare clinical outcomes when the BurtVisions ystem is used for training solely relying on unimanual tasks vs. when it is used for training relying on both unimanual and bimanual tasks.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
The proposed study is a single-blinded randomized clinical trial to evaluate the effect of using the BurtVistion on motor gains after robot-assisted upper-limb.
Study participants (stroke survivors) will be recruited at the Spaulding Rehabilitation Hospital - Boston.
Subjects will be randomly assigned to one of the two different groups: unimanual or unimanual + bimanual arm therapy using a block-randomized allocation procedure to ensure important covariates, such as baseline Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) scores and chronicity, are balanced between groups.
Study Type
Interventional
Enrollment (Anticipated)
38
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 Contact
- Name: Catherine Adans-Dester, PhD
- Phone Number: 617-952-6321
- Email: CADANS-DESTER@PARTNERS.ORG
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 to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
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
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: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / 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
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
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
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Paolo Bonato, PhD, Harvard Medical School, Spaulding Rehabilitation Hospital
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 (Anticipated)
June 1, 2023
Primary Completion (Anticipated)
December 31, 2025
Study Completion (Anticipated)
June 1, 2026
Study Registration Dates
First Submitted
June 17, 2021
First Submitted That Met QC Criteria
June 24, 2021
First Posted (Actual)
June 25, 2021
Study Record Updates
Last Update Posted (Actual)
September 2, 2022
Last Update Submitted That Met QC Criteria
August 31, 2022
Last Verified
August 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2021P001807
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
Yes
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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