Aged, Central Nervous System Diseases
Conditions
Keywords
Activity-based, Client-centred, Rehabilitation, Quality of life
Brief summary
The purpose of this study is to determine whether additional therapy with i-ACT system is effective in the training of functional skills in persons with central neurological diseases (e.g. multiple sclerosis, stroke, spinal cord injury, etc.).
Interventions
DEVICEi-ACT
3x 45 min training with i-ACT system (analytical and functional training) during 6 weeks, additional to therapy as usual (i.e. occupational therapy, physiotherapy, etc.)
Sponsors
Revalidatie & MS Centrum Overpelt
Ziekenhuis Oost-Limburg
Hasselt University
PXL University College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Medical diagnosis of central nervous system disease (e.g. multiple sclerosis, stroke, spinal cord, etc.) * Be able to understand and respond to questions in Dutch * Actively involved in a rehabilitation programme in the participating rehabilitation centres * Have a dysfunction in upper and/or lower limb and/or core stability * Specifically for multiple sclerosis: min. of one month without corticosteroids * Specifically for stroke and spinal cord: min. 3 months post injury
Exclusion criteria
* Severe spasticity which prevent performing basic functional exercises * Severe cognitive and communicative impairment which prevent the person to understand and respond to Dutch instructions * Severe visual impairment, e.g. blindness, cataract, etc. * Pregnancy * Persons who use an electrical wheelchair, who can not transfer safely into a normal chair and perform the exercises
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wolf Motor Function Test (WMFT) | At baseline, after 3 and 6 weeks of training, and 6 weeks follow-up | Evaluation of upper extremity |
| Short Form 36 (SF-36) | At baseline, after 3 and 6 weeks of training, and 6 weeks follow-up | Evaluation of general health status and quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Fatigue Impact Scale (MFIS) | At baseline, after 3 and 6 weeks of training, and 6 weeks follow-up | Evaluation of fatigue |
| Trunk Impairment Scale (TIS) | At baseline, after 3 and 6 weeks of training, and 6 weeks follow-up | Evaluation of sitting, standing and core stability |
| Intrinsic Motivation Inventory (IMI) | After 6 weeks of training, only persons in experimental group | Evaluation of motivation towards using the system in neurorehabilitation |
| Canadian Occupational Performance Measure (COPM) | At baseline, after 6 weeks of training, and 6 weeks follow-up | Evaluation of self-perception of performance of ADL tasks |
| Active Range of Motion (AROM) | At baseline, after 3 and 6 weeks of training, and 6 weeks follow-up | Evaluation of active range of motion |
| Manual Ability Measure (MAM-36) | At baseline, after 3 and 6 weeks of training, and 6 weeks follow-up | Evaluation of performance of manual tasks |
Countries
Belgium
Outcome results
None listed