Home-based tDCS and Hand Tracking Rehabilitation for Chronic Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 6
- 试验地点
- 2
- 主要终点
- Box and block
研究概览
简要总结
This is a device feasibility study, which will assess telerehabilitation in people with chronic stroke using a combination of noninvasive brain stimulation and finger tracking training. Telerehabilitation allows patients to train in their own home which also allows for longer training periods than what is currently allowed clinically. Noninvasive transcranial direct current stimulation (tDCS) uses two surface electrodes connected to a small battery that will be attached to the head. This will be used to modulate neuronal excitability. With sensors attached to fingers and the wrist, the patient will move the joints to track a target displayed on a screen. The combined treatment will be applied in two experiments. The first will be on 3 patients coming to our lab and the second on 3 patients in their home, both under supervision. We will integrate the two components and test the resulting and novel treatment system for technical feasibility, which will set the stage for future efficacy studies under federal grant support. We hypothesize that the developed system will be safe and feasible.
详细描述
This study will assess the feasibility of a telerehabilitation protocol involving non-invasive brain stimulation. Therefore, the two arms of the study are 1) implementation of this protocol in a controlled laboratory setting and 2) implementation of this protocol in a patient's home, being set up by the patient but controlled remotely using a blue-tooth system by an investigator in a different location. The two arms of this study will occur successively with the first arm being completed with three patients followed by the second arm being completed with a second group of three patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Device Feasibility
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adult at least 18 years old
- •stroke duration >6 months,
- •Mini-Mental State Examination score 24 or higher
- •presence of tactile sensation on the scalp
- •at least 10 degrees of active finger or wrist motion in the stroke hand
- •ability to walk 100 feet and transfer independently
排除标准
- •seizure within past two years
- •pregnancy
- •metal inside the had (dental metal is permitted)
- •implanted medical devices incompatible with tDCS
研究组 & 干预措施
In-lab tDCS
Three people with chronic stroke will participate in finger tracking training while receiving transcranial direct current stimulation (tDCS) in a controlled laboratory environment with an investigator.
干预措施: Transcranial direct current stimulation (tDCS) (Device)
In-home tDCS
Three people with chronic stroke will participate in finger tracking training while receiving transcranial direct current stimulation (tDCS) in their own home. Patients will be taught how to use a blue-tooth enabled telerehabilitation module that is being controlled by an investigator in the lab on the University campus. For safety, an investigator will be in the home with each patient during tDCS use and finger tracking training but will only be supervising procedures.
干预措施: Transcranial direct current stimulation (tDCS) (Device)
结局指标
主要结局
Box and block
时间窗: First day of study and one day following the final treatment
Finger dexterity test using both paretic and nonparetic hands
Quantification of Compliance Questionnaire
时间窗: First day of study and one day following the final treatment
Digit Span
时间窗: First day of study and one day following the final treatment
Short-term memory test using single numerical digits
User perception survey
时间窗: First day of study and one day following the final treatment
Survey
次要结局
- Survey of symptoms questionnaire(Each day of study as well as one day following the final treatment)