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StrokePTSNCT03814889

Passive Tactile Stimulation for Stroke Rehabilitation

A study testing Vibration pattern and No vibration in people with Stroke and Stroke, Ischemic, run by Stanford University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Stroke can lead to weakness and spasticity in the arm or hand. The purpose of this study is to optimize the design of gentle vibratory stimulation delivered to the hands of individuals with chronic stroke, and explore the effect on range of movement and spasticity. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Stroke, Stroke, Ischemic, Stroke Hemorrhagic
What is being tested?
Vibration pattern and No vibration
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
1 siteUnited States
Study dates
15 May 2019to 31 Dec 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 and older.
  • diagnosis of stroke with upper extremity spasticity or other movement deficits that affect strength and range of movement.
  • willing to participate in the vibrotactile stimulation sessions for consecutive days and willing to return for follow up visits as needed for the PHASE in progress.
  • able to provide informed consent.

Who cannot join

  • Patients with severe contracture that precludes Modified Ashworth Score (MAS) testing.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Stanford Neuroscience Health Center

    Palo Alto, California, 94304

Other trials in United States

About this study

Stroke can lead to weakness and spasticity in the arm or hand. The purpose of this study is to optimize the design of gentle vibratory stimulation delivered to the hands of individuals with chronic stroke, and explore the effect on range of movement and spasticity.

Being tested
Vibration pattern, No vibration
Keywords
spasticity, tone, hemiplegia, hemiparesis, arm, hand, vibration
Medical subject headings
Stroke, Ischemic Stroke, Hemorrhagic Stroke, Muscle Spasticity, Hemiplegia, Paresis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vibration patternDevice

    Vibration patterns applied to the affected limb based on pilot study results.

  • No vibrationDevice

    These patients will wear a glove with a blinking light instead of feeling vibrations.

Study groups in NCT03814889
Study groupRoleWhat they receive
Acute Stimulation: Vibration pattern 1-3 and sham controlActive comparatorAll participants try on several wearable prototypes in our laboratory that provide vibration or sham stimulation to the arm. Sensors or electrodes taped onto the arm and hand will sense muscle activity and record any changes during periods of vibration and periods with vibration turned off.
Receives: Device: Vibration pattern; Device: No vibration
Longitudinal Stimulation: Vibration pattern 4Active comparator1) If the patient gets Botox injections in their hand and arm, their arm function will be measured for three months during this standard care. 2) Next, all patients will be given a wearable device to take home. The patient will wear the device while feeling vibrations for 3 hours during the day while awake for two months. During this time and 1 month after this intervention, arm function will be tested.
Receives: Device: Vibration pattern

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Modified Ashworth at 12 Weeks

    Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome.

    Measures spastic hypertonia by manually moving an affected joint at set velocities.

    Scores:

    0 (0) - No increase in muscle tone

    1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

    1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

    Measured: Change from Baseline Modified Ashworth at 12 weeks

  2. Change in Modified Ashworth at 8 Weeks

    Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale) Lower Modified Ashworth scale values indicate a better outcome.

    Measures spastic hypertonia by manually moving an affected joint at set velocities.

    Scores:

    0 (0) - No increase in muscle tone

    1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

    1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

    Measured: Change from Baseline Modified Ashworth at 8 weeks

  3. Change in Range of Motion at 8 Weeks

    Finger extension range.

    Measured: Change from Baseline Range of Motion at 8 weeks

  4. Change in Range of Motion at 12 Weeks

    Finger extension range.

    Measured: Change from Baseline Range of Motion at 12 weeks

  5. Change in Modified Ashworth During Stimulation (Pattern 1).

    Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome.

    Measures spastic hypertonia by manually moving an affected joint at set velocities.

    Scores:

    0 (0) - No increase in muscle tone

    1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

    1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

    Measured: 20 minutes after stimulation start

  6. Change in Modified Ashworth During Stimulation (Pattern 2).

    Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome.

    Measures spastic hypertonia by manually moving an affected joint at set velocities.

    Scores:

    0 (0) - No increase in muscle tone

    1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

    1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

    Measured: 20 minutes after stimulation start

  7. Change in Modified Ashworth During Stimulation (Pattern 3).

    Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome.

    Measures spastic hypertonia by manually moving an affected joint at set velocities.

    Scores:

    0 (0) - No increase in muscle tone

    1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

    1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

    Measured: 20 minutes after stimulation start

  8. Change in Modified Ashworth During Stimulation (Sham Control).

    Modified Ashworth Scale (from https://www.sralab.org/rehabilitation-measures/ashworth-scale-modified-ashworth-scale). Lower Modified Ashworth scale values indicate a better outcome.

    Measures spastic hypertonia by manually moving an affected joint at set velocities.

    Scores:

    0 (0) - No increase in muscle tone

    1 (1) - Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

    1+ (2) - Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (range of movement) 2 (3) - More marked increase in musce tone through most of the ROM, but affect part(s) easily moved 3 (4) - Considerable increase in muscle tone passive, movement difficult 4 (5) - Affected part(s) rigid in flexion or extension

    Measured: 20 minutes after stimulation start

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jan 2019
  2. Study start15 May 2019
  3. Primary completion31 Dec 2022
  4. Study completion31 Dec 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03814889
Sponsor's protocol ID
49330
Acronym
PTS
Status last verified
Apr 2024
First submitted
16 Jan 2019
Last updated
8 Apr 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Undecided

Publications

  • Seim C, Chen B, Han C, Vacek D, Wu LS, Lansberg M, Okamura A. Relief of post-stroke spasticity with acute vibrotactile stimulation: controlled crossover study of muscle and skin stimulus methods. Front Hum Neurosci. 2023 Aug 29;17:1206027. doi: 10.3389/fnhum.2023.1206027. eCollection 2023.

    PubMed 37706171

Questions about this trial

What is this clinical trial studying?

A study testing Vibration pattern and No vibration in people with Stroke and Stroke, Ischemic, run by Stanford University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Apr 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Modified Ashworth at 12 Weeks (time frame: Change from Baseline Modified Ashworth at 12 weeks). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03814889, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2024.

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Passive Tactile Stimulation for Stroke Rehabilitation | AzTrials