- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06069999
Telerehabilitation Early After CNS Injury
Bedside Telerehabilitation Early After CNS Injury
Study Overview
Status
Intervention / Treatment
Detailed Description
This clinical trial is designed to address 3 specific aims:
Aim 1: To measure the safety of daily bedside telerehabilitation.
Aim 2: To measure the feasibility of daily bedside telerehabilitation.
Aim 3: To derive a preliminary estimate of motor and functional outcomes in patients engaged in daily bedside telerehabilitation. This is an uncontrolled pilot study, and so it is understood that such measures cannot be attributed to the telerehabilitation intervention, however, these measures will describe the clinical course of a patient engaged in this intervention.
Telerehabilitation therapy is delivered over the course of the inpatient rehabilitation stay. A therapist-facing web portal is used for treatment planning and patient monitoring. The treatment approach was initially designed based on an upper-extremity task-specific training manual and Accelerated Skill Acquisition Program.
Each daily 45-minute treatment session is created by a licensed OT or PT and includes:
A. At least 15 min/day of upper extremity exercises. In addition, therapists have the option to incorporate standard exercise equipment (e.g., Theraband or dowels) that can be incorporated into assigned exercises.
B. At least 15 min/day of functional training through games. The study provides 2 controllers with 5 different input devices that are available to drive game play. Games stress various motor control features (e.g., varying movement speed, range of motion, target size, extent of visuomotor tracking, or level of cognitive demand), which are selected and adjusted by the therapist.
C. If applicable, 5 minutes/day of stroke education. The education content targets five categories (Stroke Risk Factors, Stroke Prevention, Effects of Stroke, Diet, and Exercise) and corresponds to the Stroke Knowledge Exam.
The remaining 10-15 minutes consist of additional exercises and games, per the judgment of the licensed OT or PT.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Johnson K Sun
- Phone Number: 650-300-2168
- Email: kit@trcare.net
Study Locations
-
-
California
-
Los Angeles, California, United States, 90095
- California Rehabilitation Institute
-
Contact:
- Michael Su, MD
- Phone Number: 424-522-7874
- Email: cramerlab@mednet.ucla.edu
-
Principal Investigator:
- Michael Su, MD
-
Sub-Investigator:
- Steven Cramer, MD
-
-
Florida
-
Jacksonville, Florida, United States, 32216
- Brooks Rehabilitation
-
Contact:
- Mark Bowden, PhD
- Phone Number: 904-345-6626
- Email: mark.bowden@brooksrehab.org
-
Contact:
- Bob McIver, DPT
- Phone Number: 904.345.6812
- Email: bob.mciver@brooksrehab.org
-
Principal Investigator:
- Ken Ngo, MD
-
Sub-Investigator:
- Mark Bowden, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 years or older
CNS injury with onset in the prior 90 days
- For stroke: Stroke that is radiologically verified and due to ischemia or to intracerebral hemorrhage.
- For traumatic brain injury: History that is consistent with TBI; and score on the Revised Rancho Levels of Cognitive Functioning Scale is at least 6 out of 10.
- For spinal cord injury: Traumatic or nontraumatic, incomplete cervical SCI.
- At least one arm must have motor deficits that are neither very mild nor devastating (dense arm plegia). Operationally, this requires that the Visit 1 Box & Block Test score is at least 1 block, but no more than 30 blocks, in 60 seconds.
- Possess enough arm movement to participate in therapy, including able to hold the HandyMotion device in the paretic hand(s), using an assistive device if needed.
- Informed consent signed by the subject (no surrogate consent permitted for this study)
- Able to follow simple instructions
- Study participation is not likely to be significantly limited by agitated behavior
Exclusion Criteria:
- A major, active, coexistent neurological or psychiatric disease that would limit study participation, e.g., advanced dementia or active psychosis
- Expectation that patient's cognitive status will likely interfere substantially with playing assigned games or exercises
- Deficits in communication that interfere with reasonable study participation
- Lacking visual acuity, with or without corrective lens, of 20/50 or better in at least one eye
- Subject does not speak sufficient English to comply with study procedures
- Shoulder pain that in the judgement of the study team is likely to substantially limit the amount of TR therapy completed
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: TR Bedside Telerehabilitation
Participants will be assigned 45-minutes of therapy training exercises each day for 7 days a week up to 4 weeks or until discharge. Participants will use the HandyMotion device to interact with the telerehabilitation program displayed on the TV set in the patient room. |
A pair of sensor-based wireless remote controllers to allow the performance of functional exercises and games that target arm movement.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety of daily beside telerehabilitation based on incidence of treatment-emergent adverse events as assessed by regular review of the medical record and patient interview
Time Frame: "For approximately 4 weeks, up until discharge"
|
Safety will be measured in terms of adverse events (AEs) deemed related to use of the telerehabilitation system on a probable or definite basis.
