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CompletedNCT01973426IOTAUpdated Jun 9, 2020

Evaluating Human-Machine Interfaces in a Robotic Thumb Orthosis

An observational study in Hemiplegic Stroke and Hemiplegic Cerebral Palsy, sponsored by Wyss Institute at Harvard University. Completed at 1 site in United States. Open to participants aged 7 Years to 16 Years. Per ClinicalTrials.gov, last updated 2020-06-09.

Sponsored by Wyss Institute at Harvard University · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
12
Ages
7 Years to 16 Years
Sex
All
01

Study summary

We plan to investigate whether the Isolated Orthosis for Thumb Actuation (IOTA) can effectively facilitate the ability of participants to perform a specific set of clinically relevant tasks conducted in a clinic setting.

Read the detailed description

Many Activities of Daily Living involve precision grasp and fine motor manipulation, such as putting toothpaste on a toothbrush or feeding oneself. However, children afflicted by stroke, cerebral palsy, or traumatic brain injury may lose the ability to actively (and accurately) control the thumb, and specifically abduct/adduct the carpometacarpal (CMC) joint and flex/extend the metacarpophalangeal (MCP) joint. We are testing the Isolated Orthosis for Thumb Actuation (IOTA), a device developed at the Wyss Institute at Harvard University in collaboration with Children's Hospital Boston, for assisting opposable thumb grasping tasks. The IOTA contains an adjustable brace fitted to the thumb and dorsum of the hand that is easy to put on and facilitates grasping motions through flexible cable-driven actuators that assist with CMC joint abduction and MCP joint extension.

In this pilot study, we plan to investigate whether the IOTA can effectively facilitate the ability of participants to perform a specific set of clinically relevant tasks conducted in a clinic setting.

The hypothesis for this work is that the IOTA will significantly improve the participant's performance on clinically relevant tasks.

02

Conditions studied

  • Hemiplegic Stroke
  • Hemiplegic Cerebral Palsy

Keywords

  • Robot
  • Thumb
  • Orthosis
  • Hemiplegia
  • Hemiplegic Stroke
  • Hemiplegic Cerebral Palsy
  • Stroke
  • Cerebral Palsy
  • Grasp assistance
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 12 is below the median of 160 across 1,692 observational studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Wyss Institute at Harvard University is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
7 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children with hemiplegic cerebral palsy or hemiplegic stroke.

Eligibility criteria

Inclusion Criteria:

  • Be between 7 - 16 years old
  • Have a clinical diagnosis of hemiplegic cerebral palsy or hemiplegic stroke causing a thumb contracture affecting one hand
  • Not have a diagnosis of dystonia
  • Have completed at least a 6-week post-operative period following hand surgery (if applicable; self-reported)
  • Be able to follow instructions (as determined by their attending Occupational Therapist)
  • Not be allergic to nylon or lycra
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
12 participants (actual)
Patient registry
No

Groups and cohorts

  • Children with limited control of their thumb

    Children afflicted by hemiplegic stroke or hemiplegic cerebral palsy who have lost the ability to actively (and accurately) control the thumb.

    Device: Isolated Orthosis for Thumb Actuation (IOTA)

Interventions

  • DeviceIsolated Orthosis for Thumb Actuation (IOTA)

    In this pilot study, we plan to investigate whether the IOTA can effectively facilitate the ability of participants to perform a specific set of clinically relevant tasks conducted in a clinic setting. The IOTA is a device developed at the Wyss Institute at Harvard University, in collaboration with Children's Hospital Boston, for assisting opposable thumb grasping tasks. The IOTA contains an adjustable brace fitted to the thumb and dorsum of the hand that is easy to put on and facilitates grasping motions through flexible cable-driven actuators that assist with joint abduction and extension.

06

What researchers measure

Primary outcomes

  1. Investigate whether the IOTA can effectively facilitate a participant's ability to perform a specific set of clinically relevant tasks in a clinical setting.

    We will examine this aim by evaluating participant performance on a Box and Block Task. This task is clinically relevant to the participant population. This task will be evaluated with no device worn at first, and then with the IOTA device worn in four different modes (manual mode, cycle \& repeat mode, wrist mode, and moon mode).

    Time frame: 1 study session per participant, lasting up to 2 hours.

07

Study locations

1 site
  • Children's Hospital Boston
    Boston, Massachusetts 02115, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01973426
Lead sponsor
Wyss Institute at Harvard University
Collaborators
Boston Children's Hospital, Deborah Munroe Noonan Memorial Research Fund
Responsible party
Sponsor
First posted
Oct 31, 2013
Start date
Oct 2013
Primary completion
Jan 2014
Completion
Nov 2017
Last update
Jun 9, 2020

Study contacts

Leia Stirling, Ph.D.
principal investigator · Wyss Institute at Harvard University
Annette Correia, OT
principal investigator · Boston Children's Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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