Digital Technology-Informed Stroke Rehabilitation
The goal of this study is to determine the effects of lab and home-based technology guidance during movement training post-stroke. The study will compare movement training informed by lab-based technology to training delivered with technology at home. The main questions it aims to answer are:
- How well do lab and home-based technologies help individuals post-stroke improve their movement patterns?
- Is there a difference in improvement between the in-lab and at-home training groups?
- Which technologies lead to the most improvement?
研究概览
详细说明
The study is a randomized, controlled feasibility trial investigating rehabilitation to improve movement patterns after stroke. The study will recruit participants who have had a stroke that led to upper-extremity impairment. Individuals will be assigned to one of two digital technology-guided groups. One group will be guided through exercises in a home-based setting, the other will be lab-based.
Participants will engage in training sessions multiple days a week for up to 6 weeks, either in-lab or at home. Both groups will visit the lab weekly for movement assessments.
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：Samantha McNeill
- 电话号码：(385) 215-9146
- 邮箱：samantha.mcneill@utah.edu
学习地点
-
-
Utah
-
Salt Lake City、Utah、美国、84112
- 招聘中
- Kennecott Mechanical Engineering Building
-
接触：
- Scott Uhlrich, PhD
-
-
参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
- Age between 30-85 years.
- Diagnosis of stroke.
- Stroke onset of at least six months prior to the time of participation.
- Fugl Meyer Upper Extremity between 30-50 (mild-moderate)
- Cognitive skills to consent and actively participate, as indicated by scores of ≥ 24 on the Mini- Mental Status Examination
- Able to visit lab up to 5x per week for 3 weeks
Exclusion Criteria:
- Presence of severe aphasia preventing the ability to follow 1-step directions at least 80% of the time.
- Excessive spasticity of the wrist, elbow, and shoulder, defined as a Modified Ashworth Score >2.
- Diagnosis of neurological disorders other than stroke.
- Orthopedic/musculoskeletal conditions (e.g., severe arthritis) affecting the upper extremity.
- Currently or planning to become pregnant.
- Participation in concurrent occupational therapy.
- Unilateral neglect, defined as failure of the Line Bisection Task
- Upper extremity pain >= 7/10 on Numeric Rating Scale
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：At-Home Training
Participants will train at-home.
|
Participants will receive computer-generated guidance on how to perform different activities of daily living efficiently.
This guidance will be delivered using home-based technologies, such as a computer or tablet.
|
|
实验性的：In-Lab Training
Participants will train in the lab.
|
Participants will receive computer-generated guidance on how to perform different activities of daily living efficiently.
The guidance will be delivered using lab-based sensing and feedback technology.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Kinematic movement quality score
大体时间：From enrollment to the end of treatment at 3 weeks.
|
A score based on subject kinematics during a daily task (like reaching), comparing the subject's reaching kinematics to normative kinematics.
|
From enrollment to the end of treatment at 3 weeks.
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
FMA-UE Score
大体时间：From enrollment to the end of treatment at 3 weeks.
|
Upper Extremity Fugl-Meyer Score
|
From enrollment to the end of treatment at 3 weeks.
|
合作者和调查者
调查人员
- 首席研究员：Scott Uhlrich, PhD、University of Utah
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
IPD 计划说明
IPD 共享时间框架
IPD 共享访问标准
IPD 共享支持信息类型
- 分析代码
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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