Stroke
Conditions
Keywords
movement training, rehabilitation, occupational therapy
Brief summary
The goal of this study is to determine the effects of lab and home-based technology guidance during movement training post-stroke. The study will compare movement training informed by lab-based technology to training delivered with technology at home. The main questions it aims to answer are: * How well do lab and home-based technologies help individuals post-stroke improve their movement patterns? * Is there a difference in improvement between the in-lab and at-home training groups? * Which technologies lead to the most improvement?
Detailed description
The study is a randomized, controlled feasibility trial investigating rehabilitation to improve movement patterns after stroke. The study will recruit participants who have had a stroke that led to upper-extremity impairment. Individuals will be assigned to one of two digital technology-guided groups. One group will be guided through exercises in a home-based setting, the other will be lab-based. Participants will engage in training sessions multiple days a week for up to 6 weeks, either in-lab or at home. Both groups will visit the lab weekly for movement assessments.
Interventions
OTHERLab-based movement guidance
Participants will receive computer-generated guidance on how to perform different activities of daily living efficiently. The guidance will be delivered using lab-based sensing and feedback technology.
OTHERHome-based movement guidance
Participants will receive computer-generated guidance on how to perform different activities of daily living efficiently. This guidance will be delivered using home-based technologies, such as a computer or tablet.
Sponsors
University of Utah
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Age between 30-85 years. * Diagnosis of stroke. * Stroke onset of at least six months prior to the time of participation. * Fugl Meyer Upper Extremity between 30-50 (mild-moderate) * Cognitive skills to consent and actively participate, as indicated by scores of ≥ 24 on the Mini- Mental Status Examination * Able to visit lab up to 5x per week for 3 weeks
Exclusion criteria
* Presence of severe aphasia preventing the ability to follow 1-step directions at least 80% of the time. * Excessive spasticity of the wrist, elbow, and shoulder, defined as a Modified Ashworth Score \>2. * Diagnosis of neurological disorders other than stroke. * Orthopedic/musculoskeletal conditions (e.g., severe arthritis) affecting the upper extremity. * Currently or planning to become pregnant. * Participation in concurrent occupational therapy. * Unilateral neglect, defined as failure of the Line Bisection Task * Upper extremity pain \>= 7/10 on Numeric Rating Scale
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kinematic movement quality score | From enrollment to the end of treatment at 3 weeks. | A score based on subject kinematics during a daily task (like reaching), comparing the subject's reaching kinematics to normative kinematics. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FMA-UE Score | From enrollment to the end of treatment at 3 weeks. | Upper Extremity Fugl-Meyer Score |
Countries
United States
Contacts
CONTACTSamantha McNeill
PRINCIPAL_INVESTIGATORScott Uhlrich, PhD
University of Utah
Outcome results
None listed