NCT03100370

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

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
9

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started May 2016

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

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

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

November 23, 2016

Completed
4 months until next milestone

First Posted

Study publicly available on registry

April 4, 2017

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 17, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 17, 2019

Completed
3.4 years until next milestone

Results Posted

Study results publicly available

May 25, 2023

Completed
Last Updated

May 25, 2023

Status Verified

May 1, 2023

Enrollment Period

3.6 years

First QC Date

November 23, 2016

Results QC Date

March 8, 2023

Last Update Submit

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

EXPERIMENTAL

anodal tsDCS over cervical spine, 2.5mA for 20 minutes

Device: tsDCS-Anodal StimulationDevice: tsDCS-Cathodal StimulationDevice: tsDCS-Sham StimulationDevice: Robotic-assisted training of arm and hand functions

tsDCS-Anodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Cathodal & RAT

EXPERIMENTAL

cathodal tsDCS over cervical spine, 2.5mA for 20 minutes

Device: tsDCS-Anodal StimulationDevice: tsDCS-Cathodal StimulationDevice: tsDCS-Sham StimulationDevice: Robotic-assisted training of arm and hand functions

tsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS-Sham & RAT

EXPERIMENTAL

sham tsDCS over cervical spine, 2.5mA for 20 minutes

Device: tsDCS-Anodal StimulationDevice: tsDCS-Cathodal StimulationDevice: tsDCS-Sham StimulationDevice: Robotic-assisted training of arm and hand functions

tsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Anodal & RAT

EXPERIMENTAL
Device: tsDCS-Anodal StimulationDevice: tsDCS-Cathodal StimulationDevice: tsDCS-Sham StimulationDevice: Robotic-assisted training of arm and hand functions

tsDCS-Sham & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS- Cathodal & RAT

EXPERIMENTAL
Device: tsDCS-Anodal StimulationDevice: tsDCS-Cathodal StimulationDevice: tsDCS-Sham StimulationDevice: Robotic-assisted training of arm and hand functions

tsDCS-Sham & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Anodal & RAT

EXPERIMENTAL
Device: tsDCS-Anodal StimulationDevice: tsDCS-Cathodal StimulationDevice: tsDCS-Sham StimulationDevice: Robotic-assisted training of arm and hand functions

Interventions

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.

Also known as: Transcutaneous Spinal Direct Current Stimulation
tsDCS-Anodal & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Sham & RATtsDCS-Anodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Cathodal & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS-Sham & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Anodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS- Cathodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Anodal & RAT

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.

Also known as: Transcutaneous Spinal Direct Current Stimulation
tsDCS-Anodal & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Sham & RATtsDCS-Anodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Cathodal & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS-Sham & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Anodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS- Cathodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Anodal & RAT

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.

Also known as: Transcutaneous Spinal Direct Current Stimulation
tsDCS-Anodal & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Sham & RATtsDCS-Anodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Cathodal & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS-Sham & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Anodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS- Cathodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Anodal & RAT

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.

tsDCS-Anodal & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Sham & RATtsDCS-Anodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Cathodal & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS-Sham & RATtsDCS-Cathodal & robotic arm training (RAT), then tsDCS-Sham & RAT, then tsDCS-Anodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Anodal & RAT, then tsDCS- Cathodal & RATtsDCS-Sham & robotic arm training (RAT), then tsDCS-Cathodal & RAT, then tsDCS-Anodal & RAT

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

Related Links

MeSH Terms

Conditions

Brain Injuries

Condition Hierarchy (Ancestors)

Brain DiseasesCentral Nervous System DiseasesNervous System DiseasesCraniocerebral TraumaTrauma, Nervous SystemWounds and Injuries

Results Point of Contact

Title
Marcia O'Malley, PhD
Organization
Rice University

Study Officials

  • Gerard Francisco, MD

    The University of Texas Health Science Center, Houston

    PRINCIPAL INVESTIGATOR

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
Model Details: Each participant will receive active anodal spinal stimulation, active cathodal spinal stimulation, and sham spinal stimulation. The order that each participant receives anodal, cathodal, and sham stimulation will be randomized.
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

Locations