Trial Outcomes & Findings for Passive Tactile Stimulation for Stroke Rehabilitation (NCT NCT03814889)

NCT ID: NCT03814889

Last Updated: 2024-04-08

Results Overview

Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome. Measures spastic hypertonia by manually moving an affected joint at set velocities. Scores: 0 (0) - No increase in muscle tone 1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension 1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

35 participants

Primary outcome timeframe

Change from Baseline Modified Ashworth at 12 weeks

Results posted on

2024-04-08

Participant Flow

Participant milestones

Participant milestones
Measure
Acute Stimulation: Vibration Pattern 1-3 and Sham Control
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
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.
Acute Testing
STARTED
14
0
Acute Testing
COMPLETED
14
0
Acute Testing
NOT COMPLETED
0
0
Longitudinal Testing
STARTED
0
21
Longitudinal Testing
COMPLETED
0
20
Longitudinal Testing
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Passive Tactile Stimulation for Stroke Rehabilitation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
n=14 Participants
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
Longitudinal Stimulation: Vibration Pattern 4
n=21 Participants
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.
Total
n=35 Participants
Total of all reporting groups
Age, Continuous
60 years
STANDARD_DEVIATION 10.3 • n=5 Participants
54.4 years
STANDARD_DEVIATION 13.2 • n=7 Participants
56.8 years
STANDARD_DEVIATION 11.3 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
14 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
20 Participants
n=7 Participants
34 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 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
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
12 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
14 participants
n=5 Participants
21 participants
n=7 Participants
35 participants
n=5 Participants

PRIMARY outcome

Timeframe: Change from Baseline Modified Ashworth at 12 weeks

Population: This measure was conducted on only one group.

Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome. Measures spastic hypertonia by manually moving an affected joint at set velocities. Scores: 0 (0) - No increase in muscle tone 1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension 1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
Longitudinal Stimulation: Vibration Pattern 4
n=20 Participants
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.
Change in Modified Ashworth at 12 Weeks
1.1 units on a scale
Standard Error 0.22

PRIMARY outcome

Timeframe: Change from Baseline Modified Ashworth at 8 weeks

Population: This measure was conducted on only one group.

Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale) Lower Modified Ashworth scale values indicate a better outcome. Measures spastic hypertonia by manually moving an affected joint at set velocities. Scores: 0 (0) - No increase in muscle tone 1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension 1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
Longitudinal Stimulation: Vibration Pattern 4
n=20 Participants
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.
Change in Modified Ashworth at 8 Weeks
0.9 units on a scale
Standard Error 0.28

PRIMARY outcome

Timeframe: Change from Baseline Range of Motion at 8 weeks

Population: This measure was conducted on only one group.

Finger extension range.

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
Longitudinal Stimulation: Vibration Pattern 4
n=20 Participants
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.
Change in Range of Motion at 8 Weeks
11.6 degrees of finger extension
Standard Error 5.2

PRIMARY outcome

Timeframe: Change from Baseline Range of Motion at 12 weeks

Population: This measure was conducted on only one group.

Finger extension range.

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
Longitudinal Stimulation: Vibration Pattern 4
n=20 Participants
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.
Change in Range of Motion at 12 Weeks
18.4 degrees of finger extension
Standard Error 4.3

PRIMARY outcome

Timeframe: 20 minutes after stimulation start

Population: This measure was only taken for one group of patients.

Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome. Measures spastic hypertonia by manually moving an affected joint at set velocities. Scores: 0 (0) - No increase in muscle tone 1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension 1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
n=14 Participants
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
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.
Change in Modified Ashworth During Stimulation (Pattern 1).
0.39 units on a scale
Standard Deviation 0.96

PRIMARY outcome

Timeframe: 20 minutes after stimulation start

Population: This measure was only taken for one group of patients.

Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome. Measures spastic hypertonia by manually moving an affected joint at set velocities. Scores: 0 (0) - No increase in muscle tone 1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension 1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
n=14 Participants
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
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.
Change in Modified Ashworth During Stimulation (Pattern 2).
0.25 units on a scale
Standard Deviation 0.86

PRIMARY outcome

Timeframe: 20 minutes after stimulation start

Population: This measure was only taken for one group of patients.

Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome. Measures spastic hypertonia by manually moving an affected joint at set velocities. Scores: 0 (0) - No increase in muscle tone 1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension 1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
n=14 Participants
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
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.
Change in Modified Ashworth During Stimulation (Pattern 3).
1.11 units on a scale
Standard Deviation 0.84

PRIMARY outcome

Timeframe: 20 minutes after stimulation start

Population: This measure was only taken for one group.

Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome. Measures spastic hypertonia by manually moving an affected joint at set velocities. Scores: 0 (0) - No increase in muscle tone 1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension 1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

Outcome measures

Outcome measures
Measure
Acute Stimulation: Vibration Patterns 1-3 and Sham Control
n=14 Participants
All participants try on several wearable prototypes in our laboratory that provide vibration 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.
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.
Change in Modified Ashworth During Stimulation (Sham Control).
0 units on a scale
Standard Deviation 0.56

Adverse Events

Vibration Pattern 1

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

Vibration Pattern 2

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

Vibration Pattern 3

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

Sham Control

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

Vibration Pattern 4

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

Allison Okamura

Stanford University

Phone: (650) 723-3148

Results disclosure agreements

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