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CompletedNCT03019744RiSESUpdated Oct 26, 2018Results posted

Efficacy Study of FES Controlled by Electromyographic Signal for the Treatment of Upper Limb in Post-stroke Patients

An interventional study of MeCFES-assisted task-oriented upper limb rehabilitation and Usual Care task-oriented upper limb rehabilitation in Stroke, sponsored by Fondazione Don Carlo Gnocchi Onlus. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-26.

Sponsored by Fondazione Don Carlo Gnocchi Onlus · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Goal of the present study is to evaluate the efficacy of Myoelectrically-controlled Functional Electrical Stimulation (MeCFES) for the rehabilitation of upper limb in post-stroke patients. MeCFES-assisted rehabilitation will be compared with usual care rehabilitation of upper limb. It is hypothesized that that applying MeCFES in rehabilitation to assist normal arm movements during rehabilitation of the upper limb in persons with stroke will improve the movement quality and success and thus induce recovery at the body functions level (impairment) and the activity level (disability) of the International Classification of Function (ICF) superior to that induced by usual care rehabilitation.

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Conditions studied

  • Stroke

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Keywords

  • Functional Electrical Stimulation
  • Cerebrovascular accident
  • Stroke
  • Electromyography
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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 82 is above the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Fondazione Don Carlo Gnocchi Onlus is the lead sponsor of 146 studies on the registry; 37 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Hemiplegia/hemiparesis due to a first ischemic or haemorrhagic stroke
  • at least 1 month post-stroke
  • willingness to participate the project
  • minimum voluntary muscle activation of shoulder flexors (>1 Manual Muscle Test)
  • passive Range of Motion (ROM) of the shoulder and elbow of more than 90°

Exclusion criteria

Exclusion Criteria:

  • epilepsy
  • severe spasticity at upper limb (>= 3 Ashworth scale)
  • implanted electronic device
  • respiratory insufficiency
  • pregnancy
  • peripheral neuropathies
  • cutaneous ulcers at the stimulation zone
  • other use of FES on the upper limb
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
82 participants (actual)

Study arms

  • Experimental
    MeCFES

    25 daily sessions (45 minutes each) of MeCFES-assisted task-oriented upper limb rehabilitation

    Device: MeCFES-assisted task-oriented upper limb rehabilitation

  • Active comparator
    Control

    25 daily sessions (45 minutes each) of usual care task-oriented upper limb rehabilitation

    Other: Usual Care task-oriented upper limb rehabilitation

Interventions

  • DeviceMeCFES-assisted task-oriented upper limb rehabilitation
  • OtherUsual Care task-oriented upper limb rehabilitation
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What researchers measure

Primary outcomes

  1. Change Score of ARAT Scale Between Two Time Points: Post-treatment vs Pre-treatment

    ARAT: Action Research Arm Test scale (15 item) (see in References section: Van der Lee JH et al 2002). ARAT minimum value is 0 and maximum value is 45. Higher scores mean a better outcome.

    Time frame: 5 weeks (post-treatment vs pre-treatment)

  2. Change Score of FMA-UE Scale Between Two Time Points: Post-treatment vs Pre-treatment

    FMA-UE: Upper Extremities section of Fugl Meyer Assessment scale (see in References section: Fugl-Meyer AR et al 1975). FMA-UE minimum value is 0 and maximum value is 66. Higher scores mean a better outcome

    Time frame: 5 weeks (post-treatment vs pre-treatment)

Secondary outcomes

  1. Change Score of IPPA Between Two Time Points: Post-treatment vs Pre-treatment

    IPPA: Individually Prioritized Problem Assessment (see in References section: Wessels R et al. 2000). IPPA minimum value is 1 and maximum value is 25. Higher scores mean worse outcome.

    Time frame: 5 weeks (post-treatment vs pre-treatment)

  2. Change Score of DASH Between Two Time Points: Post-treatment vs Pre-treatment

    DASH: Quick version of the Disability of the Arm Shoulder and Hand questionnaire (see in References section: Kennedy et al. 2011) DASH minimum value is 0 and maximum value is 100. Higher scores mean worse outcome.

    Time frame: 5 weeks (post-treatment vs pre-treatment)

  3. Change Score of VAS for Perceived Pain Between Two Time Points: Post-treatment vs Pre-treatment

    VAS: Visual Analogic Scale for perceived pain on a 10-level scale. VAS minimum value is 0 and maximum value is 10. Higher scores mean worse outcome (more severe pain).

    Time frame: 5 weeks (post-treatment vs pre-treatment)

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Results

Posted Sep 27, 2018

Participant flow

Participant flow — Overall Study
MilestoneMeCFESControl
Started3844
Completed3236
Not completed68

Outcome measures

PrimaryChange Score of ARAT Scale Between Two Time Points: Post-treatment vs Pre-treatment

ARAT: Action Research Arm Test scale (15 item) (see in References section: Van der Lee JH et al 2002). ARAT minimum value is 0 and maximum value is 45. Higher scores mean a better outcome.

