Hemiparesis, Stroke
Conditions
Keywords
outpatient, wearable sensors, home exercise
Brief summary
Repetitious motor therapy has been shown to yield the greatest improvement in motor function in those who suffer hemiplegia because of a neurological impairment. However, motor therapy remains largely clinically based due to the absence of quantitative home-based therapy technology or equipment. With the current lack of accountability, patient adherence to home exercise physical therapy programs is estimated to be as low as 35%. In response, some companies have extended the applications of their motion capture devices to be used for home-based physical therapy. However, the technologies often have not passed their initial stages of development. In contrast, a company named 4D Motion is actively working alongside the Restorative Neurology Clinic at Burke Medical Research Institute to develop a motion capture system tailored to the motor rehabilitation of hemiplegic stroke patients. This device is driven by a user's active range of motion and does not impart electrical or mechanical stimulation to the user. The device does not force the user beyond their active range of motion and does not apply resistance to motion that limits the user's capability. The 4D Motion capture system is only used to record what the patient is doing and to promote adherence to their prescribed physical therapy plan.
Interventions
DEVICETraining with 4D Motion Capture Device
Participants will be given access to a tablet-based application and non-invasive sensors that will track movements of the upper extremity and will prompt daily exercise. Participants will be encouraged to use the device daily for 30 consecutive days, up to one hour per day.
Sponsors
4D Motion Sports
Burke Medical Research Institute
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DEVICE_FEASIBILITY
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Able to follow 1-2 step commands * Neurological deficit leading to hemiparesis or hemiplegia with a sensorimotor deficit * Fugl Meyer Upper Extremity Score of at least 20/66
Exclusion criteria
* Has a metal implant anywhere on or inside the body * Fixed contracture or deformity of affected upper extremity * Individuals with bilateral stroke (i.e. if both arms are affected) * Unable to tolerate repetitious movement as determined by Likert Scale Rating greater than 5 out of 10
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of treatment days completed | From day 1 to day 30 of intervention | Measure of the number of days that the participant adheres to the prescribed therapy plan (completion of 1000 movements). Goal is to have participants perform 1000 movements per day over 30 days. |
| Change in active range of motion of shoulder, elbow, and wrist | From day 1 to day 30 of intervention | Maximum angular position about a joint that the participant can reach without assistance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fugl Meyer upper extremity assessment | From day 1 to day 30 of intervention | Clinical scale that measures upper extremity impairment in stroke patients |
| Physical Activity Enjoyment Scale | Day 30 of intervention | Survey of how well a participant enjoyed the study treatment. |
| System usability survey | Day 30 of intervention | Survey of user-friendliness of software and device |
Countries
United States
Outcome results
None listed