Passive Tactile Stimulation for Stroke Rehabilitation

NCT ID: NCT03814889

Last Updated: 2024-04-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-15

Study Completion Date

2022-12-31

Brief Summary

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Stroke can lead to weakness and spasticity in the arm or hand. The purpose of this study is to optimize the design of gentle vibratory stimulation delivered to the hands of individuals with chronic stroke, and explore the effect on range of movement and spasticity.

Detailed Description

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Conditions

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Stroke Stroke, Ischemic Stroke Hemorrhagic Spasticity as Sequela of Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Acute Stimulation: Vibration pattern 1-3 and sham control

All participants try on several wearable prototypes in our laboratory that provide vibration or sham stimulation to the arm. Sensors or electrodes taped onto the arm and hand will sense muscle activity and record any changes during periods of vibration and periods with vibration turned off.

Group Type ACTIVE_COMPARATOR

Vibration pattern

Intervention Type DEVICE

Vibration patterns applied to the affected limb based on pilot study results.

No vibration

Intervention Type DEVICE

These patients will wear a glove with a blinking light instead of feeling vibrations.

Longitudinal Stimulation: Vibration pattern 4

1\) If the patient gets Botox injections in their hand and arm, their arm function will be measured for three months during this standard care. 2) Next, all patients will be given a wearable device to take home. The patient will wear the device while feeling vibrations for 3 hours during the day while awake for two months. During this time and 1 month after this intervention, arm function will be tested.

Group Type ACTIVE_COMPARATOR

Vibration pattern

Intervention Type DEVICE

Vibration patterns applied to the affected limb based on pilot study results.

Interventions

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Vibration pattern

Vibration patterns applied to the affected limb based on pilot study results.

Intervention Type DEVICE

No vibration

These patients will wear a glove with a blinking light instead of feeling vibrations.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 18 and older.
* diagnosis of stroke with upper extremity spasticity or other movement deficits that affect strength and range of movement.
* willing to participate in the vibrotactile stimulation sessions for consecutive days and willing to return for follow up visits as needed for the PHASE in progress.
* able to provide informed consent.

Exclusion Criteria

* Patients with severe contracture that precludes Modified Ashworth Score (MAS) testing.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Allison Okamura

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Allison M Okamura, PhD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford Neuroscience Health Center

Palo Alto, California, United States

Site Status

Countries

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United States

References

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Seim C, Chen B, Han C, Vacek D, Wu LS, Lansberg M, Okamura A. Relief of post-stroke spasticity with acute vibrotactile stimulation: controlled crossover study of muscle and skin stimulus methods. Front Hum Neurosci. 2023 Aug 29;17:1206027. doi: 10.3389/fnhum.2023.1206027. eCollection 2023.

Reference Type DERIVED
PMID: 37706171 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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49330

Identifier Type: -

Identifier Source: org_study_id

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