The Role of Auditory Feedback in Guiding Upper Extremity Movements
试验速览
- 阶段
- 不适用
- 入组人数
- 26
- 试验地点
- 2
- 主要终点
- Change in movement error from baseline
研究概览
简要总结
Stroke is one of the leading causes of disability, with an estimated prevalence of 50,000 cases per year in Canada. Less than half of stroke patients regain use of their arm and hand. There is currently no intervention regime that is the gold standard, despite the variety of therapeutic techniques used to treat the upper extremity post-stroke. The use of external feedback to improve motor learning is a technique that has been less studied but shows promise. Therefore, the purpose of this proof of principle study it to test whether different auditory feedback frequencies can facilitate reaching ability in people with stroke. In addition brain scans will be collected that will enable us to determine how stroke severity may impact on one's ability to improve with this technique.
We hypothesize that patients who receive less feedback (50% alternate) will have enhanced learning relative to the patients who receive more feedback (100%).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Unilateral first time MCA ischemic stroke
- •Stroke patients should have some movement of shoulder/elbow (no movement of hand - e.g. hand, fingers - is OK)
- •> 2 months post
- •between 30-85 years
排除标准
- •prior stroke
- •severe comprehension (or cognitive) deficit that compromises informed consent or understanding of instructions
- •contraindications to MRI (e.g. claustrophobia, metal implants)
- •neurodegenerative or psychiatric disease
- •auditory deficits that would impair testing
- •prior musculoskeletal injury to back or upper extremity (including shoulder subluxation from stroke)
- •skin conditions that would preclude taping of goniometers
结局指标
主要结局
Change in movement error from baseline
时间窗: participants will be followed for the duration of the study, an expected 3 hours per day for 2 weeks (5 days per week/10 days total)
次要结局
- Change in range of motion(participants will be followed for the duration of the study, an expected 3 hours per day for 2 weeks (5 days per week/10 days total))
- Change in movement duration(participants will be followed for the duration of the study, an expected 3 hours per day for 2 weeks (5 days per week/10 days total))