Trial Outcomes & Findings for Upper Extremity Rehabilitation With the BURT Robotic Arm (NCT NCT03965403)

NCT ID: NCT03965403

Last Updated: 2020-02-19

Results Overview

Assessment of upper extremity impairments. Individual items of the scale are summed for a total score ranking from 0 to 66. Higher scores indicate better outcomes.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

7 participants

Primary outcome timeframe

6 weeks

Results posted on

2020-02-19

Participant Flow

Participant milestones

Participant milestones
Measure
Arm Motor Function Retraining With BURT
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Overall Study
STARTED
7
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm Motor Function Retraining With BURT
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Overall Study
Subject not meeting eligibility criteria
1

Baseline Characteristics

Upper Extremity Rehabilitation With the BURT Robotic Arm

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm Motor Function Retraining With BURT
n=6 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
Age, Continuous
67.38 years
STANDARD_DEVIATION 3.12 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 weeks

Assessment of upper extremity impairments. Individual items of the scale are summed for a total score ranking from 0 to 66. Higher scores indicate better outcomes.

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=6 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Fugl-Meyer Upper Extremity Scores
3.50 score on a scale
Standard Deviation 5.79

SECONDARY outcome

Timeframe: 6 weeks

Standardized measure of goals selection and scaling to calculate the extend to which the participant's goals are met. The Goal Attainment Scale ranges from -2 to +2. Positive scores indicates goals are better than expected, score of 0 indicates goals are met and negative scores indicates goals aren't met.

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=6 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Goal Attainment Scale Scores
0.22 score on a scale
Standard Deviation 0.65

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 weeks

Assessment of upper-extremity function by the performance time of the Wolf Motor Function Test). The average of the 15 items is reported. The time ranges from 0 to 120 seconds. A decrease in performance time is associated with improved upper-extremity function.

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=6 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Wolf Motor Function Test Scores (Time Subscale)
-6.43 Time (seconds)
Standard Deviation 11.30

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 weeks

Population: One study participant did not complete the questionnaire

Use of upper extremity in daily life. The self-reported amount of use is reported on a scale from 0 to 5. A score of zero is assigned when the hemiparetic side is not used during the activity of daily living, a score of 5 is assigned when the hemiparetic side is used as much as before the stroke. The 30 items of the scale are averaged. Higher scores are a sign of better use in daily life.

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=5 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Motor Activity Log Scores
0.42 score on a scale
Standard Deviation 0.46

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 weeks

Population: One study participant did not completed this evaluation

Assessment of muscle tone for upper extremity muscles. Score rank from 0 (no tone) to 4 (no movement possible). Lower scores indicates a better outcome. Tone at the shoulder and elbow were measured

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=5 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Modified Ashworth Scale Scores
Shouder flexors
-0.1 score on a scale
Standard Deviation 0.5
Changes From Baseline in Modified Ashworth Scale Scores
Shoulder extensors
0.1 score on a scale
Standard Deviation 0.9
Changes From Baseline in Modified Ashworth Scale Scores
Elbow flexors
0.3 score on a scale
Standard Deviation 0.7
Changes From Baseline in Modified Ashworth Scale Scores
Elbow extensors
0.1 score on a scale
Standard Deviation 1.1
Changes From Baseline in Modified Ashworth Scale Scores
Wrist flexors
-0.6 score on a scale
Standard Deviation 0.8
Changes From Baseline in Modified Ashworth Scale Scores
Wrist extensors
-0.2 score on a scale
Standard Deviation 0.8
Changes From Baseline in Modified Ashworth Scale Scores
Finger flexors
-0.5 score on a scale
Standard Deviation 0.5
Changes From Baseline in Modified Ashworth Scale Scores
Finger extensors
0.0 score on a scale
Standard Deviation 0.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 weeks

Population: One study participant did not complete this evaluation

Assessment of active arm range of motion with goniometry. Results are reported in degrees and higher ranges include better outcomes.

