Stroke Rehabilitation
Conditions
Keywords
stroke, perturbation-based training, task-specific motor training, recovery of function
Brief summary
The investigator assumed that perturbed-event-induced vibrotactile cueing enable more precision arm movement adjustment, sensory function and dexterity improvement in the spastic arm. Thus the specific aim of the study was to develop a vibrotactile therapy system that can provide vibrotactile feedback through the pinch performance of the hand when countering mechanically induced perturbations and also analyzed training effects of the perturbation-based pinch task training system on the sensorimotor performance of the hands for stroke patients.
Interventions
OTHERVibratory perturbed task-specific movement training
The perturbation-based pinch task training was conducted with the affected hand placed on the pinch device. The horizontal vibratory perturbation was generated for a total of 20 minutes by two recoil-type actuators with a frequency of 30 Hz and an amplitude of 2 mm, and intermittent exposure (10 s per 30 s). Each training session was divided into eight cycles with a training interval of 2 min per 2.5 min.
OTHERTraditional task-oriented facilitation
Reach-to-grasp training and hand release training
Targeted to goals that are relevant to the sensorimotor facilitation of the patient
Sponsors
National Cheng-Kung University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
1. Clinical diagnosis of unilateral cerebral infarction or hemorrhage 2. Be able to perform a pinch task with the thumb and index finger 3. With premorbid right-handedness
Exclusion criteria
1. Subject has a uncontrolled hypertension 2. Subject has major cognitive-perceptual deficits 3. Subject has other brain disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the result of Fugl-Meyer assessment for UE motor function | baseline, endpoint (6 weeks) and follow up (18 weeks) | Each item is rated on a three-point ordinal scale (2 points for the detail being performed completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity.completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity. |
| Change in the result of Modified Ashworth scale (MAS) | baseline, endpoint (6 weeks) and follow up (18 weeks) | Muscle tone is defined by the resistance of a muscle being stretched.The tester graded the resistance felt, with a single score. The higher values represent a worse outcome. 0 point for no increase in muscle tone; 1 point for slight increase in muscle tone, manifested by a catch or by minimal resistance at the end of the range of motion (ROM) when the affected part is moved in flexion or extension; 1 + for slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM; 2 point for more marked increase in muscle tone through most of the ROM, but affected parteasily moved, 3 point for considerable increase in muscle tone and passive movement difficult; 4 point for affected part rigid in flexion or extension. |
| Change in the result of Box and blocks test | baseline, endpoint (6 weeks) and follow up (18 weeks) | The score is the number of blocks carried from one box to the other in one minute. Higher values represent a better outcome. |
| Change in the result of Semmes-Weinstein monofilament (SWM) test | baseline, endpoint (6 weeks) and follow up (18 weeks) | The Semmes-Weinstein monofilamenttest examines the cutaneous pressure threshold, range from 1.65-6.65. Higher values represent a worse outcome. |
| Change in the result of Motor Activity Log | baseline, endpoint (6 weeks) and follow up (18 weeks) | MAL is a structured interview with testing sensitivity used to examine how much (amount of use, AOU) and how well (quality of movement, QOM) the subject uses their more-affected arm. For the 30 items MAL, each item is scored on a 0-5-ordinal scale. |
Countries
Taiwan
Outcome results
None listed