Trial Outcomes & Findings for Upper Arm Training With Armeo Spring for Stroke (NCT NCT01485354)

NCT ID: NCT01485354

Last Updated: 2017-07-12

Results Overview

The upper-extremity Fugl-Meyer scale allow one to assess the severity of motor impairments in stroke survivors using a scale from 0 (severe impairment) to 66 (no impairment). It is based on visual observations gathered by asking subjects to perform upper-limb movements using the stroke-affected limb. Therapists rate the performance of the motor tasks using an ordinal scale ranging from 0 (cannot perform) to 2 (can perform fully) that captures the motor ability of the individual. The investigators computed the difference between the Fugl-Meyer score at completion of the 3-week intervention and the Fugl-Meyer score at baseline.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

17 participants

Primary outcome timeframe

Data collected at baseline and at completion of the 3-week intervention

Results posted on

2017-07-12

Participant Flow

Subjects were recruited primarily among the outpatient population of stroke survivors at Spaulding Rehabilitation Hospital. We primarily relied upon a registry of stroke survivors who had agreed to be contacted for research studies with focus on stroke rehabilitation.

Participant milestones

Participant milestones
Measure
Armeo Spring Training
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Overall Study
STARTED
17
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Armeo Spring Training
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Overall Study
Withdrawal by Subject
5

Baseline Characteristics

Upper Arm Training With Armeo Spring for Stroke

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Armeo Spring Training
n=17 Participants
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Age, Continuous
58.5 years
STANDARD_DEVIATION 10.6 • n=93 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
Sex: Female, Male
Male
10 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=93 Participants
Race (NIH/OMB)
White
14 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
United States
17 participants
n=93 Participants

PRIMARY outcome

Timeframe: Data collected at baseline and at completion of the 3-week intervention

Population: Please notice that we recruited 17 subjects, but 5 subjects withdrew from the study. Herein, we report the results for those subjects who completed the study.

The upper-extremity Fugl-Meyer scale allow one to assess the severity of motor impairments in stroke survivors using a scale from 0 (severe impairment) to 66 (no impairment). It is based on visual observations gathered by asking subjects to perform upper-limb movements using the stroke-affected limb. Therapists rate the performance of the motor tasks using an ordinal scale ranging from 0 (cannot perform) to 2 (can perform fully) that captures the motor ability of the individual. The investigators computed the difference between the Fugl-Meyer score at completion of the 3-week intervention and the Fugl-Meyer score at baseline.

Outcome measures

Outcome measures
Measure
Armeo Spring Training
n=12 Participants
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Change in Upper-extremity Fugl-Meyer Score (Measure of Motor Impairment) (i.e. Difference Between Fugl-Meyer Score at Baseline and at Completion of the 3-week Intervention)
6.4 units on a scale
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Data collected at baseline and at completion of the 3-week intervention

Population: Please notice that we recruited 17 subjects, but 5 subjects withdrew from the study. Herein, we report the results for those subjects who completed the study.

The Wolf Motor Function test is designed to assess the severity of functional limitations in stroke survivors. The scale is administered by asking subjects to perform a series of functional movements (e.g. reach for and pick up a paperclip). The outcome of the assessment is the average time needed to perform the motor tasks that are part of the assessment. The score ranges from 0 to 120 s (i.e. if the subject is unable to perform the task, the score for that task is set to 120 s). The investigators computed the difference between the Wolf Motor Function Test score at completion of the 3-week intervention and the Wolf Motor Function Test score at baseline.

Outcome measures

Outcome measures
Measure
Armeo Spring Training
n=12 Participants
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Change in Wolf Motor Function Test Score (a Functional Test) (i.e. Difference Between Wolf Motor Function Test Score at Baseline and at Completion of the 3-week Intervention)
6.6 sec
Standard Deviation 12.6

SECONDARY outcome

Timeframe: Data collected at baseline and at completion of the 3-week intervention

Population: Please notice that we recruited 17 subjects, but 5 subjects withdrew from the study. Herein, we report the results for those subjects who completed the study.

The Functional Ability Scale is designed to assess the quality of movement during the performance of a battery of functional tasks. Therapists observe the subject while performing the motor tasks and use an ordinal scale to rate the quality of movement. The scale used to rate each motor task ranges from 0 to 5. The Functional Ability Scale is derived by adding up the scores for each motor task performed by the subject. Subjects perform 15 motor tasks. Hence the Functional Ability Scale score varies from 0 (very poor quality of movement) to 75 (physiological movement). The investigators computed the difference between the Functional Ability Scale score at completion of the 3-week intervention and the Functional Ability Scale score at baseline.

Outcome measures

Outcome measures
Measure
Armeo Spring Training
n=12 Participants
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Change in Functional Ability Scale Score (Scale to Rate Quality of Movement) (i.e. Difference Between Functional Ability Scale Score at Baseline and at Completion of the 3-week Intervention)
0.3 units on a scale
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Data collected at baseline and at completion of the 3-week intervention

Population: Please notice that we recruited 17 subjects, but 5 subjects withdrew from the study. Herein, we report the results for those subjects who completed the study.

The Box and Block test is designed to assess manual dexterity in subjects with motor impairments. Subjects are asked to move small wooden blocks from one box to another, moving their stroke-affected arm over a divider between the two boxes. The output of the test is the number of blocks that the subject moves from one box to the other within a set amount of time (i.e. 1 min). Older adults who are otherwise healthy would typically move 60 to 70 blocks in 1 min. Hence, the range of the scale for older adults is 0 to 70. The investigators computed the difference between the Box and Block Test score at completion of the 3-week intervention and the Box and Block Test score at baseline.

Outcome measures

Outcome measures
Measure
Armeo Spring Training
n=12 Participants
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Change in Box and Block Test Score (Manual Dexterity Test) (i.e. Difference Between Box and Block Test Score at Baseline and at Completion of the 3-week Intervention)
1.1 number of blocks
Standard Deviation 3.2

SECONDARY outcome

Timeframe: Data collected at baseline and at completion of the 3-week intervention

Population: Please notice that we recruited 17 subjects, but 5 subjects withdrew from the study. Herein, we report the results for those subjects who completed the study.

This test is carried out by using a hand dynamometer that measures the grip strength of the individual in kilograms (used as a measure of force). Subjects are instructed to position the thumb on one handle of the dynamometer and the other fingers on the other handle of the dynamometer. The device measures the force generated by the subject using a power grip. The investigators computed the difference between the Grip Strength value at completion of the 3-week intervention and the Grip Strength value at baseline.

Outcome measures

Outcome measures
Measure
Armeo Spring Training
n=12 Participants
Subjects participated in upper extremity rehabilitation using the Armeo Spring system for a period of 6 weeks. The intervention consisted of 18 training sessions (60 minute sessions, 3 times a week). Armeo Spring training: Upper-limb training using the Armeo system for a period of 6 weeks
Change in Grip Strength (Strength Test) (i.e. Difference Between Grip Strength at Baseline and at Completion of the 3-week Intervention)
3.0 kg
Standard Deviation 5.2

Adverse Events

Armeo Spring Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Paolo Bonato

Spaulding Rehabilitation Hospital

Phone: 617-952-6319

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place