Monitoring Post Stroke Upper-Limb Movement in The Wild
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Adi Negev-Nahalat Eran
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Active joint range
- Status
- Recruiting
- Last Updated
- 7 months ago
Overview
Brief Summary
The aim of this study is to monitor the daily upper limb movement of persons with stroke, and to relate these quantities to measures of recovery and impairment.
Detailed Description
This study is part of The Natural History of Stroke Recovery project. In this study the investigators plan to develop, test and validate an algorithm and software for using Inertial Measuring Units (IMUs) to monitor upper limb daily movement. Then, investigators plan to use this system to monitor such activity in stroke patients. Investigators also plan to develop, test and validate an algorithm and software to test proprioception acuity based on muscle synergy during active and passive movement. Muscle synergy will be determined based on muscles' electrical activity, as measured using surface electromyography (EMG). Investigators will then test the relation between daily movements of the upper limb in stroke patients, and their recovery/impairment levels, including proprioception acuity.
Investigators
Eligibility Criteria
Inclusion Criteria
- •\>18 years of age
- •Independent in all activities of daily living before the stroke.
- •In- and out-patients at Adi-Negev Nahalat-Eran rehabilitation center.
- •Medically stable
- •Able to provide informed consent.
Exclusion Criteria
- •The presence of any degenerative neurological condition, neuropathy, myopathy or Polio that are not secondary to stroke, excluding diabetic related changes.
- •Traumatic brain injury and/or extra-cerebral hemorrhage.
- •Significant psychiatric condition, including alcoholism and drug abuse.
- •Any severe orthopedic condition (such as amputation or severe pain that limits activity) or chronic pain syndrome.
Outcomes
Primary Outcomes
Active joint range
Time Frame: One or two occasions over 1-6 hours each.
Maximum, minimum, and mean range of motion of the joints during daily activity. Measured in degrees/radians.
Hand movements-count
Time Frame: One or two occasions over 1-6 hours each.
The number of hand movements (count)
Hand movements-duration
Time Frame: One or two occasions over 1-6 hours each.
The total and average (per hour) time the hands moved, over the tested period. Measured in minutes.
Wrist distance
Time Frame: One or two occasions over 1-6 hours each.
The maximum, average and total distance of the wrist from the body during movements. Measured in cm.
Secondary Outcomes
- Proprioception-1(One occasions during the first month following recruitment.)
- Angular velocity.(One or two occasions over 1-6 hours each.)
- Action Research Arm Test (ARAT)(One occasions during the first month following recruitment.)
- Joint range of motion(One or two occasions over 1-6 hours each.)
- Synergies(One or two occasions over 1-6 hours each.)
- Whole body movement time(One or two occasions over 1-6 hours each.)
- Proprioception-2(One occasions during the first month following recruitment.)
- Fugl-Meyer Assessment (FMA)(One occasions during the first month following recruitment.)
- Proprioception-3(One occasions during the first month following recruitment.)
- Movement volume(One or two occasions over 1-6 hours each.)