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Encouragement-induced Movement Therapy in Daily Life (ISEAR)

25. november 2021 opdateret af: University of Zurich

Encouragement-induced Movement Therapy in Daily Life - a Randomized Controlled, Assessor-blinded Multi-center Trial in Stroke Patients With a Unilateral Hemiparesis, Using a Wrist-worn Tracking and Feedback Device

Stroke places a major burden on health care and society. It often leads to a hemiparesis. Intensive stroke rehabilitation speeds up recovery. In daily practice, the financial and/or human resources to provide this intensive rehabilitation are often lacking. Applying modern-day tracking and feedback technology to encourage a self-administered, context specific training is expected to offer significant potential to increase intensity of practice. Up until now, there has been no randomized trial examining the effect of such an intervention on daily arm usage.

The primary objective of this study is to determine the effect of wearing an activity tracking and multimodal feedback device for six weeks on self-reported daily life use of the paretic arm after stroke, when compared to control group stroke subjects wearing a hardware-wise identical sham device providing no feedback. The secondary aim is to examine compliance to use the device and the quantitative, qualitative and functional improvement of the paretic arm. It is hypothesized that participants in the experimental group show a higher change in self-reported daily life use of the paretic arm when compared to the control group both post intervention and at 6-week follow-up.

ISEAR is a multicenter, assessor-blinded randomized controlled trial of 62 subjects beyond the first 3 months poststroke.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

42

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Vitznau, Schweiz
        • Cereneo, Center For Neurology and Rehabilitation
      • Wald, Schweiz
        • Zürcher RehaZentrum Wald
      • Zürich, Schweiz
        • University Hospital Zurich

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Above 18 years of age with unilateral stroke and residual hemiparesis leading to a decrease of arm function after completion of all inpatient rehabilitation (at least 90 days post stroke)
  • Ability to lift arm against gravity (>30 degrees flexion or abduction)
  • Ability to don/doff the devices on both wrists independently or with assistance of a caregiver
  • Ability to give informed consent as documented by signature

Exclusion Criteria:

  • Major untreated depression
  • Severe cognitive impairment
  • Suffering from comprehensive aphasia
  • Severely impaired sensation (unable to feel a soft touch on the dorsal side of their paretic wrist with closed eyes)
  • Other major comorbidities (e.g., cardiopulmonary disease, renal failure, hepatic dysfunction, orthopedic disorders, etc.)
  • Expected hospitalization during study period
  • Known intolerance to device material
  • Known or suspected non-compliance, drug or alcohol abuse
  • The investigator, his/her family members, employees, and other dependent persons

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Monitoring and Feedback
Subjects will use two wrist-worn wearables over a period of 6 weeks. Patients will receive multimodal (vibrotactile and visual) feedback.
See arm/group description.
Placebo komparator: Monitoring
Study subjects will use identical devices over a period of 6 weeks. Patients will *not* receive multimodal feedback.
See arm/group description.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Motor Activity Log - 14, Amount of Use sub scale
Tidsramme: Post-intervention (6 weeks)
Self-reported amount of upper limb use in daily life
Post-intervention (6 weeks)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Fugl-Meyer Assessment, Upper Extremity sub scale
Tidsramme: Post-intervention (6 weeks)
Upper limb motor function
Post-intervention (6 weeks)
Fugl-Meyer Assessment, Upper Extremity sub scale
Tidsramme: Follow-up (12 weeks)
Upper limb motor function
Follow-up (12 weeks)
Action Research Arm Test
Tidsramme: Post-intervention (6 weeks)
Upper limb capacity
Post-intervention (6 weeks)
Action Research Arm Test
Tidsramme: Follow-up (12 weeks)
Upper limb capacity
Follow-up (12 weeks)
Modified Rankin Scale
Tidsramme: Post-intervention (6 weeks)
Global Disability
Post-intervention (6 weeks)
Modified Rankin Scale
Tidsramme: Follow-up (12 weeks)
Global Disability
Follow-up (12 weeks)
EuroQol five dimensions five levels questionnaire
Tidsramme: Post-intervention (6 weeks)
Quality of Life
Post-intervention (6 weeks)
EuroQol five dimensions five levels questionnaire
Tidsramme: Follow-up (12 weeks)
Quality of Life
Follow-up (12 weeks)
Motor Activity Log - 14, Quality of Movement sub scale
Tidsramme: Post-intervention (6 weeks)
Self-reported quality of upper limb use in daily life
Post-intervention (6 weeks)
Motor Activity Log - 14, Quality of Movement sub scale
Tidsramme: Follow-up (12 weeks)
Self-reported quality of upper limb use in daily life
Follow-up (12 weeks)
Motor Activity Log - 14, Amount of Use sub scale
Tidsramme: Follow-up (12 weeks)
Self-reported amount of upper limb use in daily life
Follow-up (12 weeks)

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Global Rating of Perceived Change
Tidsramme: Post-intervention (6 weeks)
Post-intervention (6 weeks)
Global Rating of Perceived Change
Tidsramme: Follow-up (12 weeks)
Follow-up (12 weeks)
Concomitant movement therapy
Tidsramme: Post-intervention (6 weeks)
Time spend at Movement therapy (e.g., Physiotherapy, Occupational therapy)
Post-intervention (6 weeks)
Concomitant movement therapy
Tidsramme: Follow-up (12 weeks)
Follow-up (12 weeks)
Adverse Events
Tidsramme: Baseline (0 week)
Safety
Baseline (0 week)
Adverse Events
Tidsramme: Post-intervention (6 weeks)
Safety
Post-intervention (6 weeks)
Adverse Events
Tidsramme: Follow-up (12 weeks)
Safety
Follow-up (12 weeks)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Andreas R Luft, Prof. MD, University of Zurich

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

25. september 2017

Primær færdiggørelse (Faktiske)

25. november 2021

Studieafslutning (Faktiske)

25. november 2021

Datoer for studieregistrering

Først indsendt

12. september 2017

Først indsendt, der opfyldte QC-kriterier

21. september 2017

Først opslået (Faktiske)

26. september 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

8. december 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

25. november 2021

Sidst verificeret

1. november 2021

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 2017-00948

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Ingen

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Ingen

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