Experience and Feasibility of Methods for Early Sensory Training

NCT ID: NCT05611983

Last Updated: 2024-03-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-01

Study Completion Date

2024-06-01

Brief Summary

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The good effects of using guided plasticity for a rehabilitative purpose in case of nerve damage have been shown, but a problem that has been presented is that some individuals find it difficult to assimilate these effects due to difficulties in carrying out abstract training or due to a lack of motivation. In early sensory training, the plasticity of the brain is used. Methods for early sensory training that have been described are: 1) mental imagery of touch (mental imagery), 2) observation of touch, 3) mirror training, 4) use of images for visualization of touch. The method needs to be developed and refined to be able to offer individual training plans in order to find a motivating and meaningful form of training.

Detailed Description

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Conditions

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Nerve Injury Peripheral Nerve Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
The outcome assessor/investigator are blinded from which intervention given.

Study Groups

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Observation fo touch

Group Type ACTIVE_COMPARATOR

sensory relearning

Intervention Type BEHAVIORAL

feasibility of early sensory relearning

Observation of pictures

Group Type ACTIVE_COMPARATOR

sensory relearning

Intervention Type BEHAVIORAL

feasibility of early sensory relearning

Imagery of touch

Group Type ACTIVE_COMPARATOR

sensory relearning

Intervention Type BEHAVIORAL

feasibility of early sensory relearning

Mirror therapy

Group Type ACTIVE_COMPARATOR

sensory relearning

Intervention Type BEHAVIORAL

feasibility of early sensory relearning

Interventions

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sensory relearning

feasibility of early sensory relearning

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* \>= 50% injury of N. Medianus/ N. Ulnaris or 100% digital nerve injury dig I and/or dig II
* Ålder: ≥ 18 år

Exclusion Criteria

* Impaired cognitive ability
* Documented psychiatric diagnosis
* Inability to master the Swedish language
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lund University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ulrika Wijk

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lars Dahlin, Prof

Role: STUDY_CHAIR

Lund University/Region Skane

Locations

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Skane university hospital

Malmo, Skåne County, Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Ulrika Wijk, PhD

Role: CONTACT

+4640331744

Facility Contacts

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Ulrika Wijk

Role: primary

+4640331744

References

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Vikstrom P, Carlsson I, Rosen B, Bjorkman A. Patients' views on early sensory relearning following nerve repair-a Q-methodology study. J Hand Ther. 2018 Oct-Dec;31(4):443-450. doi: 10.1016/j.jht.2017.07.003. Epub 2017 Sep 28.

Reference Type BACKGROUND
PMID: 28967458 (View on PubMed)

Rosen B, Vikstrom P, Turner S, McGrouther DA, Selles RW, Schreuders TA, Bjorkman A. Enhanced early sensory outcome after nerve repair as a result of immediate post-operative re-learning: a randomized controlled trial. J Hand Surg Eur Vol. 2015 Jul;40(6):598-606. doi: 10.1177/1753193414553163. Epub 2014 Oct 7.

Reference Type BACKGROUND
PMID: 25294735 (View on PubMed)

Bassolino M, Campanella M, Bove M, Pozzo T, Fadiga L. Training the motor cortex by observing the actions of others during immobilization. Cereb Cortex. 2014 Dec;24(12):3268-76. doi: 10.1093/cercor/bht190. Epub 2013 Jul 29.

Reference Type BACKGROUND
PMID: 23897648 (View on PubMed)

Duffau H. Brain plasticity: from pathophysiological mechanisms to therapeutic applications. J Clin Neurosci. 2006 Nov;13(9):885-97. doi: 10.1016/j.jocn.2005.11.045. Epub 2006 Oct 17.

Reference Type BACKGROUND
PMID: 17049865 (View on PubMed)

Vikstrom P, Rosen B, Carlsson IK, Bjorkman A. The effect of early relearning on sensory recovery 4 to 9 years after nerve repair: a report of a randomized controlled study. J Hand Surg Eur Vol. 2018 Jul;43(6):626-630. doi: 10.1177/1753193418767024. Epub 2018 Apr 16.

Reference Type RESULT
PMID: 29661095 (View on PubMed)

Other Identifiers

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Dnr 2021-03519

Identifier Type: -

Identifier Source: org_study_id

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