Trial Outcomes & Findings for Error Enhancement of the Velocity Component (NCT NCT02017093)

NCT ID: NCT02017093

Last Updated: 2016-01-13

Results Overview

While reaching, people have typical movement pattern of trajectory, moving the end-effector (hand) in straight line. The abnormal motor control after a stroke may cause these patients to deviate from this pattern. Our robotic device enabled us to measure the magnitude of the deviation from the optimal profile of healthy people. This was followed by a calculation of the average error the paricipants made in each treatment session. So we finally recieved a score of the average magnitude of trajectory error the participants made through a treatment session. Each treatment seesoin composed of about 100 reaching movements. The outcome measure expresses the change in the movement error from T1 to T2.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

7 participants

Primary outcome timeframe

The outcome was assessed at the begining of the rehabilitation (T1) and about 5 weeks later at the end of rehabilitation (T2).

Results posted on

2016-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Error Enhancement
Training of the upper extremity, using a robotic deviset with error enhanced forces and traditional therapy. Error Enhancement deXtreme's prototype robot: The subjects were seated on comfortable chairs, individually adjusted, and connected to a manipulandum of deXtreme's prototype robot. We situated the chair so that the computer monitor could be clearly observed by the subject. Each subject's affected extremity was harnessed to a handle connected to a robotic arm accompanying the movement Optimal Velocity Profile and Calculation of Error Enhancement: Fugl-Meyer (FM) and the Motor Assessment Scale (MAS) tests were included.
Control Group: Traditional Therapy
Training of the upper extremity, using a robotic deviset without forces applied and traditional therapy. Error Enhancement deXtreme's prototype robot: The subjects were seated on comfortable chairs, individually adjusted, and connected to a manipulandum of deXtreme's prototype robot. We situated the chair so that the computer monitor could be clearly observed by the subject. Each subject's affected extremity was harnessed to a handle connected to a robotic arm accompanying the movement Optimal Velocity Profile and Calculation of Error Enhancement: Fugl-Meyer (FM) and the Motor Assessment Scale (MAS) tests were included.
Overall Study
STARTED
4
3
Overall Study
COMPLETED
4
3
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Error Enhancement of the Velocity Component

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study
n=4 Participants
Patients admitted to rehabilitation center after a stroke.
Control
n=3 Participants
Patients admitted to rehabilitation center after a stroke.
Total
n=7 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Continuous
60.5 years
STANDARD_DEVIATION 9.9 • n=5 Participants
57.33 years
STANDARD_DEVIATION 7.3 • n=7 Participants
59.14 years
STANDARD_DEVIATION 9.04 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Fugl-Meyer assessment score
53.2 units on a scale
STANDARD_DEVIATION 3.26 • n=5 Participants
54.3 units on a scale
STANDARD_DEVIATION 5.43 • n=7 Participants
53.7 units on a scale
STANDARD_DEVIATION 4.36 • n=5 Participants

PRIMARY outcome

Timeframe: The outcome was assessed at the begining of the rehabilitation (T1) and about 5 weeks later at the end of rehabilitation (T2).

While reaching, people have typical movement pattern of trajectory, moving the end-effector (hand) in straight line. The abnormal motor control after a stroke may cause these patients to deviate from this pattern. Our robotic device enabled us to measure the magnitude of the deviation from the optimal profile of healthy people. This was followed by a calculation of the average error the paricipants made in each treatment session. So we finally recieved a score of the average magnitude of trajectory error the participants made through a treatment session. Each treatment seesoin composed of about 100 reaching movements. The outcome measure expresses the change in the movement error from T1 to T2.

Outcome measures

Outcome measures
Measure
Error Enhancement
n=4 Participants
Training of the upper extremity, using a robotic deviset with error enhanced forces and traditional therapy. Error Enhancement deXtreme's prototype robot: The subjects were seated on comfortable chairs, individually adjusted, and connected to a manipulandum of deXtreme's prototype robot. We situated the chair so that the computer monitor could be clearly observed by the subject. Each subject's affected extremity was harnessed to a handle connected to a robotic arm accompanying the movement Optimal Velocity Profile and Calculation of Error Enhancement: Fugl-Meyer (FM) and the Motor Assessment Scale (MAS) tests were included.
Control Group: Traditional Therapy
n=3 Participants
Training of the upper extremity, using a robotic deviset without forces applied and traditional therapy. Error Enhancement deXtreme's prototype robot: The subjects were seated on comfortable chairs, individually adjusted, and connected to a manipulandum of deXtreme's prototype robot. We situated the chair so that the computer monitor could be clearly observed by the subject. Each subject's affected extremity was harnessed to a handle connected to a robotic arm accompanying the movement Optimal Velocity Profile and Calculation of Error Enhancement: Fugl-Meyer (FM) and the Motor Assessment Scale (MAS) tests were included.
Improvement in Average Movement Trajectory Error From T1 to T2
2.31 cm
Standard Deviation 1.52
2.4 cm
Standard Deviation 1.2

PRIMARY outcome

Timeframe: The measured assessed at the begining of the rehabilitation (T1) and about 5 weeks later at the end of the rehabilitation (T2).

The Fugl-Meyer assessment score (FM) is a zero (disabaled function) to 66 points (high level of function) scale that evaluates the level of the motor impairment of the upper extremity, in stroke patients.

Outcome measures

Outcome measures
Measure
Error Enhancement
n=4 Participants
Training of the upper extremity, using a robotic deviset with error enhanced forces and traditional therapy. Error Enhancement deXtreme's prototype robot: The subjects were seated on comfortable chairs, individually adjusted, and connected to a manipulandum of deXtreme's prototype robot. We situated the chair so that the computer monitor could be clearly observed by the subject. Each subject's affected extremity was harnessed to a handle connected to a robotic arm accompanying the movement Optimal Velocity Profile and Calculation of Error Enhancement: Fugl-Meyer (FM) and the Motor Assessment Scale (MAS) tests were included.
Control Group: Traditional Therapy
n=3 Participants
Training of the upper extremity, using a robotic deviset without forces applied and traditional therapy. Error Enhancement deXtreme's prototype robot: The subjects were seated on comfortable chairs, individually adjusted, and connected to a manipulandum of deXtreme's prototype robot. We situated the chair so that the computer monitor could be clearly observed by the subject. Each subject's affected extremity was harnessed to a handle connected to a robotic arm accompanying the movement Optimal Velocity Profile and Calculation of Error Enhancement: Fugl-Meyer (FM) and the Motor Assessment Scale (MAS) tests were included.
Fugl-Meyer Assessment Score
Fugl-Meyer score at T1
53.2 units on a scale
Standard Deviation 3.26
54.33 units on a scale
Standard Deviation 5.43
Fugl-Meyer Assessment Score
Fugl-Meyer score at T2
56.75 units on a scale
Standard Deviation 2.38
55.33 units on a scale
Standard Deviation 4.49

Adverse Events

Error Enhancement

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

Control Group: Traditional Therapy

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

Prof. Eli Carmeli

University of Haifa

Phone: 972-4-8288-397

Results disclosure agreements

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