Trial Outcomes & Findings for Effectiveness of Intelligent Rehabilitation Robot Training System Combined With Repetitive Facilitative Exercise on Upper Limb Motor Function After Stroke: a Randomized Control Trial. (NCT NCT06435624)

NCT ID: NCT06435624

Last Updated: 2025-03-05

Results Overview

The FMA-UE consists of 33 items across nine components, including reflex action, synergy, and coordination, with a maximum score of 66 points. Each items is scored from 0 (no ability) to 2 (full ability), with higher scores indicating better upper limb motor function.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

81 participants

Primary outcome timeframe

From enrollment to the end of treatment at 4 weeks

Results posted on

2025-03-05

Participant Flow

Participant milestones

Participant milestones
Measure
IRAT Group
The Intelligent robotic-assisted training (IRAT) group received a 30 minute RFE intervention and a 30 minute IRAT intervention. intelligent robotic-assisted training: Using an intelligent robotic-assisted training (IRAT) system to simulate a real work environment, providing functional oriented treatment for stroke patients and improving upper limb motor function. The instrument used is the Burt upper limb robot training system produced by Estun Medical Co., Ltd. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
RFE Group
The Repetitive facilitative exercise (RFE) group received a 60 minute RFE intervention. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
CT Group
The Conventional therapy (CT) group received a 60 minute conventional rehabilitation intervention. conventional therapy: Basic training, including passive joint movement and activities of daily living exercise.
Overall Study
STARTED
27
27
27
Overall Study
COMPLETED
25
26
25
Overall Study
NOT COMPLETED
2
1
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effectiveness of Intelligent Rehabilitation Robot Training System Combined With Repetitive Facilitative Exercise on Upper Limb Motor Function After Stroke: a Randomized Control Trial.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IRAT Group
n=25 Participants
The Intelligent robotic-assisted training (IRAT) group received a 30 minute RFE intervention and a 30 minute IRAT intervention. intelligent robotic-assisted training: Using an intelligent robotic-assisted training (IRAT) system to simulate a real work environment, providing functional oriented treatment for stroke patients and improving upper limb motor function. The instrument used is the Burt upper limb robot training system produced by Estun Medical Co., Ltd. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
RFE Group
n=26 Participants
The Repetitive facilitative exercise (RFE) group received a 60 minute RFE intervention. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
CT Group
n=25 Participants
The Conventional therapy (CT) group received a 60 minute conventional rehabilitation intervention. conventional therapy: Basic training, including passive joint movement and activities of daily living exercise.
Total
n=76 Participants
Total of all reporting groups
Age, Continuous
51.6 years
STANDARD_DEVIATION 12.3 • n=5 Participants
46.8 years
STANDARD_DEVIATION 11.7 • n=7 Participants
50.3 years
STANDARD_DEVIATION 14.0 • n=5 Participants
49.5 years
STANDARD_DEVIATION 12.7 • n=4 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
10 Participants
n=7 Participants
9 Participants
n=5 Participants
29 Participants
n=4 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
16 Participants
n=7 Participants
16 Participants
n=5 Participants
47 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
25 Participants
n=5 Participants
26 Participants
n=7 Participants
25 Participants
n=5 Participants
76 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
China
25 participants
n=5 Participants
26 participants
n=7 Participants
25 participants
n=5 Participants
76 participants
n=4 Participants
Affected side, left/right
left
12 participants
n=5 Participants
12 participants
n=7 Participants
14 participants
n=5 Participants
38 participants
n=4 Participants
Affected side, left/right
right
13 participants
n=5 Participants
14 participants
n=7 Participants
11 participants
n=5 Participants
38 participants
n=4 Participants
Time from stroke, days
256.2 days
STANDARD_DEVIATION 60.1 • n=5 Participants
254.7 days
STANDARD_DEVIATION 46.0 • n=7 Participants
270.1 days
STANDARD_DEVIATION 55.8 • n=5 Participants
260.3 days
STANDARD_DEVIATION 53.9 • n=4 Participants

PRIMARY outcome

Timeframe: From enrollment to the end of treatment at 4 weeks

The FMA-UE consists of 33 items across nine components, including reflex action, synergy, and coordination, with a maximum score of 66 points. Each items is scored from 0 (no ability) to 2 (full ability), with higher scores indicating better upper limb motor function.

Outcome measures

Outcome measures
Measure
IRAT Group
n=25 Participants
The Intelligent robotic-assisted training (IRAT) group received a 30 minute RFE intervention and a 30 minute IRAT intervention. intelligent robotic-assisted training: Using an intelligent robotic-assisted training (IRAT) system to simulate a real work environment, providing functional oriented treatment for stroke patients and improving upper limb motor function. The instrument used is the Burt upper limb robot training system produced by Estun Medical Co., Ltd. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
RFE Group
n=26 Participants
The Repetitive facilitative exercise (RFE) group received a 60 minute RFE intervention. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
CT Group
n=25 Participants
The Conventional therapy (CT) group received a 60 minute conventional rehabilitation intervention. conventional therapy: Basic training, including passive joint movement and activities of daily living exercise.
Fugl-Meyer Assessment for Upper Extremity (FMA-UE)
baseline
34.4 score on a scale
Standard Deviation 3.5
34.9 score on a scale
Standard Deviation 3.8
35.8 score on a scale
Standard Deviation 3.9
Fugl-Meyer Assessment for Upper Extremity (FMA-UE)
4 weeks
49.0 score on a scale
Standard Deviation 3.3
44.2 score on a scale
Standard Deviation 3.6
38.8 score on a scale
Standard Deviation 3.8

PRIMARY outcome

Timeframe: From enrollment to the end of treatment at 4 weeks

Active Participation Proportion (APP) is measured using the benchmark evaluation system within the intelligent rehabilitation robot training system. The robotic arm's mechanical sensor continuously detects the force exerted by the patient during the test game and quantifies APP as the ratio of the patient's applied force to the total force required to complete the task (%). A higher APP indicates greater voluntary effort in movement execution. Since the test game difficulty is fixed, APP increases as the patient's motor ability improves.