Time frame:
5 weeks (post-treatment vs pre-treatment)
Reported as:
Mean · score on a scale
Change Score of ARAT Scale Between Two Time Points: Post-treatment vs Pre-treatment
score on a scaleMeCFESControl
Change Score of ARAT Scale Between Two Time Points: Post-treatment vs Pre-treatment6.6 ± 8.15.0 ± 7.3
PrimaryChange Score of FMA-UE Scale Between Two Time Points: Post-treatment vs Pre-treatment

FMA-UE: Upper Extremities section of Fugl Meyer Assessment scale (see in References section: Fugl-Meyer AR et al 1975). FMA-UE minimum value is 0 and maximum value is 66. Higher scores mean a better outcome

Time frame:
5 weeks (post-treatment vs pre-treatment)
Reported as:
Mean · score on a scale
Change Score of FMA-UE Scale Between Two Time Points: Post-treatment vs Pre-treatment
score on a scaleMeCFESControl
Change Score of FMA-UE Scale Between Two Time Points: Post-treatment vs Pre-treatment7.8 ± 9.04.5 ± 5.2
SecondaryChange Score of IPPA Between Two Time Points: Post-treatment vs Pre-treatment

IPPA: Individually Prioritized Problem Assessment (see in References section: Wessels R et al. 2000). IPPA minimum value is 1 and maximum value is 25. Higher scores mean worse outcome.

Time frame:
5 weeks (post-treatment vs pre-treatment)
Reported as:
Mean · score on a scale
Change Score of IPPA Between Two Time Points: Post-treatment vs Pre-treatment
score on a scaleMeCFESControl
Change Score of IPPA Between Two Time Points: Post-treatment vs Pre-treatment-2.8 ± 5.6-3.2 ± 3.5
SecondaryChange Score of DASH Between Two Time Points: Post-treatment vs Pre-treatment

DASH: Quick version of the Disability of the Arm Shoulder and Hand questionnaire (see in References section: Kennedy et al. 2011) DASH minimum value is 0 and maximum value is 100. Higher scores mean worse outcome.

Time frame:
5 weeks (post-treatment vs pre-treatment)
Reported as:
Mean · score on a scale
Change Score of DASH Between Two Time Points: Post-treatment vs Pre-treatment
score on a scaleMeCFESControl
Change Score of DASH Between Two Time Points: Post-treatment vs Pre-treatment-4.8 ± 9.4-7.4 ± 11.3
SecondaryChange Score of VAS for Perceived Pain Between Two Time Points: Post-treatment vs Pre-treatment

VAS: Visual Analogic Scale for perceived pain on a 10-level scale. VAS minimum value is 0 and maximum value is 10. Higher scores mean worse outcome (more severe pain).

Time frame:
5 weeks (post-treatment vs pre-treatment)
Reported as:
Median · score on a scale
Change Score of VAS for Perceived Pain Between Two Time Points: Post-treatment vs Pre-treatment
score on a scaleMeCFESControl
Change Score of VAS for Perceived Pain Between Two Time Points: Post-treatment vs Pre-treatment0 (-1 to 1)0 (-1 to 0)

Adverse events

Collected over 5 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MeCFES—0/32 (0%)0/32 (0%)
Control—0/36 (0%)0/36 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)MeCFESControlTotal
Mean66.2 ± 12.967.1 ± 13.866.6 ± 13.3
Sex: Female, Male
Sex: Female, Male(Participants)MeCFESControlTotal
Female212243
Male172239
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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • van der Lee JH, Roorda LD, Beckerman H, Lankhorst GJ, Bouter LM. Improving the Action Research Arm test: a unidimensional hierarchical scale. Clin Rehabil. 2002 Sep;16(6):646-53. doi: 10.1191/0269215502cr534oa. PubMed 12392340 ↗
  • Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13-31. PubMed 1135616 ↗
  • Wessels R, de Witte L, Andrich R, Ferrario M, Persson J, Oberg B, Oortwijn W, VanBeekum T, Lorentsen Ã. IPPA, a user-centered approach to assess effectiveness of assistive technology provision. Technol Disabil. 2000;13:105-15
  • Kennedy CA, Beaton DE, Solway S, McConnell S, Bombardier C. Disabilities of the Arm, Shoulder and Hand (DASH). The DASH and QuickDASH Outcome Measure User's Manual, Third Edition. Toronto, Ontario: Institute for Work & Health, 2011.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03019744
Lead sponsor
Fondazione Don Carlo Gnocchi Onlus
Collaborators
Istituto Di Ricerche Farmacologiche Mario Negri
Responsible party
Maurizio Ferrarin (Dr.Eng., Ph.D., Fondazione Don Carlo Gnocchi Onlus) — Principal investigator
First posted
Jan 13, 2017
Start date
Apr 2011
Primary completion
Nov 2015
Completion
Nov 2015
Results posted
Sep 27, 2018
Last update
Oct 26, 2018

Study contacts

Maurizio Ferrarin, PhD
principal investigator · Fondazione Don Carlo Gnocchi Onlus

Oversight

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

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