Traumatic Brain Injury Clinical Trial
Official title:
A Feasibility Study to Assess the Safety and Efficacy of the Radio-Frequency Microstimulator System to Improve Function of the Arm Following Traumatic Brain Injury
This study will evaluate the feasibility of using fully implanted microstimulators to rehabilitate arm function in patients who have suffered a traumatic brain injury.
Traumatic brain injury (TBI) could involve damage to motor pathways within the central
nervous system, resulting in loss of arm function from symptoms including general weakness,
loss of power, motor control abnormalities and spasticity.
The Radiofrequency Microstimulator (RFM) System consists of fully implanted, leadless
stimulators that are injected in a minimally invasive procedure. RFMs measure 16.7mm long,
2.4mm dia. and can be placed directly at target nerves in the arm to drive specific muscle
contractions. This system has demonstrated efficacy in arm rehabilitation for stroke
patients who suffer from loss of arm function similar to that experienced by some TBI
patients.
This feasibility study will evaluate if the RFM system can be used to assist patients in the
rehabilitation of arm function following TBI. TBI patients that pass screening will have up
to 7 RFM devices implanted in their disabled arm. After implantation, patients will
participate in four phases of therapy, each lasting 12 weeks and consisting of standard
occupational therapy occurring at regular intervals at home and in the clinic. In the first
phase, therapy will not involve use of the RFM System. In the second phase, occupational
therapy will be assisted by electrical stimulation using the RFM System. The third and
fourth phases will repeat the therapies of the first and second phases, respectively. Arm
function following therapy with RFM stimulation will be compared to arm function after
therapy without RFM stimulation.
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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