Evaluation of a Tele-Rehabilitation Service Program
Joint Gertner ReAbility Online and Mayo Clinic Feasibility Study: Evaluation of a Tele-Rehabilitation Service Program
A tanulmány áttekintése
Állapot
Beavatkozás / kezelés
Részletes leírás
Participants will be identified from Mayo Clinic Division of Brain Rehabilitation's existing clinical practice and recruited either in person or by using a phone script.
Eligible participants will have 2 in-person clinical assessments, one before the intervention and one concluding the protocol. The first clinical assessment will involve introducing and familiarizing the participant with the study procedure, demonstrating and practicing with the system, and obtaining baseline clinical measures. During this first session the participant's technical skills and home equipment capabilities will be assessed and any assistance needed for establishing the technology in their home will be determined and provided. The second clinical assessment will include acquiring post-intervention clinical and outcome measures. Intervention duration will be 3 months. During the study period, each participant will receive online treatment for up to 45 minutes (in order to have net 30 min clinical time) twice per week. During these sessions, the clinician will teach system interaction including integrating feedback, instruct in system intervention activities and assure participant competence in system use, and adjust the level of difficulty in each activity according to the participant's abilities and needs. After the first month of intervention, the participant may be given permission by the therapist to train with the system for no more than 40 minutes per day. Such self-training opportunities are in addition to the twice weekly online sessions with the therapist.
Tanulmány típusa
Beiratkozás (Tényleges)
Fázis
- Nem alkalmazható
Kapcsolatok és helyek
Tanulmányi helyek
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Minnesota
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Rochester, Minnesota, Egyesült Államok, 55905
- Mayo Clinic in Rochester
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Részvételi kritériumok
Jogosultsági kritériumok
Tanulmányozható életkorok
Egészséges önkénteseket fogad
Tanulmányozható nemek
Leírás
Inclusion
- >12 months after stroke
- Age 21-80 years
- A minimum of 45 degrees of flexion in the affected shoulder
- Active extension of the affected elbow to 150 degrees
- Independent sitting balance
- Able to understand simple instructions
- Lives within a 100 mile radius and able to attend two clinical assessments at Mayo Clinic
- Able to install the tele-rehabilitation software with minimal remote technical support
- Available caregiver as needed who has basic technical understanding of computer operation
- i3 processor based PC; 26" monitor; Windows 7 or 8 operating system; Internet connection of at least 10Mbps.
Exclusion
- Medical conditions that may limit physical activity at the level of low intensity cardio-vascular exercise
- Any contraindication related to the integrity of the musculoskeletal system
- Active malignancy
- Uncontrolled epilepsy
- Global aphasia
- Severe apraxia
- Severe ataxia
- Unilateral spatial neglect
- Chronic pain
- Pregnancy
- Adults lacking capacity
Tanulási terv
Hogyan készül a tanulmány?
Tervezési részletek
- Elsődleges cél: Kezelés
- Kiosztás: N/A
- Beavatkozó modell: Egyetlen csoportos hozzárendelés
- Maszkolás: Nincs (Open Label)
Fegyverek és beavatkozások
Résztvevő csoport / kar |
Beavatkozás / kezelés |
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Kísérleti: Tele-motion rehabilitation system
Clinicians remotely monitor subjects' motor performance using Microsoft Kinect 3D sensor tracking system in their home to record their upper limb and trunk movements as they participate in a variety of functional tasks and motor activities, which are directed by their interaction with a monitor screen in their home using uniquely adapted software to integrate key rehabilitation intervention principles.
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Tele-motion rehabilitation system: Interventions include functional therapeutic exercise and real-time feedback.
Clinicians remotely monitor subjects' motor performance using Microsoft Kinect 3D sensor tracking system in their home to record their upper limb and trunk movements as they participate in a variety of functional tasks and motor activities, which are directed by their interaction with a monitor screen in their home using uniquely adapted software to integrate key rehabilitation intervention principles.
Más nevek:
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Mit mér a tanulmány?
Elsődleges eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
|---|---|---|
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Satisfaction Questionnaire
Időkeret: 3 months
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Clinician and participant satisfaction questionnaire
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3 months
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System Usability Scale
Időkeret: 3 months
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Clinician and participant usability questionnaire
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3 months
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Qualitative measure of technology/communications problems
Időkeret: 3 months
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Self report text of problems and difficulty with experimental technology and communication from participants and clinicians
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3 months
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Másodlagos eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
|---|---|---|
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Upper limb (shoulder, elbow) range of motion
Időkeret: Baseline and at 3 months
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Upper limb (shoulder, elbow) range of motion of the participant as measured by a goniometer
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Baseline and at 3 months
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Fugl- Meyer Scale
Időkeret: Baseline and at 3 months
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Fugl- Meyer Assessment for the participant's upper limb
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Baseline and at 3 months
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Motor Activity Log (MAL)
Időkeret: Baseline and at 3 months
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Individuals are asked to rate Quality of Movement (QOM) and Amount of Movement (AOM) during 30 daily functional tasks (original MAL), 28 functional tasks (MAL 28) or 14 tasks (MAL 14).
Target tasks include object manipulation (e.g.
pen, fork, comb, and cup) as well as the use of the arm during gross motor activities (e.g.
transferring to a car, steadying oneself during standing, pulling a chair into a table while sitting).
Items scored on a 6-point ordinal scale.
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Baseline and at 3 months
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Measures from the ReAbility Online system of participant and clinician activity
Időkeret: Weekly through 3-month study period
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Time of practice by participant as measured by the ReAbility Online system
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Weekly through 3-month study period
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Task performance scores
Időkeret: Weekly through 3-month study period
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Participant task performance scores as measured by the ReAbility Online system
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Weekly through 3-month study period
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Upper limb range of motion
Időkeret: Weekly through 3-month study period
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Upper limb range of motion of participant as measured by the ReAbility Online system
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Weekly through 3-month study period
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Number of compensatory movements
Időkeret: Weekly through 3-month study period
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Number of compensatory movements as measured by the ReAbility Online system
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Weekly through 3-month study period
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Time online
Időkeret: Weekly through 3-month study period
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Time online of participant and clinician as measured by the ReAbility Online system
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Weekly through 3-month study period
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Együttműködők és nyomozók
Szponzor
Nyomozók
- Kutatásvezető: Allen Brown, MD, Mayo Clinic
Tanulmányi rekorddátumok
Tanulmány főbb dátumok
Tanulmány kezdete (Tényleges)
Elsődleges befejezés (Tényleges)
A tanulmány befejezése (Tényleges)
Tanulmányi regisztráció dátumai
Először benyújtva
Először nyújtották be, amely megfelel a minőségbiztosítási kritériumoknak
Első közzététel (Becslés)
Tanulmányi rekordok frissítései
Utolsó frissítés közzétéve (Tényleges)
Az utolsó frissítés elküldve, amely megfelel a minőségbiztosítási kritériumoknak
Utolsó ellenőrzés
Több információ
A tanulmányhoz kapcsolódó kifejezések
Kulcsszavak
További vonatkozó MeSH feltételek
Egyéb vizsgálati azonosító számok
- 15-006308
Terv az egyéni résztvevői adatokhoz (IPD)
Tervezi megosztani az egyéni résztvevői adatokat (IPD)?
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Klinikai vizsgálatok a Stroke
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Institut National de la Santé Et de la Recherche...Befejezve