ClinicalTrials.gg
Status unknownNCT03323632Updated Oct 27, 2017

MyndMove Therapy for Severe Hemiparesis of the Upper Limb Following Stroke

An interventional study of MyndMove in Stroke, sponsored by University Health Network, Toronto. Status unknown at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-10-27.

Sponsored by University Health Network, Toronto · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2014), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to examine the efficacy of MyndMove therapy in the early sub-acute, late sub-acute and chronic post-stroke patients. Other objectives include assessing the required doses of electrical current amplitudes, the usability of the device, and examining the overall safety.

Read the detailed description

The purpose of this study is to examine the efficacy of MyndMove therapy in the early sub-acute, late sub-acute and chronic post-stroke patients. Other objectives include assessing the required doses of electrical current amplitudes, the usability of the device, and examining the overall safety.

Many individuals experience weakness or paralysis of their arms and hands following a stroke. As a result, they are often unable to grasp and reach objects voluntarily and have difficulty performing basic activities of daily living (ADLs) such as dressing, feeding, bathing and grooming. Despite extensive rehabilitation programs, many of these individuals remain dependent on others for assistance with ADLs. This unmet medical need remains the focus of a wide range of research efforts.

MyndMove is a newly developed Functional Electrical Stimulation based treatment designed to recover voluntary movement in severely paralyzed upper limbs following stroke and spinal cord injury.

This study will enroll stroke patients that have severe hemiparesis of an upper limb (as defined by 1) an UE-FMA score of less than or equal to 19 and 2) a Chedoke McMaster Stage of 1-2 for the arm and hand). Three cohorts of patients enrolled in the study will include:

  • Early sub-acute stroke patients (less than 2 months post stroke) receiving therapy during inpatient rehabilitation;
  • Late sub-acute stroke patients (post-discharge from inpatient rehab and less than 6 months post stroke) receiving therapy in outpatient clinic settings; and
  • Chronic stroke patients (greater than 6 months post stroke) receiving therapy in outpatient clinic settings
02

Conditions studied

  • Stroke

Keywords

  • Stroke
  • Cerebrovascular accident
  • Upper extremity
  • Cerebral Infarction
  • Brain Infarction
  • Brain Ischemia
  • Cerebrovascular Disorders
  • Cardiovascular Diseases
  • Nervous System Diseases
  • Central Nervous System Diseases
03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's planned enrollment of 75 is above the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

University Health Network, Toronto is the lead sponsor of 1,438 studies on the registry; 297 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 3 (18%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Ischemic or hemorrhagic stroke confirmed by MRI or CT scan
  2. Sub-acute subjects at least 10 days post stroke. Chronic subjects at least 6 months post stroke
  3. Chedoke-McMaster Stroke Assessment Stage 1-2 (arm and hand)
  4. Severe hemiplegia of the upper extremity defined as UE-FMA score of less than or equal to 19
  5. Subject is able to follow instructions
  6. Subject is able to sit and participate in one hour of upper limb therapy
  7. Anticipated to be discharged home or already at home following conventional inpatient rehabilitation
  8. Willing to attend outpatient therapy if chronic or late sub-acute
  9. Subject is able and willing to give written
  10. Men and women aged 18 or older

Exclusion criteria

Exclusion Criteria:

  1. Global Aphasia
  2. Previous history of clinical stroke either ischemic infarct, hemorrhagic and subarachnoid bleeding
  3. Upper extremity injury or condition prior to stroke that limits the function of the hand or arm
  4. of less than 12 months due to other illness
  5. Subject has malignant skin lesion on the affected upper extremity
  6. Subject has history of seizure disorder and on seizure medications
  7. Subject has existing electrical stimulation devices (ICD, Pacemaker, Spinal Stimulation)
  8. Neurologic condition that may affect motor response (e.g. Parkinson's, ALS, MS)
  9. Subject has rash or open wound at any potential electrode site
  10. In the judgment of the medical provider, subject has medical complications that may interfere with the execution of the study
  11. Botulinum toxin (Botox) injection into affected upper extremity at least 3 months before the study or during the study
  12. Currently enrolled in another upper limb study
  13. Enrolled in the past six months in a clinical study involving drugs or biologics
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    MyndMove

