The Role of Auditory Feedback in Guiding Upper Extremity Movements
1 other identifier
interventional
26
1 country
1
Brief Summary
Stroke is one of the leading causes of disability, with an estimated prevalence of 50,000 cases per year in Canada. Less than half of stroke patients regain use of their arm and hand. There is currently no intervention regime that is the gold standard, despite the variety of therapeutic techniques used to treat the upper extremity post-stroke. The use of external feedback to improve motor learning is a technique that has been less studied but shows promise. Therefore, the purpose of this proof of principle study it to test whether different auditory feedback frequencies can facilitate reaching ability in people with stroke. In addition brain scans will be collected that will enable us to determine how stroke severity may impact on one's ability to improve with this technique. We hypothesize that patients who receive less feedback (50% alternate) will have enhanced learning relative to the patients who receive more feedback (100%).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable stroke
Started May 2014
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
First Submitted
Initial submission to the registry
March 14, 2014
CompletedFirst Posted
Study publicly available on registry
March 31, 2014
CompletedStudy Start
First participant enrolled
May 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2015
CompletedMarch 31, 2014
March 1, 2014
1.3 years
March 14, 2014
March 26, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Change in movement error from baseline
participants will be followed for the duration of the study, an expected 3 hours per day for 2 weeks (5 days per week/10 days total)
Secondary Outcomes (2)
Change in range of motion
participants will be followed for the duration of the study, an expected 3 hours per day for 2 weeks (5 days per week/10 days total)
Change in movement duration
participants will be followed for the duration of the study, an expected 3 hours per day for 2 weeks (5 days per week/10 days total)
Study Arms (1)
Patients
EXPERIMENTALPatients will receive: Auditory Feedback 100% Auditory Feedback 50% alternate
Interventions
Patients will receive constant auditory feedback across training trials.
Patients will receive alternating auditory feedback (1 trial auditory feedback; 1 trial no auditory feedback) across trials
Eligibility Criteria
You may qualify if:
- Unilateral first time MCA ischemic stroke
- Stroke patients should have some movement of shoulder/elbow (no movement of hand - e.g. hand, fingers - is OK)
- \> 2 months post
- between 30-85 years
You may not qualify if:
- prior stroke
- severe comprehension (or cognitive) deficit that compromises informed consent or understanding of instructions
- contraindications to MRI (e.g. claustrophobia, metal implants)
- neurodegenerative or psychiatric disease
- apraxia
- auditory deficits that would impair testing
- prior musculoskeletal injury to back or upper extremity (including shoulder subluxation from stroke)
- skin conditions that would preclude taping of goniometers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joyce Chen, PhD
Canadian Partnership for Stroke Recovery
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 14, 2014
First Posted
March 31, 2014
Study Start
May 1, 2014
Primary Completion
September 1, 2015
Study Completion
September 1, 2015
Last Updated
March 31, 2014
Record last verified: 2014-03