Effects of Motor Task-Specific Therapy Synchronized With Vibrotactile Cueing on Sensorimotor Performance of Upper Extremity for the Chronic Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Change in the result of Fugl-Meyer assessment for UE motor function
研究概览
简要总结
The investigator assumed that perturbed-event-induced vibrotactile cueing enable more precision arm movement adjustment, sensory function and dexterity improvement in the spastic arm. Thus the specific aim of the study was to develop a vibrotactile therapy system that can provide vibrotactile feedback through the pinch performance of the hand when countering mechanically induced perturbations and also analyzed training effects of the perturbation-based pinch task training system on the sensorimotor performance of the hands for stroke patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Clinical diagnosis of unilateral cerebral infarction or hemorrhage
- •Be able to perform a pinch task with the thumb and index finger
- •With premorbid right-handedness
排除标准
- •Subject has a uncontrolled hypertension
- •Subject has major cognitive-perceptual deficits
- •Subject has other brain disease
研究组 & 干预措施
Vibratory perturbed task-specific movement training
Intervention: 10 minutes of traditional sensorimotor facilitation followed by 20 minutes of vibratory perturbed task-specific movement training
干预措施: Vibratory perturbed task-specific movement training (Other)
Vibratory perturbed task-specific movement training
Intervention: 10 minutes of traditional sensorimotor facilitation followed by 20 minutes of vibratory perturbed task-specific movement training
干预措施: Sensorimotor training (Other)
Traditional task-oriented facilitation
Intervention:10 minutes of traditional sensorimotor training followed by 20 minutes of reach-to-grasp and hand release training.
干预措施: Traditional task-oriented facilitation (Other)
Traditional task-oriented facilitation
Intervention:10 minutes of traditional sensorimotor training followed by 20 minutes of reach-to-grasp and hand release training.
干预措施: Sensorimotor training (Other)
结局指标
主要结局
Change in the result of Fugl-Meyer assessment for UE motor function
时间窗: baseline, endpoint (6 weeks) and follow up (18 weeks)
Each item is rated on a three-point ordinal scale (2 points for the detail being performed completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity.completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity.
Change in the result of Semmes-Weinstein monofilament (SWM) test
时间窗: baseline, endpoint (6 weeks) and follow up (18 weeks)
The Semmes-Weinstein monofilamenttest examines the cutaneous pressure threshold, range from 1.65-6.65. Higher values represent a worse outcome.
Change in the result of Modified Ashworth scale (MAS)
时间窗: baseline, endpoint (6 weeks) and follow up (18 weeks)
Muscle tone is defined by the resistance of a muscle being stretched.The tester graded the resistance felt, with a single score. The higher values represent a worse outcome. 0 point for no increase in muscle tone; 1 point for slight increase in muscle tone, manifested by a catch or by minimal resistance at the end of the range of motion (ROM) when the affected part is moved in flexion or extension; 1 + for slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM; 2 point for more marked increase in muscle tone through most of the ROM, but affected parteasily moved, 3 point for considerable increase in muscle tone and passive movement difficult; 4 point for affected part rigid in flexion or extension.
Change in the result of Box and blocks test
时间窗: baseline, endpoint (6 weeks) and follow up (18 weeks)
The score is the number of blocks carried from one box to the other in one minute. Higher values represent a better outcome.
Change in the result of Motor Activity Log
时间窗: baseline, endpoint (6 weeks) and follow up (18 weeks)
MAL is a structured interview with testing sensitivity used to examine how much (amount of use, AOU) and how well (quality of movement, QOM) the subject uses their more-affected arm. For the 30 items MAL, each item is scored on a 0-5-ordinal scale.
次要结局
未报告次要终点