Robotics For Rehabilitation Therapy: Functional Versus Individual Joint Training
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Cerebrovascular Accident
- Sponsor
- University of California, Irvine
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Box & Blocks Test
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this study is to develop an upper extremity robotic training system for use by people with stroke to practice arm and hand movement in the clinic.
Detailed Description
Each year in the U.S. over 400,000 people survive a stroke and approximately 80% of acute stroke survivors lose arm and hand movement skills. Movement impairments are typically treated with intensive, hands-on physical and occupational therapy for several weeks after the initial brain injury. Unfortunately, due to economic pressure on the U.S. health care system, stroke patients are receiving less therapy and going home sooner. Our goal for this study is to develop an upper extremity robotic training system for both acute and chronic stroke population to improve movement ability with intensive and repetitive movement in the clinic without continuous supervision from a therapist.
Investigators
David Reinkensmeyer
Professor of Mechanical and Aerospace Engineering
University of California, Irvine
Eligibility Criteria
Inclusion Criteria
- •Age between 18 and 73
- •Sustained single stroke at least three months previously
- •Minimal to moderate lost motor control of the arm after stroke
Exclusion Criteria
- •Concurrent severe medical problems
- •Severe cognitive dysfunction
- •Severe neglect or apraxia
- •Severe visual deficits
- •Significant subluxation of the shoulder
- •Presence of severe elbow or wrist contracture
- •Any metal implants or surgical clips or mechanical devices
- •Metallic hardware on scalp region
- •prior diagnosis of seizure and epilepsy
- •severe migraine headache
Outcomes
Primary Outcomes
Box & Blocks Test
Time Frame: Baseline, Post first intervention at 5 weeks, post second intervention at 11 weeks, and 3-month after the completion of the second intervention.
We measured the Box and Blocks Test scores at baseline evaluation, after each intervention, and at the 3-month follow up evaluation. Participants are instructed to move as many blocks as possible, one at a time, from one compartment in a box to a second compartment over a divider for a period of 60 seconds; each block that is moved is counted, and multiple blocks moved at the same time are counted as a single block. The higher scores indicate a better outcome.