Robotics For Rehabilitation Therapy: Functional Versus Individual Joint Training

University of California Irvine (UCI)

Status: Completed

Conditions: Cerebrovascular Accident

Treatments: Device: Individual Joint Training; Device: Functional/ Multi-joints activities

Study type: Interventional

Funder types: Other

Identifiers

NCT01050231

HS#2005-4506

Details and patient eligibility

About

The purpose of this study is to develop an upper extremity robotic training system for use by people with stroke to practice arm and hand movement in the clinic.

Full description

Each year in the U.S. over 400,000 people survive a stroke and approximately 80% of acute stroke survivors lose arm and hand movement skills. Movement impairments are typically treated with intensive, hands-on physical and occupational therapy for several weeks after the initial brain injury. Unfortunately, due to economic pressure on the U.S. health care system, stroke patients are receiving less therapy and going home sooner. Our goal for this study is to develop an upper extremity robotic training system for both acute and chronic stroke population to improve movement ability with intensive and repetitive movement in the clinic without continuous supervision from a therapist.

Enrollment: 20 patients

Sex: All

Ages: 18 to 73 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 18 and 73
• Sustained single stroke at least three months previously
• Minimal to moderate lost motor control of the arm after stroke

Exclusion criteria

• Concurrent severe medical problems
• Severe cognitive dysfunction
• Severe neglect or apraxia
• Severe visual deficits
• Significant subluxation of the shoulder
• Presence of severe elbow or wrist contracture
• Any metal implants or surgical clips or mechanical devices
• Metallic hardware on scalp region
• prior diagnosis of seizure and epilepsy
• severe migraine headache
• currently pregnant or lactating
• claustrophobic
• currently taking medication that lower seizure threshold

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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20 participants in 2 patient groups

Robotic group (Type I)

Experimental group

Description:

Type I Robotic Therapy (Functional activities first) Participants in this group will participate in functional/task-oriented multi-joint training with the BONES robot first, followed by individual joint training with the BONES robot. A one-week break was provided between interventions.

Treatment:

Device: Individual Joint Training

Device: Functional/ Multi-joints activities

Robotic group (Type II)

Active Comparator group

Description:

Type II Robotic Therapy (Individual joints first) Participants in this group will participate in individual joint training with the BONES robot first, followed by functional/task-oriented multi-joint training with the BONES robot. A one-week break was provided between interventions.

Treatment:

Device: Individual Joint Training

Device: Functional/ Multi-joints activities