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=5 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Articulations Range of Motion
Shoulder Flexion
5.00 degrees
Standard Deviation 10.61
Changes From Baseline in Articulations Range of Motion
Shoulder extension
14.6 degrees
Standard Deviation 9.8
Changes From Baseline in Articulations Range of Motion
Shoulder ABD
5.4 degrees
Standard Deviation 10.9
Changes From Baseline in Articulations Range of Motion
Shoulder ADD
3.4 degrees
Standard Deviation 15.6
Changes From Baseline in Articulations Range of Motion
Shoulder IR
0 degrees
Standard Deviation 0
Changes From Baseline in Articulations Range of Motion
Shoulder ER
-5 degrees
Standard Deviation 10
Changes From Baseline in Articulations Range of Motion
Elbow Flexion
7.0 degrees
Standard Deviation 10.4
Changes From Baseline in Articulations Range of Motion
Elbow extension
1.0 degrees
Standard Deviation 27.7
Changes From Baseline in Articulations Range of Motion
Forearm pronation
2.0 degrees
Standard Deviation 10.9
Changes From Baseline in Articulations Range of Motion
Forearm supination
7.0 degrees
Standard Deviation 12.0
Changes From Baseline in Articulations Range of Motion
Wrist extension
-2.0 degrees
Standard Deviation 9.1
Changes From Baseline in Articulations Range of Motion
Wrist flexion
14.0 degrees
Standard Deviation 12.9
Changes From Baseline in Articulations Range of Motion
Ulnar flexion
5.6 degrees
Standard Deviation 5.2
Changes From Baseline in Articulations Range of Motion
Radial flexion
1.0 degrees
Standard Deviation 10.8
Changes From Baseline in Articulations Range of Motion
Index flexion
9.0 degrees
Standard Deviation 20.1
Changes From Baseline in Articulations Range of Motion
Index extension
-5.0 degrees
Standard Deviation 8.7

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 weeks

Population: One study participant did not completed this evaluation

Assessment of arm muscle strength using the manual muscle testing scale ranking from 0 (no contraction) to 10 (maximal strength). Higher scores indicate better outcomes.

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=5 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Manual Muscle Testing Scale Scores
Shoulder flexors
0.8 score on a scale
Standard Deviation 1.1
Changes From Baseline in Manual Muscle Testing Scale Scores
Shoulder extensors
1.6 score on a scale
Standard Deviation 1.1
Changes From Baseline in Manual Muscle Testing Scale Scores
Shoulder adductors
1.5 score on a scale
Standard Deviation 1.6
Changes From Baseline in Manual Muscle Testing Scale Scores
Shoulder abductors
-0.2 score on a scale
Standard Deviation 1.9
Changes From Baseline in Manual Muscle Testing Scale Scores
Shoulder internal rotators
0.2 score on a scale
Standard Deviation 1.1
Changes From Baseline in Manual Muscle Testing Scale Scores
Shoulder external rotators
0.3 score on a scale
Standard Deviation 1.1
Changes From Baseline in Manual Muscle Testing Scale Scores
Elbow flexors
1.4 score on a scale
Standard Deviation 1.1
Changes From Baseline in Manual Muscle Testing Scale Scores
Elbow extensors
0.8 score on a scale
Standard Deviation 3.6
Changes From Baseline in Manual Muscle Testing Scale Scores
Forearm pronators
1.4 score on a scale
Standard Deviation 3.6
Changes From Baseline in Manual Muscle Testing Scale Scores
Forearm supinators
-0.3 score on a scale
Standard Deviation 1.6
Changes From Baseline in Manual Muscle Testing Scale Scores
Wrist extension
0.1 score on a scale
Standard Deviation 2.6
Changes From Baseline in Manual Muscle Testing Scale Scores
Wrist flexion
1.5 score on a scale
Standard Deviation 3.7

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 weeks

Assessment of upper-extremity function with the Functional ability subscale of the Wolf Motor Function Test. The average of the 15 items is reported. Scores ranges from 0 to 5, they rate the quality of the movement performance. 0= do not attempt, up to 5= identical to contralateral side. Higher scores are associated with better movement quality.

Outcome measures

Outcome measures
Measure
Arm Motor Function Retraining With BURT
n=6 Participants
All participants will receive 1 hour sessions, 2-3x/week for 6 weeks (total 18 sessions). Sessions will be organized with 30 minutes of robotic-assisted training and 30 minutes of hands-on training with a research therapist to work on the baseline goals of the subject. Hands-on training will be done with routinely employed techniques in therapy to transfer the skills gained with the robotic device in everyday life activities. Arm motor function retraining with BURT: Intervention will be focused on patients impairments to assess the feasibility of the BURT device to carry-on long interventions
Changes From Baseline in Wolf Motor Function Test Scores (FAS Subcale)
0.26 score on a scale
Standard Deviation 0.37

Adverse Events

Arm Motor Function Retraining With BURT

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

Paolo Bonato, PhD

Spaulding Rehabilitation Hospital

Phone: 6179526319

Results disclosure agreements

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