Shoulder, or Elbow, or Wrist: What Should we Train First After a Stroke?
The Effect of Proximal and Distal Training on Stroke Recovery
1 other identifier
interventional
190
1 country
1
Brief Summary
We will test on persons with chronic impairment due to stroke:
- 1.whether the order in which robot therapy is delivered influences outcomes (shoulder-and-elbow before wrist vs. wrist before shoulder-and-elbow).
- 2.whether we should train the shoulder, elbow, and wrist at the same time or on different days.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 stroke
Started Jun 2004
Longer than P75 for phase_2 stroke
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2004
CompletedFirst Submitted
Initial submission to the registry
March 27, 2007
CompletedFirst Posted
Study publicly available on registry
March 29, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2010
CompletedOctober 30, 2012
March 1, 2007
6.5 years
March 27, 2007
October 28, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Fugl-Meyer
3 times at baseline, midpoint, completion intervention, and at follow-up
Motor Power
3 times at baseline, midpoint, completion intervention, and at follow-up
Secondary Outcomes (2)
Wolf Motor Function
3 times at baseline, midpoint, completion intervention, and at follow-up
SIS
3 times at baseline, midpoint, completion intervention, and at follow-up
Study Arms (4)
proximal to distal training
EXPERIMENTALdistal to proximal
EXPERIMENTALproximal and distal on alternate days
EXPERIMENTALproximal and distal same day
EXPERIMENTALInterventions
sequence of intervention
sequence of intervention
Eligibility Criteria
You may qualify if:
- Patients will be included in the study if they meet the following criteria:
- naïve subjects who have never experienced robot-assisted therapy as inpatients or outpatients;
- first single focal unilateral lesion with diagnosis verified by brain imaging (MRI or CT scans) that has occurred at least 6 months prior;
- cognitive function sufficient to understand the experiments and follow instructions (Mini-Mental Status Score of 22 and higher or interview for aphasic subjects);
- average Motor Power score \>= 1/5 or \<= 3/5 (neither hemiplegic nor fully recovered motor function in 6 muscles of the shoulder, elbow, and wrist);
- informed written consent to participate in the study.
You may not qualify if:
- Patients will be excluded from the study if they have a fixed contraction deformity in the affected limb.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Burke Medical Research Institute
White Plains, New York, 10605, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hermano I Krebs, PhD
Massachusetts Institute of Technology
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 27, 2007
First Posted
March 29, 2007
Study Start
June 1, 2004
Primary Completion
December 1, 2010
Study Completion
December 1, 2010
Last Updated
October 30, 2012
Record last verified: 2007-03