Acute Stroke
Conditions
Keywords
Cerebrovascular, Hemiplegia, Robotics
Brief summary
Our long term objectives are to understand the mechanisms of motor impairment following neurologic injury and to develop interventions to improve motor recovery. A series of complementary, overlapping clinical trials and development activities will validate and optimize the use of robot-assisted upper limb therapy for neuro rehabilitation. We have developed a robotic system that assists or resists elbow and shoulder movements in three dimensional space. In addition to unilateral exercise modes, a novel bimanual mode enables hemiparetic subjects to practice mirror image upper limb exercises.
Detailed description
Randomized controlled clinical trial of the Mirror Image Movement Enabler (MIME) robotic device for shoulder and elbow neurorehabilitation in subacute stroke patients. MIME incorporates a PUMA 560 robot that applies forces to the paretic limb during unilateral and bilateral movements in three dimensions. Robot-assisted treatment (bilateral, unilateral, and combined bilateral and unilateral) was compared with conventional therapy.
Interventions
DEVICERobot-assisted therapy
1 hour/day of mechanically-assisted upper limb therapy
DEVICETraditional therapy
1 hour/day of upper limb therapy that includes exposure to, but no manipulation by the robot
Sponsors
US Department of Veterans Affairs
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Stroke patients
Exclusion criteria
Unable to follow instructions; medically unstable.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer score | end of training, 6-month follow-up |
Countries
United States
Outcome results
None listed