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Hand Rehabilitation Based on a RobHand Exoskeleton in Stroke Patients: a Case Series Study

Hand Rehabilitation Based on a RobHand Exoskeleton in Stroke Patients: a Case Series Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05598892
Enrollment
4
Registered
2022-10-28
Start date
2021-03-01
Completion date
2021-09-30
Last updated
2022-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stroke

Keywords

Stroke, Hand Rehabilitation, Exoskeleton

Brief summary

The following study seeks to provide information regarding to the RobHand exoskeleton for hand neuromotor maintenance and/or rehabilitation, developed by the University of Valladolid, Spain.

Detailed description

The following study seeks to provide information regarding to the RobHand exoskeleton for hand neuromotor maintenance and/or rehabilitation, developed by the University of Valladolid, Spain. The study was carried out by the Neurotchnology Group of the Research and Development Area of the Corporación de Rehabilitación Club de Leones Cruz del Sur, Chile. Clinical test were implemented on four subjects with Stroke sequelae who participated in two evaluations of manual function and 16 training sessions with the robotic exoskeleton, in order to know the clinical effects on manual function, safety and satisfaction of users who utilize the exoskeleton RobHand.

Interventions

DEVICETraining with Robotic Hand Exoskeleton

The intervention consists in Robotic Hand training sessions. Each subject received 16 sessions lasting 60 minutes each and a frequency of 2 sessions per week. The sessions will be applied by an Ocupational Therapist with experience in Robotic training. Robhand exoskeleton (ITAP, Valladolid, Spain) is an exoskeleton-type electromechanical device, which is attached to the patient's hand and provides assistance for performing different types of finger movement rehabilitation therapies. The exoskeleton is composed of five independent subassemblies that are placed on a platform which is located on the back of the hand, with the exception of the thumb subassembly that is mounted on a separated module connected to the hand support platform through a linkage device.

Sponsors

University of Valladolid
CollaboratorOTHER
Universidad de Magallanes
CollaboratorOTHER
Corporación de Rehabilitación Club de Leones Cruz del Sur
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Over 18 years old * Active patient at the Rehabilitation Center Club de Leones Cruz del Sur * At least 1 Hemorrhagic or ischemic stroke * Adequate level of consciousness * Paresis of the upper extremities * Patient who signed the inform consent

Exclusion criteria

* Comorbidities in the central nervous system * Pain in the upper extremity (hand, forearm, arm) * Patient who does not sign the informed consent

Design outcomes

Primary

MeasureTime frameDescription
Dynamometry - Grip BaselineBaselineA Jamar hydraulic hand dynamometer (Pennsylvania, USA) was used to assess isometric contractions. This test allows to evaluate the functional integrity of the upper extremity through the force exerted when squeezing the hand and therefore,to identify the loss of physiological muscle function. The patient is asked to grasp the resistance of the handle, place his shoulder in abduction and with neutral rotation. Additionally, the elbow must be flexed at 90º and with the forearm in a neutral position.
Dynamometry - Grip Post Intervention8 weeksA Jamar hydraulic hand dynamometer (Pennsylvania, USA) was used to assess isometric contractions. This test allows to evaluate the functional integrity of the upper extremity through the force exerted when squeezing the hand and therefore,to identify the loss of physiological muscle function. The patient is asked to grasp the resistance of the handle, place his shoulder in abduction and with neutral rotation. Additionally, the elbow must be flexed at 90º and with the forearm in a neutral position.

Secondary

MeasureTime frameDescription
Nine Hole Peg Test (9-HPT) BaselineBaseline9-HPT seeks to evaluate the dexterity of the fingers \[43\], for which a board and nine pegs are used. The patient must place the 9 pegs on the board and then remove all of them, using the dominant and non-dominant hand. This test is timed.
Nine Hole Peg Test (9-HPT) Post Intervention8 weeks9-HPT seeks to evaluate the dexterity of the fingers \[43\], for which a board and nine pegs are used. The patient must place the 9 pegs on the board and then remove all of them, using the dominant and non-dominant hand. This test is timed.

Countries

Chile

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026