EMG Controlled Device in Acute Rehabilitation After Acute Stroke

Description

Stroke is a medically relevant problem for the aging population. Individuals with stroke experience a high amount of arm functional deficits despite receiving rehabilitation. Functional deficits can be improved by combining rehabilitation with innovative rehabilitative tools that target the brain mechanisms that guide the recovery early after stroke. This study aims to explore the feasibility of implementing an EMG controlled device in the acute rehabilitation for stroke survivors with severe arm deficit. This study will determine if adding such a technology improve the clinical outcomes for subjects with severe arm impairments beyond the levels achieved by standard care in attempt to increase their chances to independently perform activities of daily living.

Conditions

Stroke

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Study Overview

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Study Details

Study overview

Stroke is a medically relevant problem for the aging population. Individuals with stroke experience a high amount of arm functional deficits despite receiving rehabilitation. Functional deficits can be improved by combining rehabilitation with innovative rehabilitative tools that target the brain mechanisms that guide the recovery early after stroke. This study aims to explore the feasibility of implementing an EMG controlled device in the acute rehabilitation for stroke survivors with severe arm deficit. This study will determine if adding such a technology improve the clinical outcomes for subjects with severe arm impairments beyond the levels achieved by standard care in attempt to increase their chances to independently perform activities of daily living.

Myoelectrolytically Controlled Device in Acute Rehabilitation After Stroke

EMG Controlled Device in Acute Rehabilitation After Acute Stroke

Condition
Stroke
Intervention / Treatment

-

Contacts and Locations

Cleveland

Louis Stokes VA Medical Center, Cleveland, OH, Cleveland, Ohio, United States, 44106-1702

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Veterans over 18 years of age
  • * 2 days to 6 months since the onset of ischemic stroke
  • * Adequate range of motion at the elbow, forearm, wrist, and hand to wear the device.
  • * Ability to generate volitional, consistent, and detectable EMG signals from the upper arm and forearm sensor sites with wrist in neutral or flexed positions as detected by the Myopro software
  • * MAS score 3 for the biceps, triceps, supinators and pronators of the impaired arm
  • * Able to read and comprehend the English language
  • * Able to follow directions
  • * Medically and psychologically stable.
  • * Previous strokes affecting motor function on the opposite side.
  • * Fugl-Meyer score of 2 on the following 3 items:
  • * Shoulder subluxation, pain or dislocation
  • * Shoulder passive range of motion \< 45 degrees in flexion and abduction
  • * Fixed upper limb contractures on the impaired arm and hand
  • * Unable to safely support the weight of their arm plus 4 lbs (1.82 kg; the weight of the device) without pain even with arm supported.
  • * Skin rash or open wound on impaired arm
  • * Involuntary movements of the impaired arm
  • * Pacemaker or other implanted devices
  • * Metal in the skull
  • * Claustrophobia, or inability to operate the MRI patient call button
  • * Past history of seizures
  • * Family history of medication refractory epilepsy
  • * Chronic sleep deprivation, ongoing untreated sleep disorder
  • * Pregnancy or pregnancy planning during the study period
  • * Currently taking medications or substances that lower the threshold for onset of seizure.
  • * Inability to understand English

Ages Eligible for Study

18 Years to 90 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

VA Office of Research and Development,

Ahlam Salameh, PhD MSc, PRINCIPAL_INVESTIGATOR, Louis Stokes VA Medical Center, Cleveland, OH

Study Record Dates

2027-09-30