Use of Dynamic Arm Supports to Promote Activities of Daily Living in Individuals With DMD

NCT ID: NCT03531788

Last Updated: 2022-02-18

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-30

Study Completion Date

2020-12-31

Brief Summary

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This study is a longitudinal, randomized control trial evaluating the use of two commercially available dynamic arm support devices (1) Armon Ayura-Kinova and 2) JAECO WREX) to promote participation in activities of daily living (ADLs) in non-ambulatory individuals with Duchenne muscular dystrophy (DMD) with upper extremity weakness.

Detailed Description

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This study is a longitudinal, randomized control trial evaluating the use of two commercially available dynamic arm support devices (1) Armon Ayura-Kinova and 2) JAECO WREX) to promote participation in activities of daily living (ADLs) in non-ambulatory individuals with Duchenne muscular dystrophy (DMD) with upper extremity weakness. Up to 30 individuals will be enrolled to participate in this research study, which includes a two-week baseline data collection period, a four-week device trial and a two-week post device data collection period. Participants will be randomly assigned to trial one of the dynamic arm support devices during the four week in-home trial. The ActiGraph GT9x (name of device), a wrist worn activity monitoring device, will be worn during the baseline period, the device trial and the post device data collection period to capture upper extremity (UE) movement patterns. UE performance will be further quantified with use of a physical motor assessment, the Performance of Upper Limb (PUL) assessment and patient reported outcomes. Data gleaned will provide important knowledge and objective results regarding the potential benefit of dynamic arm supports in individuals with DMD with limited functional use of their upper extremities.

Conditions

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Duchenne Muscular Dystrophy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned to trial a dynamic arm support (Armon Ayura (Kinova) or JAECO WREX)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Armon Ayura (Kinova)

Participants will trial the Armon Ayura dynamic arm support.

Group Type EXPERIMENTAL

Armon Ayura (Kinova)

Intervention Type DEVICE

Actively assisted mechanical arm support (electric powered to balance arm)

JAECO WREX

Participants will trial the JAECO Wilmington Robotic EXoskeleton (WREX) dynamic arm support.

Group Type EXPERIMENTAL

JAECO Wrex

Intervention Type DEVICE

Passive mechanical arm support (elastic bands to balance arm)

Interventions

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Armon Ayura (Kinova)

Actively assisted mechanical arm support (electric powered to balance arm)

Intervention Type DEVICE

JAECO Wrex

Passive mechanical arm support (elastic bands to balance arm)

Intervention Type DEVICE

Other Intervention Names

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Kinova

Eligibility Criteria

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Inclusion Criteria

1. 14 years of age or older
2. Self-report diagnosis of Duchenne muscular dystrophy (DMD)
3. Use a wheelchair for mobility
4. Score 3-5 on the Brooke Upper Extremity (UE) Scale
5. Self-report of needs assistance/unable to achieve independently on at least 10 items on the Upper Limb Activities of Daily Living (UL ADL) self-report questionnaire
6. Able to follow instructions
7. Informed consent provided by self (18 and over) or by parent or legal guardian (if under the age of 18)

Exclusion Criteria

1. Does not have minimum level of UE function to operate the assigned dynamic arm support (Score of 6 on the Brooke UE scale or any other impairment limiting use)
2. The assigned dynamic arm support is unable to be mounted to wheelchair (mounts will vary based on manufacturer/model of wheelchair)
Minimum Eligible Age

14 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Roxanna Marie Bendixen

OTHER

Sponsor Role lead

Responsible Party

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Roxanna Marie Bendixen

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Roxanna M Bendixen, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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PRO18010005

Identifier Type: -

Identifier Source: org_study_id

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