|
"For approximately 4 weeks, up until discharge"
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility of daily bedside telerehabilitation based on measurement of patient compliance, as determined by reviewing electronic records of device usage
Time Frame: "baseline" and "immediately after end of treatment"
|
Feasibility will be measured in terms of patient compliance, specifically the fraction of days where a patient is assigned to do bedside telerehabilitation and initiates a treatment session. Any factors related to reduced compliance, including technical and medical factors, will be recorded. Feasibility is a composite measure. It is descriptive, so that all of these observations can be combined into a single outcome. |
"baseline" and "immediately after end of treatment"
|
Box and Blocks Test
Time Frame: "baseline" and "immediately after end of treatment"
|
Measure of Upper Extremity Function by assessing unilateral gross manual dexterity. Participants will be asked to perform the test twice for each side to assess bilateral gross manual dexterity. Participants will be asked to move, one by one, the maximum number of blocks from one compartment of a box to another of equal size, within 60 seconds. |
"baseline" and "immediately after end of treatment"
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Michael Su, MD, California Rehabilitation Institute
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- TRC-09
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.
Clinical Trials on Traumatic Brain Injury
-
Fondazione per la Ricerca Ospedale MaggioreCompletedBrain Injuries, Traumatic | Brain Injury Traumatic Severe | Brain Injury Traumatic ModerateItaly
-
Toronto Rehabilitation InstituteCentre for Aging and Brain Health Innovation; Ontario Neurotrauma FoundationUnknownBrain Injuries, Traumatic | Brain Injury, Chronic | Brain Injury Traumatic Severe | Brain Injury Traumatic ModerateCanada
-
Hospital Sirio-LibanesUniversity of Sao Paulo; Ministry of Health, Brazil; Hospital Sao Rafael; PROAD... and other collaboratorsRecruitingBrain Injury Traumatic Severe | Brain Injury Traumatic Moderate | Post Traumatic EpilepsyBrazil
-
University of TurkuTurku University Hospital; The Finnish Funding Agency for Technology and Innovation... and other collaboratorsCompletedBrain Injuries | TBI (Traumatic Brain Injury) | Brain Injuries, Traumatic | Traumatic Brain Injury | Injury, Brain, TraumaticFinland
-
Children's Hospital Medical Center, CincinnatiUniversity of CincinnatiCompletedBrain Injury Traumatic MildUnited States
-
BrainScope Company, Inc.RecruitingTBI (Traumatic Brain Injury) | Concussion, Brain | MTBI - Mild Traumatic Brain Injury | Closed Head InjuryUnited States
-
Institut National de la Santé Et de la Recherche...Institut National de Recherche en Informatique et en AutomatiqueNot yet recruitingTBI (Traumatic Brain Injury)France
-
University of Sao Paulo General HospitalUnknownTraumatic Brain Injury | Severe Brain Injury | Closed Traumatic Brain InjuryBrazil
-
Queen Mary University of LondonCompleted
-
Northeastern UniversityBrandeis UniversityRecruitingTraumatic Brain Injury | Mild Traumatic Brain Injury | TBI | Moderate Traumatic Brain InjuryUnited States
Clinical Trials on HandyMotion Treatment Program
-
TRCare, Inc.Providence St. Jude Medical CenterRecruiting
-
Assistance Publique - Hôpitaux de ParisCompletedSuicide, AttemptedFrance
-
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityCompleted
-
Icahn School of Medicine at Mount SinaiU.S. Department of EducationCompletedTraumatic Brain InjuryUnited States
-
Rhode Island HospitalNational Institute of Mental Health (NIMH)CompletedHIV PreventionUnited States
-
Children's Hospitals and Clinics of MinnesotaCompletedCystic FibrosisUnited States
-
University GhentCompletedChronic Pain | Neck PainBelgium
-
Norwegian University of Life SciencesKarolinska Institutet; Oslo University Hospital; Haukeland University Hospital; Helse Nord-Trøndelag HF and other collaboratorsRecruitingAnorexia Nervosa | Diet | Microbiota | Mental Health Issue | Gastrointestinal ProblemsNorway
-
Gillette Children's Specialty HealthcareUniversity of MinnesotaCompleted
-
Xinhua Hospital, Shanghai Jiao Tong University...Recruiting