Benefits of Applying Neuroprosthesis for Improving Reaching and Grasping Functions in Stroke Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00221078
Recruitment Status : Completed
First Posted : September 22, 2005
Last Update Posted : February 5, 2009
The Physicians' Services Incorporated Foundation
Information provided by:
Toronto Rehabilitation Institute

Brief Summary:
Functional electrical stimulation (FES) is a process that uses low intensity electrical pulses generated by an electric stimulator to create muscle contractions. By contracting muscles in a specific sequence, one can generate various body functions such as grasping, walking, and standing. Final goal of the study is to evaluate if FES training when applied early during rehabilitation will help stroke patients to use their hands more effectively after discharge from a rehabilitation facility, compared to those patients who have not received FES training.

Condition or disease Intervention/treatment Phase
Stroke Device: Neuroprosthesis Phase 3

Detailed Description:
Neuroprosthesis are systems that apply functional electrical stimulation to cause muscle contractions. If the muscle contractions are sequenced properly one can generate various functions such as grasping, standing, and walking. Recent studies of others and our pilot study indicate that a neuroprosthesis can be successfully applied as a training device to help stroke patients who have hemiplegic arm to relearn how to reach and grasp various objects. The objective of this research program is to confirm these preliminary results with the broader population of stroke patients, and if successful to propose a method to introduce this rehabilitation treatment into Toronto Rehabilitation Institute, Stroke Unit as a primary intervention for hand function recovery. Specifically, our aim is to1)develop an exercise protocol that uses a neuroprosthesis for reaching and grasping developed by our team in combination with the standard physiotherapy treatments to enhance recovery of hemiplegic arm and hand; and 2) assess qualitatively and quantitatively improvements in the reaching and grasping functions achieved with standard rehabilitation treatment.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Restoration of Reaching and Grasping Functions in Stroke Patients Using Functional Electrical Stimulation.
Study Start Date : April 2003
Actual Primary Completion Date : June 2005
Actual Study Completion Date : December 2005

Intervention Details:
  • Device: Neuroprosthesis
    The Compex Motion neuroprosthesis, developed by Drs.R. Popovic and Thierry Keller, and company Compex SA, is a flexible device designed to improve grasping function in both SCI and stroke patients. This multi-channel surface stimulation system for grasping provides both palmar and lateral grasp, and holds a number of advantages over the other existing neuroprostesis.
    Other Name: Functional Electrical Stimulation (FES)

Primary Outcome Measures :
  1. REL Hand Function Test [ Time Frame: 45 min ]
  2. Fugl-Meyer Assessment [ Time Frame: 30 min ]

Secondary Outcome Measures :
  1. Barthel Index [ Time Frame: 25 min ]
  2. Functional Independence Measure [ Time Frame: 25 min ]
  3. Chedoke-McMaster Stages of Motor Recovery [ Time Frame: 30 min ]

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patient must be motivated to participate in the FES study, and must sign the letter of consent.
  • Patients must have hemiplegia and the stroke must be confirmed with a CT scan.
  • Patients must understand that the role of this study is to enhance recovery and not to guarantee it.

Exclusion Criteria:

  • Patients who is motivated and does not sign the letter of consent.
  • Patient who has serious cognitive or psychological impairments.
  • Patients who has skin rush, allergy or wounds.
  • Alcohol or drug abuse.
  • Edema in his/her upper extremity.
  • Patients with Shoulder Hand Syndrome
  • Global aphasia
  • Patients who shows early recovery of the function.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00221078

Canada, Ontario
Toronto Rehabilitation Institute
Toronto, Ontario, Canada, M5G 2A2
Sponsors and Collaborators
Toronto Rehabilitation Institute
The Physicians' Services Incorporated Foundation
Principal Investigator: Milos Popovic, Ph.D University of Toronto

Additional Information:
Publications of Results:
Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: M. Popovic, Toronto Rehab Institute Identifier: NCT00221078     History of Changes
Other Study ID Numbers: 88098-0461-RR001
First Posted: September 22, 2005    Key Record Dates
Last Update Posted: February 5, 2009
Last Verified: February 2009

Keywords provided by Toronto Rehabilitation Institute:
Cerebrovascular Accident

Additional relevant MeSH terms:
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases