Transforming Robot-mediated Telerehabilitation: Citizen Science for Rehabilitation

Not Applicable

Recruiting

• Conditions: Hemiparesis; Stroke
• Interventions: Behavioral: Output-Focus Condition; Behavioral: Input-Focus Condition

• Registration Number: NCT03096262
• Lead Sponsor: Johns Hopkins University

Brief Summary

The purpose of this study is to advance upper limb robot-mediated tele-rehabilitation for patients recovering from stroke by empowering them through active science participation. By varying the tasks' features and affordances of a platform that combines a low-cost haptic device on one hand, and an online citizen science platform on the other, investigators will evaluate different strategies for social telerehabilitation. the two fundamental modes of social interaction - competition and cooperation - in addition to a control condition. Specifically, citizen science activities will be performed by competing, cooperating, or isolated users, and their rehabilitation effectiveness examined. Such effectiveness will be measured by (i) participants' rehabilitation performance (inferred from sensorimotor data acquired through the platform and directly quantified by a supervising therapist); (ii) participants' motivations to contribute (measured through surveys administered online); and (iii) participants' emotional well-being and sense of self-esteem (measured through online surveys).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-03-24
• Study First Submitted QC: 2017-03-24
• Study First Posted: 2017-03-30
• Study Start: 2021-04-27
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-20
• Last Update Posted: 2024-12-27
• Primary Completion: 2025-06-30
• Study Completion: 2025-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

For treatment group:

• post-stroke hemiparesis >3 months
• ability to stand or sit independently
• sufficient cognitive skills to perform the exercises as demonstrated
• full passive range of motion in the affected arm but limited active movement as determined by a upper extremity Fugl-Meyer score of <50/66
• technical savvy and interest to use an internet platform

For control group:

(ii) no history of learning disabilities (iii) technical savvy and interest to use an internet platform

Exclusion Criteria

For treatment group:

• visual deficit such as deficit in visual acuity, eye movements, visual field cut, or neglect
• medical comorbidity such as other neurological conditions (e.g. Parkinson's disease, brain tumor, epilepsy), or previous injury to the upper limb
• pain in the upper limbs that prevents full passive range of motion to perform the exercises.

For control group:

• visual deficit such as deficit in visual acuity, eye movements, visual field cut, or neglect
• any previous injury or medical condition that prevents full passive range of motion to perform the exercises.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Healthy Controls	Input-Focus Condition	-
Stroke Patients	Input-Focus Condition	-
Stroke Patients	Output-Focus Condition	-
Healthy Controls	Output-Focus Condition	-

Primary Outcome Measures

Name	Time	Method
assessment of tone using Ashworth scale	1 Month	this scale measures resistance during passive soft-tissue stretching and is used as a simple measure of spasticity.
Video-based motion analysis	1 Month	Passive and active range-of-motion measurements of the affected and unaffected arm using video-based motion analysis
Fugl-Meyer scale	1 Month	Stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia.

Trial Locations

Locations (1)

Matthew Bird; 🇺🇸 Baltimore, Maryland, United States