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ongitudinal observational study of sensorimotor hand impairments after stroke using robot-assisted assessments

Conditions
I64
Stroke, not specified as haemorrhage or infarction
Registration Number
DRKS00022952
Lead Sponsor
Kliniken Schmieder Allensbach
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
50
Inclusion Criteria

1. Diagnosis of stroke (ischemic or hemorrhagic)
2. Subacute stroke at study inclusion (< 3 months since stroke at first measurement)
3. Sufficient cognitive function to understand task instructions (as assessed by the recruiting physiotherapist)
4. No pain when inserting the index finger in the robotic device
5. Minimum passive range of motion of the index finger (30 degrees)
6. No strong spasticity (Modified Ashworth Scale <= 3)
7. At least 40% of recruited subjects (20/50) should have some proprioceptive deficits according to the clinical scale (kinaesthetic Up-Down test from NSA < 3)
8. At most 40% of recruited subjects (20/50) should stay in the clinic < 5 weeks (inclusion and discharge measurement only)

Exclusion Criteria

For TMS only:
1. Heart pacemaker
2. Metallic implants in the brain
3. Pregnancy

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Robotic metrics. <br>What and how: e.g. index finger velocity, position, force - metrics extracted from the robotic device ETH MIKE (as described here: https://ieeexplore.ieee.org/document/8779507) <br>When: at every measurement point (every 2 weeks while patients are undergoing usual rehabilitation)
Secondary Outcome Measures
NameTimeMethod
Clinical outcomes: Box & Block test, Nottingham Sensory Assessment, Montreal Cognitive Assessment, Fugl-Meyer Assessment, Barthel Index, Neglect Assessment (Bell Test); Neurophysiology: MEP and SSEP amplitude & latency; Neuroimaging: lesion location<br>These are only collected at inclusion and after 4 weeks of rehabilitation.
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