Subacute Stroke
Conditions
Keywords
Remote Therapeutic Monitoring, Stroke, Home Exercise Therapy, MiGo Tracker
Brief summary
This project will determine the safety and effectiveness of a MiGo Tracker RTM program in a randomized controlled trial with individuals with subacute stroke (N=50). Participants will be randomly assigned to either the MiGo Tracker RTM program (intervention group) or prescription of home exercises with no monitoring (usual care/control group). All participants will still receive usual post-stroke care, including outpatient rehabilitation. The main question this study aims to answer is: Does a MiGo Tracker RTM program lead to significantly greater motor recovery at three-months post stroke than the usual care group. If successful, MiGo Tracker will lead to increased home exercise adherence and improved health outcomes for thousands of individuals following stroke.
Interventions
DEVICEMiGo Tracker
Perform home exercise sessions while wearing MiGo Tracker device that logs exercise data.
Exercise following printed sheets or booklet
Sponsors
National Institute on Aging (NIA)
Rancho Research Institute, Inc.
Flint Rehabilitation Devices, LLC
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Assessor blinded
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Experienced one or more strokes less than one month (30 days) prior * Upper Extremity Fugl-Meyer Score \> 5 and \<= 55 out of 66 * Absence of moderate to severe pain (\<= 4 on the 10 point visual-analog pain scale)
Exclusion criteria
* age \<18 years old * Unable to follow 2-step commands * Other neurological diagnosis (e.g. Parkinson's Disease) * Other severe concurrent medical conditions that may prevent the participants from completing the 3-month study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Upper Extremity Fugl-Meyer from Baseline | Baseline and 3 months post stroke | The Fugl-Meyer Assessment - Upper Extremity (FMA-UE) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, sensation, balance, joint range of motion and joint pain in patients with post-stroke hemiplegia. A standardized assessment of arm impairment based on scores of 0-2 on 33 different tasks. Minimum value = 0, maximum value = 66, higher scores = better outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Action Research Arm Test from Baseline | Baseline and 3 months post stroke | The Action Research Arm Test (ARAT) is a 19-item measure aimed at assessing functional performance of the upper extremity through observational means. The ARAT is a 19 item measure divided into 4 sub-tests (grasp, grip, pinch, and gross arm movement). Performance on each item is rated on a 4-point ordinal scale ranging from: (3) Performs test normally (2) Completes test, but takes abnormally long or has great difficulty (1) Performs test partially (0) Can perform no part of test |
| Change in Box and Blocks from Baseline | Baseline and 3 months post stroke | The Box and Block Test assesses unilateral gross manual dexterity. The test is scored by counting the number of blocks carried over the partition from one compartment to the other during the one-minute trial period. |
| Change in Motor Activity Log from Baseline | Baseline and 3 months post stroke | The MAL is a semi-structured interview to assess arm function. Individuals are asked to rate Quality of Movement (QOM) and Amount of Movement (AOM) during 30 daily functional tasks. Items scored on a 6-point ordinal scale. Scoring on Amount of Use Scale: 0) The weaker arm was not sued at all for that activity (never) 1) very rarely 2) rarely 3) half pre-stroke 4)3/4 pre-stroke 5) normal. Quality of Movement Scale: 0) The weaker arm was not used at all for that activity (never) 1) very poor 2) poor 3) fair 4) almost normal 5) normal |
| Change in Modified Ashworth Spasticity Scale from Baseline | Baseline and 3 months post stroke | MAS is an assessment that is used to measure the increase in muscle tone. MAS assigns a grade of spasticity from a 0-4 ordinal scale. The grade is assigned by moving a joint/muscle through a high velocity quick stretch. A score of 1 indicates no resistance, and 5 indicates rigidity. |
| Change in Visual Analog Pain Scale from Baseline | Baseline and 3 months post stroke | The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10cm line that represents a continuum between no pain and worst pain. |
Countries
United States
Contacts
Primary ContactIan M Russell, PhD
Backup ContactDaniel Zondervan, PhD
Outcome results
None listed