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- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07706621
Pilot Trial of Robotic Hand Therapy After Stroke
Robotic-Assisted Hand Therapy for Neurorehabilitation in Adults With Hand Sensorimotor Impairments Following a Stroke: A Pilot Randomized Controlled Trial
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
The goal of this pilot clinical trial is to determine whether the Glove for Rehabilitation and Interactive Practice (GRIP) program can help improve hand and arm movement in adults who have difficulty using their hand after a recent stroke. The GRIP program uses a soft robotic glove and a virtual reality training platform. It is added to the usual rehabilitation care that participants already receive.
The main questions this study aims to answer are:
- Does the GRIP program help improve hand and arm movement?
- Is the GRIP program safe?
- Do participants find the GRIP program acceptable, comfortable, and engaging? (qualitatively).
Researchers will compare the Glove for Rehabilitation and Interactive Practice (GRIP) program with action-observation therapy and education. Action-observation therapy means watching videos of hand movements and then practicing the same movements. Both groups will also receive their usual rehabilitation care. This study will include about 20 adults who are in an inpatient rehabilitation program after a stroke and who have difficulty using their hand.
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Johanne Higgins, PhD
- Numero di telefono: 29924 514 343-6111
- Email: johanne.higgins@umontreal.ca
Backup dei contatti dello studio
- Nome: Marika Demers, PhD
- Numero di telefono: 30897 514 343-6111
- Email: marika.demers@umontreal.ca
Luoghi di studio
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Quebec
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Montreal, Quebec, Canada, H3S 2J4
- Institut de réadaptation Gingras-Lindsay-de-Montréal
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Contatto:
- Johanne Higgins, PhD
- Numero di telefono: 29924 514 343-6111
- Email: johanne.higgins@umontreal.ca
-
Contatto:
- Marika Demers, PhD
- Numero di telefono: 30897 514 343-6111
- Email: marika.demers@umontreal.ca
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Sub-investigatore:
- Katherine Samuel, Master's degree
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Investigatore principale:
- Marika Demers, PhD
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Investigatore principale:
- Johanne Higgins, PhD
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- First unilateral stroke (<6-month post-stroke at enrollment)
- ≥18 years old
- Hand sensorimotor impairments
- Able to understand and follow a two-step instruction
- Admitted to the rehabilitation center and participating in the stroke program
Exclusion Criteria:
- Severe spasticity (score ≥3 on the Modified Ashworth Scale)
- Unilateral spatial neglect
- Moderate to severe hand pain
- Significant motor impairment of the fingers (active finger flexion/extension less than 10°)
- Any medical condition that may interfere with participation
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: Glove for Rehabilitation and Interactive Practice (GRIP) program
10 participants will be randomly assigned to this group.
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Participants will receive the GRIP program in addition to usual rehabilitation care.
The program uses a soft robotic glove worn on the affected hand together with a non-immersive virtual-reality system that displays hand exercises and a virtual hand that moves with the participant's real movements.
The glove can provide assistance or resistance to support grasping practice and strengthening.
Training focuses on repeated grasping tasks and strategies to increase use of the affected hand in daily activities.
The program includes ten supervised 30-minute sessions over two weeks.
Altri nomi:
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Comparatore attivo: Action-Observation Therapy (AOT) and Education
10 participants will be randomly assigned to this group.
|
Participants will receive usual rehabilitation care plus action-observation therapy (AOT).
They will complete ten self-directed 30-minute AOT sessions over two weeks.
Each session consists of repeated cycles of watching short videos of hand movements and then attempting to reproduce those movements with the affected hand.
Videos will match the grasp types practiced in the intervention arm.
Participants will also attend three individual education sessions on post-stroke arm and hand recovery, including strategies to increase use of the affected hand in daily activities.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Fugl-Meyer Assessment Upper Extremity (FMA-UE)
Lasso di tempo: At enrollment , post-intervention (at 2 weeks), and 1 month follow-up (at 6 weeks)
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It is a stroke-specific, performance-based impairment index designed to measure upper extremity motor recovery after stroke.
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At enrollment , post-intervention (at 2 weeks), and 1 month follow-up (at 6 weeks)
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Action Research Arm Test
Lasso di tempo: At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Observational measure that examines upper limb functional recovery
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At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Box and Blocks
Lasso di tempo: At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Unilateral gross manual dexterity
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At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Nine-Hole Peg Test
Lasso di tempo: At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Fine manual dexterity
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At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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ABILHAND questionnaire
Lasso di tempo: At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Semi-structured item-response questionnaire that measures manual ability according to an individual's perceived difficulty performing daily bimanual tasks.
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At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Hand dynamometer
Lasso di tempo: At enrollment, post-intervention (at 2 weeks), 1 month follow up (at 6 weeks)
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Grip strength measurement
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At enrollment, post-intervention (at 2 weeks), 1 month follow up (at 6 weeks)
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Pinch gauge
Lasso di tempo: At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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To measure 2-finger pinch, 3-finger pinch and lateral pinch
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At enrollment, post-intervention (at 2 weeks), 1 month follow-up (at 6 weeks)
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Semi-structured interview with the GRIP group
Lasso di tempo: Post-intervention (at 2 weeks).
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A qualitative semi-structured interview on the satisfaction with the intervention, perceived benefits, tolerance and engagement
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Post-intervention (at 2 weeks).
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Collaboratori e investigatori
Collaboratori
Investigatori
- Direttore dello studio: Johanne Higgins, PhD, Université de Montréal, CRIR
- Direttore dello studio: Marika Demers, PhD, Université de Montréal, CRIR
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 2026-2490
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