ClinicalTrials.gg
CompletedNCT05535257Updated Jan 9, 2025Results posted

A Study to Evaluate Lower Extremity Sleeve and Pump Device to Treat Hemiparesis

An interventional study of Sequential Compression Device in Upper Extremity Weakness and Stroke, sponsored by Mayo Clinic. Completed at 1 site in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2025-01-09.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

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

Among 198 studies in Paresis with a site in United States — 33 open to participants now, 42 under way, none of them phase 3. Paresis · United States.

Enrollment
115th of 191
20 · median 28
Started
2022
with 9 others
No phase
151 of 198
29 open now
Registered
164th of 198
by date

Among the 198 studies in Paresis with a site in United States, this one is the 115th largest by enrollment of the 191 interventional ones that give a count, is one of 10 that started in 2022, is one of 151 with no phase, and was the 164th registered.

Paresis

468 studies on the registry are indexed under Paresis; 117 are open to participants now.

This study's enrollment of 20 is below the median of 37 across 420 interventional studies indexed under Paresis.

Browse Paresis studies →

Open to participants now

33 of the 198 studies in Paresis with a site in United States are open now, in 4 countries. Each count lists the studies.

All 33 open studies →

Who these studies take

Of the 83 Paresis studies recruiting now, 34 (41%) set no upper age limit and 27 (33%) stop at 75 or younger; 10 take children under 18; 15 take healthy volunteers.

This study: 18 Years to 100 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 198 studies in Paresis with a site in United States, or all of them as a file.
02

Study summary

The primary purpose of this study is to establish that application of a Sequential Compression Device (SCD) and lower extremity (LE) sleeve applied to a hemi-paretic upper extremity is safe.

Read the detailed description

Studies has shown that passively stimulating the arm with vibration can improve sensory and motor recovery and movement. Researchers want to expand on this with a more advanced stimulation but in a device that is already routinely used. The SCD is normally used to prevent blood clots. It uses pressure to keep blood moving in the leg. It is routinely used in hospitals across the country. While it does this it warms and even vibrates the leg giving many types of stimulation to the limb and to the brain. This stimulation may help improve recovery further, at marginal cost, while possibly reducing the chances of blood clots in an immobile limb.

03

Conditions studied

  • Upper Extremity Weakness
  • Stroke

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04

Who can participate

Ages eligible
18 Years to 100 Years
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

  • Patients admitted to Mayo Clinic/Jacksonville, post-stroke with a hemiparetic upper extremity.
  • Able to provide consent of participation by self-agreement.
  • Patients with a hemiparetic upper extremity will be determined using the NIH Motor Arm subsection from the NIH scale and score a 1-4.
  • Patients who have received thrombolytic therapeutic medicine > 13 hours (per site specific policy) will not be excluded from inclusion in this study.
  • Patients who score > 13 on the BIMS to ensure intact cognition.

Exclusion criteria

Exclusion Criteria:

  • Inability to provide consent of participation.
  • Subjects with aphasia or the inability to effectively communicate their pain consistently.
  • Questionable reliability scoring \< 13 on the BIMS, has an existing invasive line (PICC line, IV, AV fistula or AV graft); recent surgery or vein ligation in the involved extremity.
  • Recent skin graft in the involved extremity.
  • Confirmed DVT in the affected.
  • Upper extremity including axillary or subclavian veins; open or active wounds or infection in the involved extremity.
  • Upper extremity ischemia, gangrene, cellulitis or severe arteriosclerosis in the affected upper extremity.
  • Status-post axillary lymph node dissection on the involved side; congestive heart failure (CHF) acute exacerbation; acute edema of unknown etiology in the involved upper extremity.
  • Subjects with extreme deformity of the affected upper extremity.
  • Subjects with an acute kidney injury.
  • Subjects who are hemodynamically unstable 1,7,17.
  • Patients who have received thrombolytic therapeutic medicine administered \< 13 hours (per site specific policy) prior to application of SCD sleeve.
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Sequential Compression Device (SCD) on upper extremity

    Subjects post stroke with upper extremity weakness have the SCD sleeve placed on the arm for up to 4 hours for one day only

    Device: Sequential Compression Device

Interventions

  • DeviceSequential Compression Device

    Calf size lower extremity sequential compression device sleeve will be placed on the weak upper extremity blow the cubital fossa and may include the hand if necessary. The device will inflate and deflate.

