Wrist-worn Sensors for Tele-Rehabilitation of the Hemiparetic Upper Extremity
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology, Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 21 - 80 |
| Updated: | 4/4/2019 |
| Start Date: | March 28, 2019 |
| End Date: | September 1, 2019 |
| Contact: | Catherine Adans-Dester, PT |
| Email: | cadans-dester@partners.org |
| Phone: | 617-952-6321 |
Wrist-worn Sensors for Tele-Rehabilitation of the Hemiparetic Upper Extremity; A Feasibility Study
Stroke and other causes of central nervous system damage can result in debilitating loss of
motor control that is often more pronounced in one limb than the other. Using or attempting
to use the affected limb during activities of daily living, despite considerable difficulty,
stimulates neuroplasticity and motor function recovery. The investigators are conducting a
clinical study to test the efficacy of wrist-worn sensors that encourage affected limb use
during activities of daily living.
motor control that is often more pronounced in one limb than the other. Using or attempting
to use the affected limb during activities of daily living, despite considerable difficulty,
stimulates neuroplasticity and motor function recovery. The investigators are conducting a
clinical study to test the efficacy of wrist-worn sensors that encourage affected limb use
during activities of daily living.
Inclusion Criteria:
- Ischemic or hemorrhagic stroke at least 3 months prior to study enrollment
- Mild-to-moderate to severe upper-limb motor impairments (as measured by a score
between 21 and 50 on the arm section of the Fugl-Meyer scale).
Exclusion Criteria:
- Cognitive impairments that would significantly interfere with their ability to follow
instructions (as measured by a score lower than 23 on the Mini Mental State
Examination scale)
- Severe attention deficits or hemispatial neglect (as measured by the Conjunction
Search test and the Line Bisection test);
- Severe range-of-motion limitations (as measured via physical examination) or severe
spasticity (as measured using the Modified Ashworth scale) that would prevent safe
performance of home-based exercises;
- Proprioceptive deficits that impair their ability to process feedback (as measured
using the Monofilament test and the Developmental Test of Visual Perception in its
version for adults).
- Implantable medical devices that are not compliant with the ISO 14117:2012 and/or
ANSI/AAMI PC69 standards for Bluetooth compatibility. We will ask subjects to provide
us with their medical device record card and verify that the device complies with the
above-mentioned standards. If not, they will be excluded from the study.
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