Study Stopped
Study halted prematurely due to COVID-19 pandemic.
Effects of Combined Spinal Direct Current Stimulation on Upper Limb Recovery in Acquired Brain Injury
1 other identifier
interventional
9
1 country
1
Brief Summary
This study will compare different polarities of transcutaneous spinal direct current stimulation combined with robotic-assisted arm training (RAT) in adults with acquired brain injury (ABI). Participants will receive 20 minutes of 2.5 milliamps (mA) anodal, cathodal, and sham transpinal direct current stimulation (tsDCS) over cervical spine combined with high intensity robotic-assisted arm training, five days a week, for 2 consecutive weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started May 2016
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2016
CompletedFirst Submitted
Initial submission to the registry
November 23, 2016
CompletedFirst Posted
Study publicly available on registry
April 4, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 17, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 17, 2019
CompletedResults Posted
Study results publicly available
May 25, 2023
CompletedMay 25, 2023
May 1, 2023
3.6 years
November 23, 2016
March 8, 2023
May 2, 2023
Conditions
Outcome Measures
Primary Outcomes (3)
Fugl-Meyer Arm (FMA) Motor Score
FMA is a stroke-specific, performance based impairment index. It quantitatively measures impairment based on Twitchell and Brunnstrom's concept of sequential stages of motor return in hemiplegic stroke patients. It uses an ordinal scale for scoring of 33 items for the upper limb component of the F-M scale (0:can not perform; 1:can perform partially; 2:can perform fully). Total range is 0-66, 0 being poor and 66 normal.
baseline
Fugl-Meyer Arm (FMA) Motor Score
FMA is a stroke-specific, performance based impairment index. It quantitatively measures impairment based on Twitchell and Brunnstrom's concept of sequential stages of motor return in hemiplegic stroke patients. It uses an ordinal scale for scoring of 33 items for the upper limb component of the F-M scale (0:can not perform; 1:can perform partially; 2:can perform fully). Total range is 0-66, 0 being poor and 66 normal.
2 weeks
Fugl-Meyer Arm (FMA) Motor Score
FMA is a stroke-specific, performance based impairment index. It quantitatively measures impairment based on Twitchell and Brunnstrom's concept of sequential stages of motor return in hemiplegic stroke patients. It uses an ordinal scale for scoring of 33 items for the upper limb component of the F-M scale (0:can not perform; 1:can perform partially; 2:can perform fully). Total range is 0-66, 0 being poor and 66 normal.
1 month
Secondary Outcomes (25)
Jebsen Taylor Hand Function Test (JTHFT)
Baseline
Action Research Arm Test (ARAT)
Baseline
Motor Activity Log (MAL)
Baseline
Pinch Strength
Baseline
Quantitative Movement Measurement
Change from baseline at 2 weeks and at 1 month
- +20 more secondary outcomes
Study Arms (6)
tsDCS-Anodal & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Sham & RAT
EXPERIMENTALanodal tsDCS over cervical spine, 2.5mA for 20 minutes
tsDCS-Anodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Cathodal & RAT
EXPERIMENTALcathodal tsDCS over cervical spine, 2.5mA for 20 minutes
tsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS-Sham & RAT
EXPERIMENTALsham tsDCS over cervical spine, 2.5mA for 20 minutes
tsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Anodal & RAT
EXPERIMENTALtsDCS-Sham & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS- Cathodal & RAT
EXPERIMENTALtsDCS-Sham & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Anodal & RAT
EXPERIMENTALInterventions
2.5mA anodal tsDCS over cervical spine for 20 minutes, five days a week, for two weeks. tsDCS electrodes will be placed over cervical spine and shoulder.
2.5mA cathodal tsDCS over cervical spine for 20 minutes, five days a week, for two weeks. tsDCS electrodes will be placed over cervical spine and shoulder.
2.5mA sham tsDCS over cervical spine for 20 minutes, five days a week, for two weeks. tsDCS electrodes will be placed over cervical spine and shoulder.
70 minutes of robotic-assisted training (RAT) of arm and hand functions will follow each of the tsDCS sessions, five days a week, for two weeks. Robotic-assisted training will be provided by using the MAHI Exo-II device.
Eligibility Criteria
You may qualify if:
- Providing written informed consent prior to any study related procedures;
- Age above 18;
- Diagnosis of acquired brain injury at least for 6 month
- No neuropsychiatric comorbidities
- Not being involved in any specific exercise program (e.g., neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES)) within the previous 3 months;
- No planned alteration in upper-extremity therapy or medication for muscle tone during the course of the study;
- Eligibility for standard upper-extremity rehabilitation at the time of enrollment (i.e., absence medical comorbidities that would prevent standard rehabilitation);
- No condition (e.g., severe arthritis, extreme shoulder pain) that would interfere with valid administration of the measures or with interpreting motor testing;
- No contraindications to tsDCS:
- metal in the head between stimulation area
- metal in the spine between stimulation area
- implanted brain medical devices
- No pregnancy;
- No contraindications for Transcranial Magnetic Stimulation (TMS) and magnetic resonance imaging (MRI) based on TMS and MRI screening forms
You may not qualify if:
- Uncontrolled epilepsy;
- Any joint contracture or severe spasticity in the affected upper extremity, as measured by a Modified Ashworth Score \> than 3 out of 4;
- History of substance abuse;
- Subject who cannot provide self-transportation to the study location
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Institute for Rehabilitation and Research (TIRR) at Memorial Hermann
Houston, Texas, 77030, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Marcia O'Malley, PhD
- Organization
- Rice University
Study Officials
- PRINCIPAL INVESTIGATOR
Gerard Francisco, MD
The University of Texas Health Science Center, Houston
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor, Physical Medicine and Rehabilitation
Study Record Dates
First Submitted
November 23, 2016
First Posted
April 4, 2017
Study Start
May 1, 2016
Primary Completion
December 17, 2019
Study Completion
December 17, 2019
Last Updated
May 25, 2023
Results First Posted
May 25, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share