ClinicalTrials.gg
CompletedNCT04536987HEXORRUpdated Sep 3, 2020

Robot Therapy for Rehabilitation of Hand Movement After Stroke

A Phase 2 interventional study of HEXORR in Stroke, Movement Disorders and Hemiparesis, 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 2020-09-03.

Sponsored by The Catholic University of America · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jan 2017, 9 years 9 months ago, and no results have been posted to the registry.
  • Registered 7 years 9 months after the study started (first participant enrolled Oct 2012, registered Jul 2020).
Phase
Phase 2
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,991 studies in Stroke with a site in United States — 394 open to participants now, 490 under way, 17 of them phase 3. Stroke · United States.

Enrollment
1,240th of 1,617
15 · median 40
Started
2012
with 69 others
Phase 2
162 of 1,991
21 open now
Registered
1,300th of 1,991
by date

Among the 1,991 studies in Stroke with a site in United States, this one is the 1,240th largest by enrollment of the 1,617 interventional ones, is one of 70 that started in 2012, is one of 162 in phase 2, and was the 1,300th registered.

By phase

1,991 studies; the count open now beside each. This study's row is marked.

No phase1,121 · 272 open
Observational364 · 60 open
Phase 2this study162 · 21 open
Phase 1126 · 18 open
Phase 3100 · 8 open
Phase 1/247 · 5 open
Phase 443 · 5 open
Phase 2/326 · 5 open
Other kind2 · 0 open

By the year they started

First in 1980; this study’s year is marked. 70 started in 2012.

Size and results

Median enrollment 40 across the 1,617 interventional studies, 153 across the 363 observational. Of the 1,327 that completed or were terminated, 561 (42%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 1,991 studies in Stroke with a site in United States, or all of them as a file.
02

Study summary

A study will be performed where individuals with chronic stroke will be randomly assigned to receive 2 different dosages of robotic hand therapy. One group will receive 12 sessions of robot-assisted repetitive movement practice in the HEXORR robot over a 4-5 week period. A second group will receive 24 sessions of HEXORR therapy over a 8-10 week period.

Read the detailed description

The overall goal of the proposed work is to improve hand function after stroke. Adequate hand function is critical to a functional upper limb, and is often resistant to conventional therapeutic interventions. Many stroke survivors have residual ability to flex the fingers, but extension is often limited and impeded by increased passive stiffness in flexors, involuntary activation of flexors and inability to activate extensors. The rationale for this approach stems from the growing evidence that neuro-rehabilitation after stroke may be enhanced via the application of motor learning strategies within the context of repetitive movement practice. The key therapeutic aspects of these strategies are high repetition, volitional effort, and successful completion of tasks to prevent frustration. While these represent promising therapeutic strategies, they are limited to mildly impaired subjects who already have enough control of finger extension to tolerate high repetitions of grasp/release tasks without succumbing to fatigue and/or frustration. There is a very large population of stroke patients who don't fall into this category and often must rely on compensatory strategies. In these patients, repetitive task practice facilitated by a robotic device may be more effective than unassisted task practice.

03

Conditions studied

  • Stroke
  • Movement Disorders
  • Hemiparesis

Keywords

  • robotic therapy
  • finger
  • hand
04

Who can participate

Ages eligible
21 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. a diagnosis of stroke more than 6 months prior to randomization
  2. presence of voluntary hand activity indicated by a score of at least 1 on the finger mass extension/grasp release item of the Fugl-Meyer Test of Motor Function
  3. adequate cognitive status, as determined by Mini-Mental Status Examination score >24

Exclusion criteria

Exclusion Criteria:

  1. were under the influence of oral or injected antispasticity medications during the study
  2. had MCP and IP passive extension limit > 30 degrees from full extension
  3. had pain that interfered with daily activities
  4. had excessive tone in the fingers and thumb as determined by Ashworth scores >=3
  5. had severe sensory loss or hemispatial neglect as determined by clinical exam.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    low-dosage robot therapy

    12 sessions of robotic therapy over 4-5 weeks

    Device: HEXORR

  • Experimental
    hi-dosage robot therapy

    24 sessions of robotic therapy over 8-10 weeks

    Device: HEXORR

Interventions

  • DeviceHEXORR

    The subject receives robotic assistance from the HEXORR robot during finger and thumb movements. Several different video games are used to provide feedback of performance and motivate the training. The assistance level is adjusted automatically in some games and manually in other games to enable a target success rate of 67% when playing the games.

06

What researchers measure

Primary outcomes

  1. Change in Fugl-Meyer Test of Motor Function

    Measures motor impairment in the upper extremity after stroke

    Time frame: 6 month follow-up

Secondary outcomes

  1. Change in Action Research Arm Test

    Measures functional limitations of the upper extremity

    Time frame: 6 month follow-up

  2. Change in finger extension range of motion (degrees)

    Motion capture of finger and thumb movement will be used to assess extension ability in units of degrees. The task will be to open the hand as far as possible from a closed fist. Data from all digits will be averaged to provide a single metric for extension ability of the fingers and thumb.

    Time frame: 6 month follow-up

  3. Change in Modified Ashworth Test

    Measures hypertonia in the flexors of the fingers, wrist and elbow joints

    Time frame: 6 month follow-up

  4. Change in Motor Activity Log

    Measures the amount of use of the upper extremity in ADL

    Time frame: 6 month follow-up

  5. Change in Grip Strength

    Jamar Dynamometer

    Time frame: 6 month follow-up

07

Study locations

1 site
  • MedStar National Rehabilitation Network
    Washington, District of Columbia 20010, United States
08

References and documents

Publications

  • Godfrey SB, Holley RJ, Lum PS. Evaluation of HEXORR Tone Assistance Mode Against Spring Assistance. IEEE Trans Neural Syst Rehabil Eng. 2015 Jul;23(4):610-7. doi: 10.1109/TNSRE.2015.2398933. Epub 2015 Feb 4. PubMed 25667355 ↗
  • Godfrey SB, Holley RJ, Lum PS. Clinical effects of using HEXORR (Hand Exoskeleton Rehabilitation Robot) for movement therapy in stroke rehabilitation. Am J Phys Med Rehabil. 2013 Nov;92(11):947-58. doi: 10.1097/PHM.0b013e31829e7a07. PubMed 23900016 ↗
  • Schabowsky CN, Godfrey SB, Holley RJ, Lum PS. Development and pilot testing of HEXORR: hand EXOskeleton rehabilitation robot. J Neuroeng Rehabil. 2010 Jul 28;7:36. doi: 10.1186/1743-0003-7-36. PubMed 20667083 ↗

Individual participant data

Plan to share: No — There is no plan to share data.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2012 to primary completion in Jan 2017, 51 months.

Of 113 non-industry phase 2 interventional studies under Stroke, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 60. This study's 51 months is above that.

Counting every sponsor, half of 133 studies reached it within 40 months; a quarter within 24 and three quarters within 59.

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

Registered
Jul 29, 2020
First posted
Sep 3, 2020
StartActual
Oct 4, 2012
Primary completionActual
Jan 15, 2017
CompletionActual
Jan 15, 2017
Last update
Sep 3, 2020
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 Sep 3, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04536987
Lead sponsor
The Catholic University of America
Collaborators
MedStar National Rehabilitation Network
Responsible party
Sponsor
First posted
Sep 3, 2020
Start date
Oct 4, 2012
Primary completion
Jan 15, 2017
Completion
Jan 15, 2017
Last update
Sep 3, 2020

Study contacts

Peter Lum
principal investigator · The Catholic University of America

Oversight

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

Not currently enrolling

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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