    Also known as: SCD

06

What researchers measure

Primary outcomes

  1. Wearing Tolerance of the SCD and Sleeve on the Upper Extremity.

    Number of subjects who answered yes to the question "Are you tolerating this sleeve"

    Time frame: 4 hours

Secondary outcomes

  1. Pain With SCD Sleeve and Device

    Total number of subjects to report No pain measured by Visual Analogue Scale (VAS) where patient identifies pain on a line between "no pain" and "worst possible pain".

    Time frame: 4 hours

Other outcomes

  1. Nail Bed Color

    Nail bed color will be observed and described/documented with terms of "normal", "dusky", or "bluish" in color

    Time frame: 4 hours

  2. Edema Measured in Inches of Circumference of Forearm

    Using tape measure the weak UE forearm will be measured in inches; 5 inches distal to cubital fossa, proximal from the wrist crease.

    Time frame: 4 hours

  3. UE Strength Using Motor Arm Subsection #5 of NIH Scale

    The limb is placed in the appropriate position: extend the arm (palm down) 90 degrees if sitting or 45 degrees if supine. Drift is scored if the arm falls before 10 seconds. Documenting using Scale definition: 0=No drift, 1=Drift, 2=Some effort against gravity, 3=No effort against gravity; limb falls, 4=No movement

    Time frame: 4 hours

  4. UE Sensation

    Using cotton swab and lightly touching skin at dermatome points C2, C3, C4, C5, C6, C7, C8, T1, T2 using the International Standards for the Classification of Spinal Cord Injury Key Sensory Points documenting "Intact" or "Impaired"

    Time frame: 4 hours

  5. UE Skin Integrity

    Prior to placement of sleeve and upon removal of sleeve during check time skin will be visually assessed and the terms "Intact" or "Impaired" will be documented. Any new "redness", "rash", or "bruising" and "area" of arm will be documented and the need to remove sleeve at that time will be determined.

    Time frame: 4 hours

  6. UE Grip Strength

    Using dynamometer in pounds measures affected hand strength at baseline and at 4-hours for each subject. This outcome measure was added approximately 1/2 way through the subject recruitment as a revision to this study to help capture subjects with hand weakness who may not have gross arm weakness (captured by Motor arm Subsection #5 outcome measure).

    Time frame: Baseline and at four-hours for each subject

07

Results

Posted Jan 9, 2025

Participant flow

Recruitment period for 20 subjects enrolled in this study was from 9/27/2022 to 11/14/2023. All subjects were recruited and enrolled in the Mayo Clinic Hospital setting.

Participant flow — Overall Study
MilestoneSequential Compression Device (SCD) on Upper Extremity
Started20
Completed20
Not completed0

Outcome measures

PrimaryWearing Tolerance of the SCD and Sleeve on the Upper Extremity.

Number of subjects who answered yes to the question "Are you tolerating this sleeve"

Time frame:
4 hours
Reported as:
Count of participants · Participants
Wearing Tolerance of the SCD and Sleeve on the Upper Extremity.
ParticipantsSequential Compression Device (SCD) on Upper Extremity
Wearing Tolerance of the SCD and Sleeve on the Upper Extremity.20
SecondaryPain With SCD Sleeve and Device

Total number of subjects to report No pain measured by Visual Analogue Scale (VAS) where patient identifies pain on a line between "no pain" and "worst possible pain".

Time frame:
4 hours
Reported as:
Count of participants · Participants
Pain With SCD Sleeve and Device
ParticipantsSequential Compression Device (SCD) on Upper Extremity
Pain With SCD Sleeve and Device20
Other pre-specifiedNail Bed Color

Nail bed color will be observed and described/documented with terms of "normal", "dusky", or "bluish" in color

Time frame:
4 hours
Reported as:
Count of participants · Participants
Nail Bed Color
ParticipantsSequential Compression Device (SCD) on Upper Extremity
Normal20
Bluish0
Dusky0
Other pre-specifiedEdema Measured in Inches of Circumference of Forearm

Using tape measure the weak UE forearm will be measured in inches; 5 inches distal to cubital fossa, proximal from the wrist crease.

