Trial Outcomes & Findings for Heart-Brain Retraining for Stroke Rehabilitation (NCT NCT02076776)

NCT ID: NCT02076776

Last Updated: 2018-08-31

Results Overview

This consists of 2 strength tasks and 15 timed tasks of both the affected UE and the unaffected UE. Total Functional Ability Score is reported, scores range from 0-75, with higher scores indicating a better outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

Baseline, End of Treatment (8 weeks); End of Treatment + 4 week (12 weeks)

Results posted on

2018-08-31

Participant Flow

One participant consented to the study, but had abnormal stress test results. This participant declined follow-up care and withdrew from the study before completing the baseline and randomization process.

Participant milestones

Participant milestones
Measure
Repetitive Task Practice (RTP)
This group focuses on RTP. Repetitive Task Practice (RTP): This group will preform arm and hand therapy.
Voluntary Cycling + RTP
This group involves one biking session and one RTP session three times per week for eight weeks. Voluntary cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Assisted Cycling + RTP
This group involves one biking session and one RTP session three times per week for eight weeks. Assisted cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Overall Study
STARTED
6
8
6
Overall Study
COMPLETED
5
6
6
Overall Study
NOT COMPLETED
1
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Heart-Brain Retraining for Stroke Rehabilitation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Repetitive Task Practice (RTP)
n=6 Participants
This group focuses on RTP. Repetitive Task Practice (RTP): This group will preform arm and hand therapy.
Voluntary Cycling + RTP
n=8 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Voluntary cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Assisted Cycling + RTP
n=6 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Assisted cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Total
n=20 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
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
16 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Age, Continuous
61.67 years
STANDARD_DEVIATION 7.45 • n=5 Participants
59.38 years
STANDARD_DEVIATION 15.57 • n=7 Participants
44.83 years
STANDARD_DEVIATION 11.72 • n=5 Participants
55.70 years
STANDARD_DEVIATION 13.94 • n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
16 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
8 Participants
n=7 Participants
6 Participants
n=5 Participants
20 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
6 Participants
n=7 Participants
3 Participants
n=5 Participants
13 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
6 Participants
n=5 Participants
8 Participants
n=7 Participants
6 Participants
n=5 Participants
20 Participants
n=4 Participants
Wolf Motor Function Test
45.17 units on a scale
STANDARD_DEVIATION 17.38 • n=5 Participants
49.75 units on a scale
STANDARD_DEVIATION 20.25 • n=7 Participants
59.83 units on a scale
STANDARD_DEVIATION 9.06 • n=5 Participants
51.40 units on a scale
STANDARD_DEVIATION 16.97 • n=4 Participants
Fugl-Meyer Assessment
26.83 units on a scale
STANDARD_DEVIATION 7.83 • n=5 Participants
34.75 units on a scale
STANDARD_DEVIATION 13.58 • n=7 Participants
36.17 units on a scale
STANDARD_DEVIATION 7.41 • n=5 Participants
32.80 units on a scale
STANDARD_DEVIATION 10.72 • n=4 Participants
Stroke Impact Scale
31.67 units on a scale
STANDARD_DEVIATION 35.73 • n=5 Participants
34.38 units on a scale
STANDARD_DEVIATION 28.72 • n=7 Participants
50.83 units on a scale
STANDARD_DEVIATION 32.00 • n=5 Participants
38.50 units on a scale
STANDARD_DEVIATION 31.29 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline, End of Treatment (8 weeks); End of Treatment + 4 week (12 weeks)

