Trial Outcomes & Findings for Motor Control Physical Therapist Support Stroke (NCT NCT04856527)

NCT ID: NCT04856527

Last Updated: 2024-08-21

Results Overview

The amount of displacement of the location of the (resultant) vertical ground reaction force vector. Results only presented as the mean difference between groups, as only the paretic limb was used for this portion of the study. There are no results to report for the non-paretic limb.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

25 participants

Primary outcome timeframe

10 minutes of practice

Results posted on

2024-08-21

Participant Flow

Unit of analysis: Limbs (Paretic/Non-Paretic)

Participant milestones

Participant milestones
Measure
Experimental Group
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
Participants will receive no physical therapist support while completing the task.
Overall Study
STARTED
13 26
12 24
Overall Study
COMPLETED
11 22
12 24
Overall Study
NOT COMPLETED
2 4
0 0

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental Group
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
Participants will receive no physical therapist support while completing the task.
Overall Study
Unable to complete experimental task
2
0

Baseline Characteristics

Motor Control Physical Therapist Support Stroke

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Group
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
57 years
STANDARD_DEVIATION 4.3 • n=5 Participants
50.8 years
STANDARD_DEVIATION 8.4 • n=7 Participants
53.7 years
STANDARD_DEVIATION 7.3 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
10 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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

PRIMARY outcome

Timeframe: 10 minutes of practice

Population: Difference between path length during practice.

The amount of displacement of the location of the (resultant) vertical ground reaction force vector. Results only presented as the mean difference between groups, as only the paretic limb was used for this portion of the study. There are no results to report for the non-paretic limb.

Outcome measures

Outcome measures
Measure
Experimental Group
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Experimental Group: Non-Paretic Limb
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group Non-Paretic Limb
Participants will receive no physical therapist support while completing the task.
Center of Pressure Path Length
98.5 cm^2
Standard Error 17.5
156.1 cm^2
Standard Error 16.8

PRIMARY outcome

Timeframe: After 10 minutes of practice

Population: Post-test results from when participants were aiming with each upper limb.

Variability of center of pressure trajectory.

Outcome measures

Outcome measures
Measure
Experimental Group
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Experimental Group: Non-Paretic Limb
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group Non-Paretic Limb
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Standard Deviation of Center of Pressure
.70 cm
Standard Error .06
.53 cm
Standard Error .05
.69 cm
Standard Error .04
.53 cm
Standard Error .04

PRIMARY outcome

Timeframe: After 10 minutes of practice

Population: Post-test results

Quantifies the patterning, non-stationarity, and complexity of biological time series through the analysis of local recurrences in a reconstructed phase space. Highter values of percent determinism indicate more regularity in postural sway.

Outcome measures

Outcome measures
Measure
Experimental Group
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Experimental Group: Non-Paretic Limb
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group Non-Paretic Limb
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Percent Determinism of Postural Sway
.99 percent determinism
Standard Error .001
.99 percent determinism
Standard Error .001
.99 percent determinism
Standard Error .001
.99 percent determinism
Standard Error .001

PRIMARY outcome

Timeframe: After 10 minutes of practice

Population: Post-test results

Evaluates the predictability of the next state of a system, given what is known about the current state of a system. Higher values of SampEn indicate less regularity; lower values indicate more regularity. Outcome measure reported as a ratio of anterior-posterior to medial-lateral SampEn values.

Outcome measures

Outcome measures
Measure
Experimental Group
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Experimental Group: Non-Paretic Limb
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group Non-Paretic Limb
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Entropy (Sample Entropy)
1.2 ratio of AP:ML
Standard Error .19
1.54 ratio of AP:ML
Standard Error .18
1.4 ratio of AP:ML
Standard Error .18
1.1 ratio of AP:ML
Standard Error .19

PRIMARY outcome

Timeframe: After 10 minutes of practice

Population: Post-test results

Percent time on target.

Outcome measures

Outcome measures
Measure
Experimental Group
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Experimental Group: Non-Paretic Limb
n=11 Participants
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group Non-Paretic Limb
n=12 Participants
Participants will receive no physical therapist support while completing the task.
Percent Correct
.66 percentage of time on target
Standard Error .08
.74 percentage of time on target
Standard Error .06
.95 percentage of time on target
Standard Error .01
.91 percentage of time on target
Standard Error .01

Adverse Events

Experimental Group

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

Control Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Experimental Group
n=11 participants at risk
Participants will receive physical therapist support to reduce postural sway while completing a precision aiming task in virtual reality, whether or not they require the support. Physical therapist support: Participants will receive physical therapist support to reduce postural sway variability while completing an upper limb precision aiming task in virtual reality.
Control Group
n=12 participants at risk
Participants will receive no physical therapist support while completing the task.
Musculoskeletal and connective tissue disorders
Fall
0.00%
0/11 • No adverse events occurred during the study (1 hour, single session). Participants were only assessed for adverse events during the 1-hour single session
There was no risk of death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect by participating in this study.
0.00%
0/12 • No adverse events occurred during the study (1 hour, single session). Participants were only assessed for adverse events during the 1-hour single session
There was no risk of death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect by participating in this study.

Additional Information

Sarah Schwab

University of Cincinnati

Phone: 5135587477

Results disclosure agreements

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