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CompletedNCT03263286HandSOMEUpdated Aug 28, 2020

Home Therapy for Stroke Rehabilitation Using the HandSOME Exoskeleton

A Phase 1 interventional study of HandSOME in Stroke, sponsored by The Catholic University of America. Completed at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2020-08-28.

Sponsored by The Catholic University of America · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Study summary

This research will evaluate the potential for a novel hand orthosis (HandSOME) to help stroke victims regain functional use of their hand and regain independent living. Participants will use the HandSOME at home regularly for 8 weeks. Clinical evaluations will measure changes from the intervention after the 8 weeks and also at a 3 month followup.

Read the detailed description

After stroke, individuals often have great difficulty with using the affected hand in functional tasks. The hand frequently suffers from finger flexor hypertonia as well as finger extensor weakness. This leads to increased difficulty in grasp and release of objects. HandSOME is a light weight wearable hand orthosis that increases range of motion and decreases effort during grasping tasks. The goal of this study is to evaluate the HandSOME device's effectiveness in the rehabilitation of stroke patients through an 8 week intervention. Eligible subjects will use the device daily at home for 8 weeks with one visit per week to the clinic to evaluate progress and troubleshoot problems with the device. The hypotheses are that the gains from the 8 weeks of training will be statistically significant and clinically important (defined as gains of greater than 10% of full scale) in the domains of impairment, function and amount of arm use.

02

Conditions studied

  • Stroke

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03

Who can participate

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

Inclusion criteria

  1. Diagnosis of stroke more than six months prior to entry into the study
  2. Impaired ability to open affected the hand
  3. At least trace ability to extend the wrist and fingers

Exclusion criteria

Exclusion Criteria:

  1. Have cognitive deficits that could negatively affect their ability to complete the protocols as evidenced by a score of 24 or less on the Folstein Mini-Mental State Examination
  2. Have excessive pain in any joint of the affected extremity that could limit ability to cooperate with the protocols
  3. Have serious uncontrolled medical problems as judged by the project therapist
  4. Receiving oral or injected antispasticity medications during study treatment
  5. MCP and IP passive extension limit > 30 degrees from full extension
  6. Excessive tone in the fingers and thumb as determined by Ashworth scores >=3
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    HandSOME

    The intervention is given to this group.

    Device: HandSOME

Interventions

  • DeviceHandSOME

    Participants use the HandSOME orthosis daily for 8 weeks.

05

What researchers measure

Primary outcomes

  1. Change in Fugl-Meyer Test of Arm Function

    clinical test of arm motor ability and impairment

    Time frame: Change from baseline Fugl-Meyer score at 2 months

  2. Change in Action Research Arm Test

    clinical test of the functional limitations of the upper extremities

    Time frame: Change from baseline Action Research Arm Test score at 2 months

  3. Change in Motor Activity Log

    assess the amount and quality of limb use at home

    Time frame: Change from baseline Motor Activity Log score at 2 months

Secondary outcomes

  1. Change in Fugl-Meyer Test of Arm Function at followup

    clinical test of arm motor ability and impairment

    Time frame: Change from baseline Fugl-Meyer score at 5 months

  2. Change in Action Research Arm Test at followup

    clinical test of the functional limitations of the upper extremities

    Time frame: Change from baseline Action Research Arm Test score at 5 months

  3. Change in Motor Activity Log at followup

    assess the amount and quality of limb use at home

    Time frame: Change from baseline Motor Activity Log score at 5 months

06

Study locations

1 site
  • MedStar National Rehabilitation Network
    Washington, District of Columbia 20010, United States
07

References and documents

Publications

  • Tianyao Chen, Lum PS. Hand rehabilitation after stroke using a wearable, high DOF, spring powered exoskeleton. Annu Int Conf IEEE Eng Med Biol Soc. 2016 Aug;2016:578-581. doi: 10.1109/EMBC.2016.7590768. PubMed 28324934 ↗

Individual participant data

Plan to share: No

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Registry details

Key details

Study ID
NCT03263286
Lead sponsor
The Catholic University of America
Collaborators
MedStar National Rehabilitation Network
Responsible party
Sponsor
First posted
Aug 28, 2017
Start date
Apr 15, 2017
Primary completion
Oct 7, 2019
Completion
Oct 7, 2019
Last update
Aug 28, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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

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