- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT01689883
Improving Recovery After Stroke Via Electrical Stimulation of Proprioceptors
Descripción general del estudio
Estado
Intervención / Tratamiento
Descripción detallada
Study participants will be instructed to perform upper-limb movements using a system designed for upper-limb rehabilitation (Armeo Spring by Hocoma AG). The system provides subjects with unloading of the stroke-affected arm thus facilitating the performance of upper-limb movements. The system will be used to track the movements of the stroke-affected arm. Simultaneously, a custom-designed system (a prototype developed by the investigators) will be used to deliver small electrical currents to the arm. We hypothesize that the currents delivered to the arm will improve the accuracy of the movements performed by study participants.
To assess if delivering small currents to the arm has an effect on the accuracy of the movements performed by the study participants, they will receive actual stimulation for some trials and sham stimulation for other trials. Because the investigators will deliver very small currents, study participants will be unable to perceive such currents and hence tell if they are performing the movements while receiving actual or sham stimulation. By comparing trials performed while subjects receive actual stimulation with trials performed while subjects received sham stimulation, the investigators will determine if the stimulation has an effect on the accuracy of the movements performed by the subjects.
It is worth noticing that the investigators collected primary outcome data to assess changes associated with the use of actual stimulation vs sham stimulation. Data during a follow-up session was also collected, but not for the purpose of collecting outcome measures.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02129
- Spaulding Rehabilitation Hospital Boston
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- unilateral and cortical, subcortical, or cerebellar stroke
- 6 months post-stroke
- Upper extremity impairments but able to move upper extremity against gravity 25% of the range
- Ability to understand directions and follow simple instructions
- Medically stable
- Upper Extremity Fugl-Meyer between 28 and 55
- At least four (4) months since last botox treatment
- Mini-Mental State Examination (MMSE) ≥ 23
Exclusion Criteria:
- Participation in other forms of therapy/ intervention for upper extremity motor recovery
- Upper extremity or trunk fractures
- Severe fixed contractures affecting the upper limbs
- Severe perceptual deficits or visual field impairments
- Severe cognitive deficits
- Pregnant women
- Presence of an implanted electrically operated medical device
- Evidence of more than one clinical stroke
- Serious medical or neurological illness
- History of head trauma or cerebral infectious disease
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Ciencia básica
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Otro: Current stimulator
The investigators have developed a device to deliver very small currents to the arm.
The device will be used while subjects perform upper-limb movements using a device for upper-limb rehabilitation.
Subjects will perform multiple trials of movement.
During half of the trials, they will receive actual stimulation.
During the other half, they will receive sham stimulation.
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This is a device developed by the investigators to produce sub-sensory electrical stimulation delivered via subcutaneous electrodes placed on the skin.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Fugl-Meyer Assessment
Periodo de tiempo: Changes in Fugl-Meyer Assessment score with vs without stimulation
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Subjects are asked to perform upper-limb movements from which a therapist can assess the severity of movement abnormalities (e.g.
flexion synergies)
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Changes in Fugl-Meyer Assessment score with vs without stimulation
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Jebsen-Taylor Hand Function Test
Periodo de tiempo: Changes in Jebsen-Taylor Hand Function Test score with vs without stimulation
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Subjects are asked to perform a set of functional movements from which a therapist can assess subjects' functional limitations
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Changes in Jebsen-Taylor Hand Function Test score with vs without stimulation
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Motor Activity Log
Periodo de tiempo: Change in Motor Activity Log score with vs without stimulation
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Subjects are asked about the amount and quality of use of their stroke-affected arm during the performance of daily activities
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Change in Motor Activity Log score with vs without stimulation
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Modified Ashworth Scale
Periodo de tiempo: Change in Modified Ashworth Scale score with vs without stimulation
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A therapist examines subjects to assess the severity of spasticity
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Change in Modified Ashworth Scale score with vs without stimulation
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Box and Block test
Periodo de tiempo: Change in Box and Block test score with vs without stimulation
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Subjects are asked to move as many small wooden blocks as possible from one to box to another in a set amount of time
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Change in Box and Block test score with vs without stimulation
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Grip strength
Periodo de tiempo: Change in grip strength with vs without stimulation
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A hand dynamometer is used to measure grip strength
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Change in grip strength with vs without stimulation
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Colaboradores e Investigadores
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 2011-P-001592
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
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