This consists of 2 strength tasks and 15 timed tasks of both the affected UE and the unaffected UE. Total Functional Ability Score is reported, scores range from 0-75, with higher scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Repetitive Task Practice (RTP)
n=5 Participants
This group focuses on RTP. Repetitive Task Practice (RTP): This group will preform arm and hand therapy.
Voluntary Cycling + RTP
n=6 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Voluntary cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Assisted Cycling + RTP
n=6 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Assisted cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Wolf Motor Function Test (WMFT)
Baseline
45.17 units on a scale
Standard Deviation 17.38
49.75 units on a scale
Standard Deviation 20.25
59.83 units on a scale
Standard Deviation 9.06
Wolf Motor Function Test (WMFT)
EOT
49.80 units on a scale
Standard Deviation 18.94
48.83 units on a scale
Standard Deviation 18.10
68.67 units on a scale
Standard Deviation 6.31
Wolf Motor Function Test (WMFT)
EOT+4
50.80 units on a scale
Standard Deviation 21.35
50.33 units on a scale
Standard Deviation 19.35
69.50 units on a scale
Standard Deviation 5.61

SECONDARY outcome

Timeframe: Baseline, End of Treatment (8 weeks); End of Treatment + 4 week (12 weeks)

This is a 33 item assessment of post-stroke UE impairment. Total score is reported, scores range from 0-66, with higher scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Repetitive Task Practice (RTP)
n=5 Participants
This group focuses on RTP. Repetitive Task Practice (RTP): This group will preform arm and hand therapy.
Voluntary Cycling + RTP
n=6 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Voluntary cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Assisted Cycling + RTP
n=6 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Assisted cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
The Fugl-Meyer Assessment (FMA)
Baseline
26.83 units on a scale
Standard Deviation 7.83
34.75 units on a scale
Standard Deviation 13.58
36.17 units on a scale
Standard Deviation 7.41
The Fugl-Meyer Assessment (FMA)
EOT
29.80 units on a scale
Standard Deviation 11.97
35.33 units on a scale
Standard Deviation 14.65
48.50 units on a scale
Standard Deviation 6.75
The Fugl-Meyer Assessment (FMA)
EOT+4
33.40 units on a scale
Standard Deviation 15.04
37.00 units on a scale
Standard Deviation 17.56
51.17 units on a scale
Standard Deviation 3.06

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, End of Treatment (8 weeks); End of Treatment + 4 week (12 weeks)

This is a self-reported questionnaire evaluating quality of life. Normalized Hand Function is reported, scores range from 0-100, with higher scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Repetitive Task Practice (RTP)
n=5 Participants
This group focuses on RTP. Repetitive Task Practice (RTP): This group will preform arm and hand therapy.
Voluntary Cycling + RTP
n=6 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Voluntary cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Assisted Cycling + RTP
n=6 Participants
This group involves one biking session and one RTP session three times per week for eight weeks. Assisted cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
The Stroke Impact Scale (SIS)
EOT
35.00 units on a scale
Standard Deviation 26.93
45.00 units on a scale
Standard Deviation 41.95
68.33 units on a scale
Standard Deviation 15.38
The Stroke Impact Scale (SIS)
EOT+4
34.00 units on a scale
Standard Deviation 22.75
51.67 units on a scale
Standard Deviation 37.24
66.67 units on a scale
Standard Deviation 22.73
The Stroke Impact Scale (SIS)
Baseline
31.67 units on a scale
Standard Deviation 35.73
34.38 units on a scale
Standard Deviation 28.72
50.83 units on a scale
Standard Deviation 32.00

Adverse Events

Repetitive Task Practice (RTP)

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

Voluntary Cycling + RTP

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

Assisted Cycling + RTP

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

Serious adverse events

Serious adverse events
Measure
Repetitive Task Practice (RTP)
n=6 participants at risk
This group focuses on RTP. Repetitive Task Practice (RTP): This group will preform arm and hand therapy.
Voluntary Cycling + RTP
n=8 participants at risk
This group involves one biking session and one RTP session three times per week for eight weeks. Voluntary cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
Assisted Cycling + RTP
n=6 participants at risk
This group involves one biking session and one RTP session three times per week for eight weeks. Assisted cycling + RTP: This group will preform arm and hand therapy and cycle on a bike.
General disorders
Recurrent stroke
0.00%
0/6
12.5%
1/8 • Number of events 1
0.00%
0/6

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jay Alberts

Cleveland Clinic

Phone: 216 445-3222

Results disclosure agreements

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