Stroke Clinical Trial
Official title:
Effect of RAPAELⓇ Smart Glove Digital Treatment System on Upper Limb Functional Recovery and Brain Plasticity in Stroke Patients
This study is to investigate whether the RAPAELⓇ Smart Glove digital treatment system improves the upper extremity function of stroke patients compared to other clinical treatment by measuring serial behavioral and neuroimaging assessments and to find out therapeutic effect or adverse effect and patient's feed back responses
80 stroke patients(subacute=40, chronic=40) were recruited and randomized to receive either
occupation therapy(OT) with or without RAPAELⓇ Smart Glove digital therapy. Groups were
divided as follow: Group 1 (5times/4wks, total 20 sessions) Conventional occupation therapy
+ additional occupation therapy(30min). Group 2 (5times/4wks, total 20 sessions)
Conventional occupation therapy + RAPAELⓇ Smart Glove digital treatment(30min).
After the baseline assessment, patients are divided into two groups by drawing for simple
random sampling. Total four times of behavioral and neuroimaging assessments were evaluated
at baseline, immediately and 2 weeks after each 10 sessions and at 4 weeks after the final
session. Assessment tools are as follow:
1. Primary outcome.
-Fugl-Meyer assessment,
2. Motor and sensory function. MMT&ROM, Motricity index(MI),Action Research Arm
test(ARAT), Box&block test, Box&Block test, 9-hole pegboard test, Jebsen-Taylor hand
function test, Modified Ashworth scale(MAS), Grip strength test, Grasp/pinch power,
Visual analogue scale(VAS), Sensory test(two point discrimination, monofilament)
3. Activity of daily living. Korean version of Modified Barthel index (K-MBI)
4. Cognition function test. Korean-mini mental state examination (K-MMSE)
5. Depressive mood. Korean-Geriatric Depression Scale (K-GDS)
6. Quality of life. Short form-8(SF-8)
7. Neuroimaging tools. Motor evoked potentials (MEP), Functional Magnetic Resonance
Imaging (fMRI), Functional near-infrared spectroscopy (fNIRS).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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