Effects of Combined Robot-assisted Therapy With Mirror Priming in Stroke Patients

Chang Gung Medical Foundation

Status: Completed

Conditions: Chronic Stroke

Treatments: Behavioral: Robotic training with mirror therapy; Behavioral: Robotic-assisted training

Study type: Interventional

Funder types: Other

Identifiers

NCT03917511

201801025B0

Details and patient eligibility

About

The purpose of this study is to examine the effects of combining robotic-assisted training and mirror therapy on upper extremity motor and physiological function, daily functions, quality of life and self-efficacy in stroke patients.

Full description

Based on trigger theory, this study designed a combining robotic-assisted training and mirror therapy. Before robotic-assisted training, a mirror therapy is performed to double the healing effect of robotic-assisted training.

This study hypothesized that combining robotic-assisted training and mirror therapy can improve the performance of hand function in stroke patients and promote daily life function, quality of life, and self-efficacy compared to single machine-assisted therapy.

Enrollment: 43 patients

Sex: All

Ages: 20 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Brain injury more than 3 months.
2. Modified Ashworth Scale proximal part ≤ 3, Modified Ashworth Scale distal part ≤ 2, and no serious muscle spasms.
3. The myoelectric signal can be detected to activate the instrument
4. unilateral paresis (FMA score<60)
5. no serious cognitive impairment (i.e., Mini Mental State Exam score > 24)
6. can provide informed consent

Exclusion criteria

1. Other neurological disease
2. Complete sense of body defect
3. Inability to understand instructions
4. current participation in any other research
5. Botulinum Toxin injection within 3 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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43 participants in 2 patient groups

Robotic training with mirror therapy

Experimental group

Description:

20 minutes mirror therapy followed by 40 minutes robotic-assisted training

Treatment:

Behavioral: Robotic training with mirror therapy

Robotic-assisted training

Sham Comparator group

Description:

20 minutes sham mirror therapy followed by 40 minutes robotic-assisted training

Treatment:

Behavioral: Robotic-assisted training