- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT03750526
Effectiveness of Augmented Reality and Repetitive Transcranial Magnetic Stimulation
9. Dezember 2019 aktualisiert von: Lai chien hung, Taipei Medical University Hospital
Investigate the Effectiveness of Augmented Reality and Repetitive Transcranial Magnetic Stimulation Technology in Persons With Stroke
This study is to investigate the combined effects of repetitive Transcranial Magnetic Stimulation (rTMS) and Augmented Reality (AR) intervention on cortical excitability, balance, gait, activity in individuals with stroke.
Forty participants will be recruited in this study.
They will be allocated to four group: rTMS and AR group (10), sham rTMS and AR group (10), AR group (10), and conventional physiotherapy group (10).
Studienübersicht
Status
Unbekannt
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Participants will be randomized allocated to four groups: rTMS and AR group, sham rTMS and AR group, AR group ,and conventional physiotherapy group in current study.
All participants underwent four weeks, 3 sessions per week, and 60 minutes per session training program.
Motor evoked potential (MEP), Time up go test (TUG), Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA), Multi-directional Reach Test (MDRT),The Postural Assessment Scale for Stroke Patients (PASS), and Taiwanese Depression Questionnaires (TDQ) will be assessed before and after intervention in all participants.
Studientyp
Interventionell
Einschreibung (Voraussichtlich)
40
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
-
-
-
Taipei, Taiwan
- Rekrutierung
- Taipei Medical University Hospital
-
-
Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
20 Jahre bis 80 Jahre (Erwachsene, Älterer Erwachsener)
Akzeptiert gesunde Freiwillige
Nein
Studienberechtigte Geschlechter
Alle
Beschreibung
Inclusion Criteria:
- Cognitive ability is sufficient to understand the nature of study (Mini-Mental State Examination score was above 23).
- Participants suffer from unilateral hemiplegia caused by a first-ever stroke.
- Participants are stable in medical and psychological condition.
Exclusion Criteria:
- Participants have other neurologic problems that can affect balance and walking ability.
- Participants take of drugs or have other medical condition that can affect balance and function.
- Participants have contraindications for rTMS intervention such as pacemaker, cochlear implants, metal in the brain or skull, open wound of brain, or history of epilepsy.
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
---|---|
Experimental: rTMS and AR group
Ten participants in group A will undergo repetitive transcranial magnetic stimulation (real, 1 Hz, 15 minutes), follow by a session of augmented reality exercise (45 minutes), 3 days per week for 4 weeks.
|
rTMS performs 1Hz,15 minutes real rTMS.
AR intervention contains weight-shift exercise, strengthening of lower limb and balance training for 45 minutes.
|
Aktiver Komparator: Sham rTMS and AR group
Ten participants in group B will receive repetitive transcranial magnetic stimulation (sham,1 Hz, 15 minutes), follow by a session of augmented reality exercise (45 minutes), 3 days per week for 4 weeks.
|
Sham rTMS applies 1Hz, 15 minutes sham rTMS.
AR intervention includes weight-shift exercise, strengthening of lower limb and balance training for 45 minutes.
|
Aktiver Komparator: AR group
Ten participants in group C will undergo augmented reality exercise 60 minutes a day and 3 days per week for four weeks.
|
AR intervention contains weight-shift exercise, strengthening of lower limb and balance training for 60 minutes.
|
Aktiver Komparator: Conventional physiotherapy group
Ten participants allocated to the group D will receive conventional physiotherapy 60 minutes a day and 3 days per week for four weeks.
|
Conventional physiotherapy includes rolling, sitting, balance exercise, standing, overground walking, facilitation of the paretic limbs, and so on for 60 minutes.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Change of Time Up Go test (TUG)
Zeitfenster: Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
The TUG test will ask participants to stand up, walk for 3 m, turn, walk back and sit down as fast as they can during the test, and the time requires for each patient to complete the test is recorded.
|
Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Change of Berg Balance Scale (BBS)
Zeitfenster: Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Participants performed a series of 14 functional balance tasks, including maintaining a quiet stance, sitting-to-standing, shifting weight and reaching, turning in place, standing on one leg, and maintaining a tandem stance.
Each task was scored on a 5-point ordinal scale (from 0 to 4).
A score of 0 denotes the inability of the participant to perform the task, and a score of 4 denotes that the participant can complete the task based on a preset criterion.
The highest possible score is 56.
|
Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Change of Motor evoked potential (MEP)
Zeitfenster: Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Motor evoked potential (MEP) is recorded from tibialis anterior muscles following direct transcranial magnetic stimulation (TMS) of motor cortex.
All TMS is delivered with the participant seated upright on the chair.
Both passive and active conditions, participants are instructed to relax their right leg in the seated position.
