Ipsihand Device Use in Stroke Patients to Assess Functional Motor Outcomes

NCT ID: NCT04338971

Last Updated: 2022-01-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-05

Study Completion Date

2020-10-09

Brief Summary

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This study aims to evaluate the impact of the Neurolutions Upper Extremity Rehabilitation System, known as IpsiHand, on improving functional motor control for post-stroke patients with hemiparesis. The Neurolutions System is a brain-computer interface (BCI) comprised of a robotic orthosis, worn on the hand and wrist, and operated by the patient's brain waves which are measured by EEG electrodes. The system also utilizes a tablet interface to provide therapy instructions to the patient.

Detailed Description

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Participants will complete 12 weeks of home therapy with the Neurolutions IpsiHand System. Outcomes will be based on a comparison of the patient's baseline measurements to post-therapy assessments.

Conditions

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Stroke

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IpsiHand Device

All participants will receive treatment with the IpsiHand Device.

Group Type EXPERIMENTAL

IpsiHand Therapy

Intervention Type DEVICE

The IpsiHand system utilizes a Brain-Computer Interface (BCI) to enable operation of a robotic hand exoskeleton worn on the hand and wrist as participants are guided through a rehabilitation program on a tablet. Participants will complete 12 weeks of hometherapy with the IpsiHand system. Motor function of their impaired upper extremity will be evaluated at baseline, at 4-week intervals, and 12 weeks completion of IpsiHand use.

Interventions

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IpsiHand Therapy

The IpsiHand system utilizes a Brain-Computer Interface (BCI) to enable operation of a robotic hand exoskeleton worn on the hand and wrist as participants are guided through a rehabilitation program on a tablet. Participants will complete 12 weeks of hometherapy with the IpsiHand system. Motor function of their impaired upper extremity will be evaluated at baseline, at 4-week intervals, and 12 weeks completion of IpsiHand use.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 6-months or more post stroke
* Presentation of upper extremity hemiparesis or hemiplegia
* Participants must english speaking
* Demonstrate intact cognition to provide informed consent
* Botox injections are allowed, and must continue regimen at regular intervals throughout the study

Exclusion Criteria

* Not active in another clinical study
* Not receiving formal therapy for the upper extremity
* No use of other modalities or technologies to the upper extremity
* Cognitive Impairment: Short Blessed Test Score 9 or above
* Significant Spasticity: Modified Ashworth Scale score 3 or more at the elbow
* Significant Hemispatial Neglect: Mesulam Cancellation Test 3 or more unilaterally
* Insufficient Strength: Motricity Index score for shoulder abduction 18 - Any contractors of the affected upper extremity that would not allow the IpsiHand robotic exoskeleton to be worn comfortably and/or safely for device use
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Neurolutions, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexandre Carter, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Principal Investigator

Locations

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Neurolutions

Santa Cruz, California, United States

Site Status

Neurolutions

St Louis, Missouri, United States

Site Status

Countries

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United States

References

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Bundy DT, Souders L, Baranyai K, Leonard L, Schalk G, Coker R, Moran DW, Huskey T, Leuthardt EC. Contralesional Brain-Computer Interface Control of a Powered Exoskeleton for Motor Recovery in Chronic Stroke Survivors. Stroke. 2017 Jul;48(7):1908-1915. doi: 10.1161/STROKEAHA.116.016304. Epub 2017 May 26.

Reference Type BACKGROUND
PMID: 28550098 (View on PubMed)

Cervera MA, Soekadar SR, Ushiba J, Millan JDR, Liu M, Birbaumer N, Garipelli G. Brain-computer interfaces for post-stroke motor rehabilitation: a meta-analysis. Ann Clin Transl Neurol. 2018 Mar 25;5(5):651-663. doi: 10.1002/acn3.544. eCollection 2018 May.

Reference Type BACKGROUND
PMID: 29761128 (View on PubMed)

Zeiler SR, Krakauer JW. The interaction between training and plasticity in the poststroke brain. Curr Opin Neurol. 2013 Dec;26(6):609-16. doi: 10.1097/WCO.0000000000000025.

Reference Type BACKGROUND
PMID: 24136129 (View on PubMed)

Rustamov N, Souders L, Sheehan L, Carter A, Leuthardt EC. IpsiHand Brain-Computer Interface Therapy Induces Broad Upper Extremity Motor Rehabilitation in Chronic Stroke. Neurorehabil Neural Repair. 2025 Jan;39(1):74-86. doi: 10.1177/15459683241287731. Epub 2024 Sep 30.

Reference Type DERIVED
PMID: 39345118 (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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Ipsihand Use in Chronic Stroke

Identifier Type: -

Identifier Source: org_study_id

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