The Role of Auditory Feedback in Guiding Upper Extremity Movements

NCT ID: NCT02100306

Last Updated: 2014-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2015-09-30

Brief Summary

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Stroke is one of the leading causes of disability, with an estimated prevalence of 50,000 cases per year in Canada. Less than half of stroke patients regain use of their arm and hand. There is currently no intervention regime that is the gold standard, despite the variety of therapeutic techniques used to treat the upper extremity post-stroke. The use of external feedback to improve motor learning is a technique that has been less studied but shows promise. Therefore, the purpose of this proof of principle study it to test whether different auditory feedback frequencies can facilitate reaching ability in people with stroke. In addition brain scans will be collected that will enable us to determine how stroke severity may impact on one's ability to improve with this technique.

We hypothesize that patients who receive less feedback (50% alternate) will have enhanced learning relative to the patients who receive more feedback (100%).

Detailed Description

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Conditions

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Stroke

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Patients

Patients will receive:

Auditory Feedback 100% Auditory Feedback 50% alternate

Group Type EXPERIMENTAL

Auditory Feedback 100%

Intervention Type BEHAVIORAL

Patients will receive constant auditory feedback across training trials.

Auditory Feedback 50% alternate

Intervention Type BEHAVIORAL

Patients will receive alternating auditory feedback (1 trial auditory feedback; 1 trial no auditory feedback) across trials

Interventions

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Auditory Feedback 100%

Patients will receive constant auditory feedback across training trials.

Intervention Type BEHAVIORAL

Auditory Feedback 50% alternate

Patients will receive alternating auditory feedback (1 trial auditory feedback; 1 trial no auditory feedback) across trials

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Unilateral first time MCA ischemic stroke
* Stroke patients should have some movement of shoulder/elbow (no movement of hand - e.g. hand, fingers - is OK)
* \> 2 months post
* between 30-85 years

Exclusion Criteria

* prior stroke
* severe comprehension (or cognitive) deficit that compromises informed consent or understanding of instructions
* contraindications to MRI (e.g. claustrophobia, metal implants)
* neurodegenerative or psychiatric disease
* apraxia
* auditory deficits that would impair testing
* prior musculoskeletal injury to back or upper extremity (including shoulder subluxation from stroke)
* skin conditions that would preclude taping of goniometers
Minimum Eligible Age

30 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sunnybrook Health Sciences Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joyce Chen, PhD

Role: PRINCIPAL_INVESTIGATOR

Canadian Partnership for Stroke Recovery

Locations

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Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Central Contacts

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Tea Lulic, MSc

Role: CONTACT

Phone: 416 480-6100

Email: [email protected]

Related Links

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Other Identifiers

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JCH-1234-SF

Identifier Type: -

Identifier Source: org_study_id