Time frame:
4 hours
Reported as:
Count of participants · Participants
Edema Measured in Inches of Circumference of Forearm
ParticipantsSequential Compression Device (SCD) on Upper Extremity
1.5 inch decrease in circumference2
1.25 inch decrease in circumference2
1 inch decrease in circumference2
.5 inch decrease in circumference1
.25 inch decrease in circumference6
No change in circumference3
.25 inch increase in circumference4
Other pre-specifiedUE Strength Using Motor Arm Subsection #5 of NIH Scale

The limb is placed in the appropriate position: extend the arm (palm down) 90 degrees if sitting or 45 degrees if supine. Drift is scored if the arm falls before 10 seconds. Documenting using Scale definition: 0=No drift, 1=Drift, 2=Some effort against gravity, 3=No effort against gravity; limb falls, 4=No movement

Time frame:
4 hours
Reported as:
Count of participants · Participants
UE Strength Using Motor Arm Subsection #5 of NIH Scale
ParticipantsSequential Compression Device (SCD) on Upper Extremity
4 (no movement)2
3 (no effort against gravity)3
2 (some effort against gravity)5
1 (drift)8
0 (no drift)2
Other pre-specifiedUE Sensation

Using cotton swab and lightly touching skin at dermatome points C2, C3, C4, C5, C6, C7, C8, T1, T2 using the International Standards for the Classification of Spinal Cord Injury Key Sensory Points documenting "Intact" or "Impaired"

Time frame:
4 hours
Reported as:
Count of participants · Participants
UE Sensation
ParticipantsSequential Compression Device (SCD) on Upper Extremity
Sensation Intact10
Sensation Impaired10
Other pre-specifiedUE Skin Integrity

Prior to placement of sleeve and upon removal of sleeve during check time skin will be visually assessed and the terms "Intact" or "Impaired" will be documented. Any new "redness", "rash", or "bruising" and "area" of arm will be documented and the need to remove sleeve at that time will be determined.

Time frame:
4 hours
Reported as:
Count of participants · Participants
UE Skin Integrity
ParticipantsSequential Compression Device (SCD) on Upper Extremity
Intact Skin Integrity20
Impaired Skin Integrity0
Other pre-specifiedUE Grip Strength

Using dynamometer in pounds measures affected hand strength at baseline and at 4-hours for each subject. This outcome measure was added approximately 1/2 way through the subject recruitment as a revision to this study to help capture subjects with hand weakness who may not have gross arm weakness (captured by Motor arm Subsection #5 outcome measure).

Time frame:
Baseline and at four-hours for each subject
Reported as:
Count of participants · Participants
UE Grip Strength
ParticipantsSequential Compression Device (SCD) on Upper Extremity
0 lbs baseline and 0 at 4 hours5
30 lbs at baseline and 34 lbs at 4 hours1
12 lbs at baseline and 10 lbs at 4 hours1
65 lbs at baseline and 62 lbs at 4 hours1
35 lbs at baseline and 35 lbs at 4 hours1
20 lbs at baseline and 2 lbs at 4 hours1
32 lbs at baseline and 38 lbs at 4 hours1

Adverse events

Collected over Adverse Event data was collected during the wearing trial (4 hours) of each subjects participation from dates 9/27/2022 to 11/14/2023. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sequential Compression Device (SCD) on Upper Extremity0/20 (0%)0/20 (0%)0/20 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Sequential Compression Device (SCD) on Upper Extremity
<=18 years0
Between 18 and 65 years10
>=65 years10
Sex: Female, Male
Sex: Female, Male(Participants)Sequential Compression Device (SCD) on Upper Extremity
Female7
Male13
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Sequential Compression Device (SCD) on Upper Extremity
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American3
White16
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Sequential Compression Device (SCD) on Upper Extremity
United States20
08

Study locations

1 site
  • C Joseph Yelvington
    Saint Johns, Florida 32259, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

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 Sep 2022 to primary completion in Nov 2023, 13 months.

Results were first posted in Jan 2025, 1 year 1 month after primary completion.

Of 221 non-industry interventional studies with no phase under Paresis, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 55. This study's 13 months is below that.

Counting every sponsor, half of 239 studies reached it within 32 months; a quarter within 13 and three quarters within 55.

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

Registered
Aug 19, 2022
First posted
Sep 10, 2022
StartActual
Sep 27, 2022
Primary completionActual
Nov 14, 2023
CompletionActual
Nov 14, 2023
Results first posted
Jan 9, 2025
Last update
Jan 9, 2025
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 Jan 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05535257
Lead sponsor
Mayo Clinic
Responsible party
Suzanne K. Langley (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Sep 10, 2022
Start date
Sep 27, 2022
Primary completion
Nov 14, 2023
Completion
Nov 14, 2023
Results posted
Jan 9, 2025
Last update
Jan 9, 2025

Study contacts

Suzanne Langley, OT
principal investigator · Mayo Clinic

Oversight

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

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