Outcome measures

Outcome measures
Measure
IRAT Group
n=25 Participants
The Intelligent robotic-assisted training (IRAT) group received a 30 minute RFE intervention and a 30 minute IRAT intervention. intelligent robotic-assisted training: Using an intelligent robotic-assisted training (IRAT) system to simulate a real work environment, providing functional oriented treatment for stroke patients and improving upper limb motor function. The instrument used is the Burt upper limb robot training system produced by Estun Medical Co., Ltd. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
RFE Group
n=26 Participants
The Repetitive facilitative exercise (RFE) group received a 60 minute RFE intervention. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
CT Group
n=25 Participants
The Conventional therapy (CT) group received a 60 minute conventional rehabilitation intervention. conventional therapy: Basic training, including passive joint movement and activities of daily living exercise.
Active Participation Proportion
baseline
61.7 percentage of active participation
Standard Deviation 4.8
104.0 percentage of active participation
Standard Deviation 7.9
60.8 percentage of active participation
Standard Deviation 6.1
Active Participation Proportion
4 weeks
80.4 percentage of active participation
Standard Deviation 5.3
61.6 percentage of active participation
Standard Deviation 2.8
60.9 percentage of active participation
Standard Deviation 2.6

PRIMARY outcome

Timeframe: From enrollment to the end of treatment at 4 weeks

Trajectory Deviation (TD) is assessed by comparing the actual motion trajectory with a predefined reference trajectory using the intelligent rehabilitation robot training system. TD is calculated as the mean Euclidean distance (in mm) between discrete points along the actual movement path and the nearest corresponding points on the reference trajectory. This metric provides a measure of point-specific accuracy and precision in following the ideal movement path, with smaller TD values indicating better trajectory control.

Outcome measures

Outcome measures
Measure
IRAT Group
n=25 Participants
The Intelligent robotic-assisted training (IRAT) group received a 30 minute RFE intervention and a 30 minute IRAT intervention. intelligent robotic-assisted training: Using an intelligent robotic-assisted training (IRAT) system to simulate a real work environment, providing functional oriented treatment for stroke patients and improving upper limb motor function. The instrument used is the Burt upper limb robot training system produced by Estun Medical Co., Ltd. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
RFE Group
n=26 Participants
The Repetitive facilitative exercise (RFE) group received a 60 minute RFE intervention. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
CT Group
n=25 Participants
The Conventional therapy (CT) group received a 60 minute conventional rehabilitation intervention. conventional therapy: Basic training, including passive joint movement and activities of daily living exercise.
Trajectory Deviation
baseline
104.0 millimeter
Standard Deviation 7.9
100.7 millimeter
Standard Deviation 8.9
99.5 millimeter
Standard Deviation 8.3
Trajectory Deviation
4 weeks
65.7 millimeter
Standard Deviation 8.0
98.1 millimeter
Standard Deviation 5.7
95.7 millimeter
Standard Deviation 4.7

PRIMARY outcome

Timeframe: From enrollment to the end of treatment at 4 weeks

Description: Trajectory Tracking Error (TTE) quantifies the cumulative deviation between the actual movement path and the predefined reference trajectory. It is computed as the sum of absolute differences in trajectory length between the two paths (in mm). TTE reflects overall movement efficiency and smoothness, capturing the patient's ability to maintain an optimal movement path throughout the task. A lower TTE indicates better movement planning and motor control.

Outcome measures

Outcome measures
Measure
IRAT Group
n=25 Participants
The Intelligent robotic-assisted training (IRAT) group received a 30 minute RFE intervention and a 30 minute IRAT intervention. intelligent robotic-assisted training: Using an intelligent robotic-assisted training (IRAT) system to simulate a real work environment, providing functional oriented treatment for stroke patients and improving upper limb motor function. The instrument used is the Burt upper limb robot training system produced by Estun Medical Co., Ltd. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
RFE Group
n=26 Participants
The Repetitive facilitative exercise (RFE) group received a 60 minute RFE intervention. repetitive facilitative exercise: Repetitive facilitative exercise (RFE) is a new technology that combines multiple sensory stimuli and achieves facilitation and reinforcement of the reconstruction of paralyzed neural pathways through repeated and extensive directional exercise.
CT Group
n=25 Participants
The Conventional therapy (CT) group received a 60 minute conventional rehabilitation intervention. conventional therapy: Basic training, including passive joint movement and activities of daily living exercise.
Trajectory Tracking Error
baseline
60.8 millimeter
Standard Deviation 6.1
60.5 millimeter
Standard Deviation 6.0
61.6 millimeter
Standard Deviation 5.8
Trajectory Tracking Error
4 weeks
36.8 millimeter
Standard Deviation 6.6
58.0 millimeter
Standard Deviation 2.8
59.1 millimeter
Standard Deviation 2.8

Adverse Events

IRAT Group

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

RFE Group

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

CT 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

Adverse event data not reported

Additional Information

Jingzhi Zhang

Nanjing Mingzhou Rehabilitation Hospital

Phone: 16677137704

Results disclosure agreements

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