    The MyndMove system is a neuromodulation device that delivers short electrical pulses to stimulate muscle contractions and enhance motor recovery following Stroke or Spinal Cord Injury. MyndMove delivers therapeutic stimulation sequences called protocols, which are coded therapeutic algorithms which assist muscle movement allowing the brain and central nervous system to be retrained restoring voluntary reaching and grasping functions lost following neurological injury. The MyndMove system comprises the hardware device, stimulation electrodes and cables, hand and foot switches, and integrated software.

    Device: MyndMove

Interventions

  • DeviceMyndMove

    During a MyndMove therapy session, the patient is instructed to attempt to execute a task voluntarily. As the patient is attempting to perform the designated task, specific muscles in the arm are stimulated to generate contractions that produce the desired movement. After a brief interval of the patient attempting to initiate a movement the therapist activates the MyndMove stimulation protocol, which generates bursts of short electrical pulses, using surface electrodes, to produce muscle contractions enabling the patient to complete the desired/instructed task. Proper sequencing of the muscle contractions as per the MyndMove protocols are tailored to achieve a wide range of reaching and grasping functions. The technique stimulates non-damaged pathways of the central nervous system.

06

What researchers measure

Primary outcomes

  1. Upper Extremity Fugl-Meyer Assessment (UE-FMA)

    The Upper Extremity Fugl-Meyer Assessment (UE-FMA) is a standardized scale used for the evaluation of physical performance in the post-stroke hemiplegic patient. The upper extremity (UE) evaluates the function of the upper extremity motor function in four components: Shoulder/Elbow and Forearm, Wrist, Hand and Coordination and Speed in a series of performed tasks. The maximum score associated with the UE-FMA is 66 points. Each of the 33 specific tasks is scored as either 0 or an absence of function to a maximum score of 2 for the tasks being fully completed. Partial function can be scored as 1 for selected tasks. This evaluation will be completed by a trained physiotherapist or occupational therapist. Upper extremity assessment for stroke patients. Clinically Significant change is \>6 points

    Time frame: baseline to 6 weeks

Secondary outcomes

  1. FIM and Self - Care FIM

    To measure the degree of disability the Functional Independence Measure will be completed. The FIM consists of 18 items of which 13 are motor related tasks and 5 are cognitive related items. The measure is broken down into 6 classifications of self-care, sphincter control, mobility, locomotion, communication and social cognition. The self-care consists of 6 items: eating, grooming, bathing, dressing-upper body, dressing-lower body, toileting. Each item is rated using a 7-point scale indicating the level of functioning from total assistance with a score of 1 to complete independence with a score of 7.

    Time frame: Baseline - 6 weeks

07

Study locations

1 site
  • Toronto Rehab Inst, UHN
    Toronto, Ontario M5G2A2, Canada
08

References and documents

Publications

  • Hebert, D, Bowen, J. M., Ho, C. Antunes, I, O'Reilly, D. J. and Bayley, M. (2017) Examining a new functional electrical stimulation therapy with people with sever upper extremity hemiparesis and chronic stroke: A feasibility study. British Journal of Occupational Therapy. 0/0: 1 - 10.
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2014, a primary completion of Sep 2018 and a completion of Dec 2018. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 24, 2017
First posted
Oct 27, 2017
Start
Aug 2014
Primary completionEst.
Sep 30, 2018
CompletionEst.
Dec 31, 2018
Last update
Oct 27, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 27, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03323632
Responsible party
Sponsor
First posted
Oct 27, 2017
Start date
Aug 2014
Primary completion
Sep 30, 2018 (estimated)
Completion
Dec 31, 2018 (estimated)
Last update
Oct 27, 2017

Study contacts

Debbie A Hebert, MSc(Kin)
principal investigator · University Health Network, Toronto

Oversight

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

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