Implementing Technology Enhanced Real Time Action Observation Therapy in Persons With Chronic Stroke

Overview

This is a feasibility study to alter the Microsoft Kinect software to be used as a rehabilitation tool. The prototype used is still in the early developing stage. The purpose of this research study is to develop a prototype of altered Microsoft Kinect Software and determine its use in improving the function of the study subjects' weaker extremities. The altered software will allow a viewing of the mirror image of the involved limb as it is moved. However, the image that is viewed will reflect normal movement even if the limb cannot move normally. By viewing normal movement of the weaker limbs the "mirror neuron" network in the brain will become activated and will ultimately improve the function of the weaker side.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: N/A
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Device Feasibility
    • Masking: None (Open Label)
  • Study Primary Completion Date: September 26, 2018

Interventions

  • Device: Real-time action observation with augmented Kinect
    • Participants will receive 30 minutes of the augmented kinect software in real-time undergoing an exercise protocol involving seated upper extremity exercises, seated lower extremity exercises and standing upper extremity exercises.

Arms, Groups and Cohorts

  • Experimental: Real-Time Action Observation with augmented Kinect
    • Participants will receive 30 minutes of the augmented kinect software in real-time undergoing an exercise protocol involving seated upper extremity exercises, seated lower extremity exercises and standing upper extremity exercises.

Clinical Trial Outcome Measures

Primary Measures

  • Change in Motor Activity Log (MAL)
    • Time Frame: 5 months
    • MAL measures participants overall use or increased use and quality of use of affected upper limb
  • Change in 9 Hole Peg Test (9HPT)
    • Time Frame: 5 months
    • 9 HPT is a timed standardized measure participants overall function of dexterity.
  • Change in 10 Meter Walk Test (10mWT)
    • Time Frame: 5 months
    • The 10mWT is a standardized measure used to assess participants timed walking speed in meters per second over a short distance
  • Change in Functional Reach Test (FRT)
    • Time Frame: 5 months
    • The functional reach test is a standardized measure assessing the participants ability to reach forward with unaffected arm
  • Change in Timed Up and Go (TUG)
    • Time Frame: 5 months
    • The TUG is a standardized measure which assesses participants mobility, balance, walking ability, and fall risk in older adults
  • Change in 5 Time Sit to Stand (5xSS)
    • Time Frame: 5 months
    • This is a standardized measure assessing participants functional lower limb strength.

Participating in This Clinical Trial

Inclusion Criteria

  • – Adults 40 years of age and older having had a stroke greater than 6-months post onset – Able to follow commands in English – Medically stable and without acute illness, such as infection, inflammation, ongoing chest pain, or short of breath with walking and light activities – Able to stand up off of a standard height chair (16-18 inches) Exclusion Criteria:

  • – Cognitive impairment as measured by a score below 24/30 on Mini Mental State Examination – A diagnoses of cancer involving the nervous or musculoskeletal system – Severe pain in arms, legs, or spine measured by >6/10 using Verbal Numerical Pain Rating Scale that prevents them from standing or walking independently – Diagnoses of other neurological diseases except for stroke, such as spinal cord injury or Parkinson's disease etc. – Individuals at the advanced stage of a disease and with less than 12 months to live.

Gender Eligibility: All

Minimum Age: 40 Years

Maximum Age: 80 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • University of Michigan
  • Collaborator
    • University of Michigan-Flint
  • Provider of Information About this Clinical Study
    • Principal Investigator: Mary Roberts, Physical Therapist – University of Michigan
  • Overall Official(s)
    • Hendrika L Lietz, PT, DPT, NCS, Study Chair, Michigan Medicine

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