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| Name | Class |
|---|---|
| Hammel Neurorehabilitation Centre and University Research Clinic | OTHER |
| Sygekassernes Helsefond | OTHER |
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In this study, we want to examine the effect of a new treatment approach for patients with severe upper limb paresis in the subacute phase after stroke. Brain Computer Interface (BCI) driven functional electrical stimulation will be compared to conventional training.
A randomized controlled pilot study will be conducted. Forty patients with severe UL paresis will be included. Patients with severe hemiparesis after stroke will be allocated to one of two treatment groups by a computerized randomization program. Patients in the intervention group will receive training with a BCI system paired with functional electrical stimulation and visual feedback (RecoveriX, gtec, Austria) as part of their rehabilitation. The targeted number of training sessions in the intervention group is 12. Patients in the control group will receive conventional upper limb training. All patients will receive other rehabilitation according to their needs.
Patients will be assessed by blinded raters before and after the intervention and 3 months post stroke. Main endpoint will be UL motor function assessed by Action Research Arm Test (ARAT) at 3 months post stroke. Other outcome measures comprise Fugl Meyer Motor Assessment and Functional Independence Measure. The patients and therapists' experience with this type of training will be evaluated with questionnaires and interviews.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCI training | Experimental | Patients randomized to this group will receive up to12 (minimum 8) sessions of BCI training with the RecoveriX system (gtec, Austria). The system combines EEG driven functional electrical stimulation with visual feedback. BCI training is provided as a part of standard training of the impaired upper limb. |
|
| Control | Active Comparator | Patients randomized to this control group will receive standard physiotherapy and occupational therapy for their impaired upper limb. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brain Computer Interface training | Device | Training with RecoveriX system. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Action Research Arm Test (ARAT) | Upper limb function on a scale of 0 - 57 (best) | Upper limb function 90 days after stroke |
| Measure | Description | Time Frame |
|---|---|---|
| Fugl-Meyer Assessment (UL) | Upper limb impairment on a scale from 0-66 (best) | Upper limb impairment 90 days after stroke |
| Functional Independence Measure | Independence in activities og daily living, 18-126 (best) |
| Measure | Description | Time Frame |
|---|---|---|
| Interviews | Qualitative assessment of user experiences | Through study completion, an average of 6 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Iris Brunner, PhD | Aarhus University, Hammel Neurocenter | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hammel Neurorehabilitation Centre and University Research Clinic | Hammel | Aarhus | 8450 | Denmark |
| Type | Date | Date Unknown |
|---|---|---|
| Release | May 8, 2024 | |
| Reset | Sep 18, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 8, 2024 | Sep 18, 2024 |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D010291 | Paresis |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Patients are randomized to one of two treatment options, intervention or standard rehabilitation
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All assessments will be done by assessors blinded to treatment allocation.
| Control |
| Behavioral |
Standard physiotherapy and occupational therapy according to clinical routines. |
|
| Functional independence 90 days after stroke |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |