Interactive training devices for people with hand weakness
- Conditions
- Stroke
- Registration Number
- CTRI/2017/06/008860
- Lead Sponsor
- Department of Bioengineering Christian Medical College Vellore
- Brief Summary
Stroke is the principal cause of adult disabilities in India and third leading cause of death worldwide [1]. The major outcome of stroke is weakness of one side of the body due to damage of the affected brain region. As a result the control of skills that are necessary for the activities of daily living (ADL) are compromised. Controlled, focused, patient specific rehabilitation treatments have shown positive results on functional recovery after stroke [2].
Rehabilitation treatment in a hospital primarily involves one-to-one interaction of patient with a therapist where the patient is taught to perform different exercises and functional activities that are necessary for ADL. During the first stage of rehabilitation of upper extremity, shoulder and elbow functions are usually restored at least partially. The recovery of the wrist and fingers is the last chronologically. Therapy for the wrist and hand is labour intensive and prolonged and often takes several months. Therefore, once part of the function is regained the patient would prefer to go home and continue therapy with the help of a therapist. But this is not done systematically and leaves the patient with chronic impairments.
The development of portable finger and wrist rehabilitation devices (sensorized glove and instrumented objects) offer an opportunity to continue therapy/exercises at home or community environments taking minimal input from a therapist. Also the devices can work in a more intense, repetitive, time unconstrained manner providing more exercises in the form of interactive, adaptive computer games and thus may facilitate motor recovery in a faster manner.
1. TK Banerjee and SK Das, “Epidemiology of stroke in India,†Neurology Asia, 2006, pp. 1-4.
2. N. Friedman, V. Chan, A.N. Reinkensmeyer, A. Beroukhim, G.J. Zambrano, M. Bachman, D.J. Reinkensmeyer, "Retraining and assessing hand movement after stroke using the MusicGlove: comparison with conventional hand therapy and isometric grip training", J. NeuroEngineering and Rehabilitation, 2014, 11:76.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- All
- Target Recruitment
- 50
Stroke patients with Brunstrom stage 3 and above hemiparesis.
Movement restricted due to musculo-skeletal problems, patients with global aphasia, patients with cognitive deficit and other neurological disorders.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. The primary outcome would be the count of movements performed, movement range and quality of movement. The therapist assisted rehabilitation session will be compared with the new sensor based rehabilitation. Study 1 :- | Four phases of assessment, | Day 1, Day 3, Day 14 and Day 28 | SUS will be given only on the last day (28th). | Study 2 :- | One time assessment - Day 1 2. FMA (Fugl-Meyer Assessment of motor recovery after stroke) Study 1 :- | Four phases of assessment, | Day 1, Day 3, Day 14 and Day 28 | SUS will be given only on the last day (28th). | Study 2 :- | One time assessment - Day 1 3. System Usability Scale (SUS) Study 1 :- | Four phases of assessment, | Day 1, Day 3, Day 14 and Day 28 | SUS will be given only on the last day (28th). | Study 2 :- | One time assessment - Day 1
- Secondary Outcome Measures
Name Time Method 1. Clinical assistance provided Qualitative measure recorded on a daily basis in study 1 (from day 1 to day 28).
Trial Locations
- Locations (1)
Christian Medical College
🇮🇳Vellore, TAMIL NADU, India
Christian Medical College🇮🇳Vellore, TAMIL NADU, IndiaAkhil MohanPrincipal investigator07639168728akhilmohan@cmcvellore.ac.in