TMS is delivered over the motor cortex (M1) using a concave double cone coil (Magstim Co., United Kingdom) attached to a BiStim magnetic stimulator (Magstim Co., United Kingdom).
To locate the optimal site, stimuli are delivered over various points along the M1.
The optimal site is the location on the M1 that evoked the greatest MEP amplitude in the bilateral tibialis anterior muscles.
The onset latency and onset to peak amplitude will be assessed.
|
Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Change of Fugl-Meyer Assessment (FMA)-Lower extremity
Zeitfenster: Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Fugl-Meyer Assessment-Lower extremity is used to measure lower-limb recovery in stroke rehabilitation studies.The scale has 6 items ranging from reflex activity to voluntary motor control.
Each item further comprises components, with a total of 17. Scoring is done on a 3-point ordinal scale ranges from 0 (no performance) to 2 (faultless performance).
The total score range from 0 (no motor function) to 34 (good motor recovery).
|
Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Change of Multi-directional Reach Test (MDRT)
Zeitfenster: Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Participants will be required to reach in the forward, left and right directions.
The test is performed with the participant in standing.
It is the measure of the difference, in centimeters, between arm's length with arms at 90° flexion/ abduction and maximal forward, left and right directions reaching respectively, using a fixed base of support.
The test uses a centimeters measuring device against a wall at shoulder height.
|
Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Change of The Postural Assessment Scale for Stroke Patients (PASS)
Zeitfenster: Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
The Postural Assessment Scale for Stroke Patients (PASS) is a postural assessment scale specifically designed to assess and monitor postural control after stroke.
It contains 12 four-level items of varying difficulty for assessing ability to maintain or change a given lying, sitting, or standing posture.
The PASS consists of 2 sections with a 4-point scale to describe each task.
The total score ranges from 0 - 36.
A score of 0 denotes the inability of the participant to perform the task, and a score of 3 denotes that the participant can complete the task based on a preset criterion.
The highest possible score is 36.
|
Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Change of Taiwanese Depression Questionnaires (TDQ)
Zeitfenster: Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Taiwanese Depression Questionnaires (TDQ) contains 18 items to screen the situation of depression within a week.
The TDQ, which is a 4-point scale with 18 items, is a culturally specific depression self-rating instrument for effective screening of depression in Taiwan and has satisfactory reliability and validity.
Subjects are guided to rate each item on a scale from 0 to 3 on the basis of "how often you felt the physical and emotional aspects during the past week".
Zero denotes never, three means always.
TDQ scores range from 0 to 54.
|
Measurement before and after intervention ( week 0 and at the end of week 4) in four groups
|
Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn (Tatsächlich)
31. Juli 2018
Primärer Abschluss (Voraussichtlich)
30. Oktober 2020
Studienabschluss (Voraussichtlich)
30. Dezember 2020
Studienanmeldedaten
Zuerst eingereicht
20. November 2018
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
20. November 2018
Zuerst gepostet (Tatsächlich)
23. November 2018
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
11. Dezember 2019
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
9. Dezember 2019
Zuletzt verifiziert
1. Dezember 2019
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- N201703084
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Nein
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Nein
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .
Klinische Studien zur rTMS and AR
-
University of EdinburghZurückgezogen
-
Labdom SuisseUnbekannt
-
Merck Sharp & Dohme LLCAbgeschlossenMasern | Röteln | Mumps | VarizellenFrankreich, Italien
-
Uniformed Services University of the Health SciencesResearch and Recognition ProjectAktiv, nicht rekrutierendSchädel-Hirn-Trauma | Posttraumatische BelastungsstörungVereinigte Staaten
-
ALTality, Inc.National Institute on Drug Abuse (NIDA); M.D. Anderson Cancer Center; Baylor College...Aktiv, nicht rekrutierendChirurgie | KinderkrebsVereinigte Staaten
-
Aerie PharmaceuticalsAbgeschlossen
-
Aerie PharmaceuticalsAbgeschlossenDiabetisches Makulaödem | Neovaskuläre altersbedingte MakuladegenerationVereinigte Staaten
-
Aridis Pharmaceuticals, Inc.AbgeschlossenStaphylococcus Aureus | Pneumonie, Beatmungsassoziiert | Infektion, Bakteriell | LungenentzündungWeißrussland, Belgien, Brasilien, China, Estland, Frankreich, Georgia, Israel, Lettland, Mexiko, Russische Föderation, Südafrika, Spanien, Truthahn, Ukraine
-
Massachusetts General HospitalAmerican Psychological Foundation; The Hilda & Preston Davis FoundationAbgeschlossenVermeidende/restriktive Nahrungsaufnahmestörung (ARFID)Vereinigte Staaten
-
Chang Gung UniversityRekrutierungParkinson-Krankheit (PD)Taiwan