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StrokeiMotoreNCT05238389

AI-based Upper Limb Rehabilitation Therapy With MOTORE

A study testing AI-based upper limb robotic therapy in people with Stroke, run by Fondazione Don Carlo Gnocchi ETS at 1 site in Italy.

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 is a common disease with a high disabling impact; it is the world's second leading cause of death and the third leading cause of disability. Robotic therapy has been proposed as a viable approach for the rehabilitation of the upper limb, as a way to increase the amount and the intensity of the therapy, and to… Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Stroke
What is being tested?
AI-based upper limb robotic therapy
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteItaly
Study dates
1 Jun 2022to 30 Mar 2023
Phase
Interventional
Are there results?
None posted in the registry

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 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • first ischemic or hemorrhagic stroke (verified by MRI or CT);
  • time since stroke onset between 1 and 6 months (subacute phase)
  • cognitive abilities adequate to understand the experiments and the follow instructions
  • upper limb impairment (Fugl-Meyer Assessment - Upper Extremity score ≤58);

Who cannot join

  • fixed contractions in the affected limb (ankylosis, Modified Ashworth Scale equal to 4);
  • inability to understand the instructions required for the study;
  • behavioral disorders that may influence therapeutic activity;
  • other orthopedic or neurological diseases
  • inability or unwillingness to provide informed consent.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Fondazione Don Carlo Gnocchi, Santa Maria della Provvidenza Center

    Rome, 00168

Other trials in Italy

About this study

Official title: Intelligent Robot-mediated Therapy With the MOTORE Device

Stroke is a common disease with a high disabling impact; it is the world's second leading cause of death and the third leading cause of disability. Robotic therapy has been proposed as a viable approach for the rehabilitation of the upper limb, as a way to increase the amount and the intensity of the therapy, and to standardize the treatment. However, robotic technologies have not yet been used to their full potential in terms of tailoring rehabilitation paths and monitoring the response to treatments. The main goal of the study is to use AI algorithms to (a) predict the recovery of the patients and (b) suggest exercises and parameters to improve the outcomes of the treatment.

Conditions
Stroke
Being tested
AI-based upper limb robotic therapy
Medical subject headings
Stroke

What participants receive

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

  • AI-based upper limb robotic therapyDevice

    Also called MOTORE

    Patients will be treated using MOTORE, a robotic device that allows passive, active, and active-assistive planar movements of the shoulder and elbow joints. The intervention will consist of 30 sessions, 1 per day and 5 per week. Therefore, each patient will be treated for 6 weeks

    The parameters of the serious games will be proposed by a Decision Support System (DSS), based on an AI-based algorithm trained using data collected during a previous Randomized Controlled Trial.

    The DSS will be fed, at the enrollment, with patient's demographics, clinical characteristics, clinical scales and kinematic/kinetic data measured by the robot during an evaluation session (unassisted reaching movements) and updated every 2 sessions with kinematic/kinetic data only, to tailor the treatment to the patient's current abilities.

    The therapists will be free to use or not the suggested parameters, on the basis of their previous experience with the robot (over 3 years).

Study groups in NCT05238389
Study groupRoleWhat they receive
Robotic groupExperimentalIn the robotic group, patients will undergo a 30-session upper limb robotic rehabilitation using the device MOTORE.
Receives: Device: AI-based upper limb robotic therapy

What is being measured

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

  1. Agreement between the physiotherapists and the decision support system

    The number of times a physiotherapist refuses to accept the parameters proposed

    Measured: Through the study, an average of 10 months

  2. System Usability Scale

    It is a self-administered questionnaire to evaluate usability. It ranges from 0 to 100. Higher scores mean better usability.

    Measured: After a 6-week robotic rehabilitation intervention

  3. Technology Acceptance Model (TAM)

    It is a self-administered questionnaire to evaluate the acceptance of the provided.

    It comprises several questions rated on a 7-point likert scale.

    Measured: After a 6-week robotic rehabilitation intervention

  4. Likert for Satisfaction

    Satisfaction will be assessed using a 11-point likert scale. It ranges from 0 to 10. Higher scores mean higher satisfaction.

    Measured: After a 6-week robotic rehabilitation intervention

Secondary outcomes (33)
  1. Changes in Fugl-meyer Assessment Upper Extremity motor functioning

    It is a stroke-specific, performance-based impairment index. It ranges from 0 (hemiplegia) to 66 points (normal).

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  2. Changes in Fugl-meyer Assessment Upper Extremity motor functioning

    It is a stroke-specific, performance-based impairment index. It ranges from 0 (hemiplegia) to 66 points (normal).

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  3. Changes in Box and Block test (BBT)

    The BBT is a standard measure for evaluating manual dexterity. The participants grasp and transfer one-inch square blocks from one compartment to the other, transferring as many as possible. The number of blocks transferred from one side to the other within 1 min is recorded.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  4. Changes in Box and Block test (BBT)

    The BBT is a standard measure for evaluating manual dexterity. The participants grasp and transfer one-inch square blocks from one compartment to the other, transferring as many as possible. The number of blocks transferred from one side to the other within 1 min is recorded.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  5. Changes in Action Research Arm Test (ARAT)

    It is a valid measure of upper-extremity functional limitation. The total score on the ARAT ranges from 0 to 57, with the lowest score indicating that no movements can be performed, and the upper score indicating normal performance.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  6. Changes in Action Research Arm Test (ARAT)

    It is a valid measure of upper-extremity functional limitation. The total score on the ARAT ranges from 0 to 57, with the lowest score indicating that no movements can be performed, and the upper score indicating normal performance.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  7. Change in Medical Research Council (MRC)

    It is a validated measure of strength clinically measured. It ranges from 0, paralysis, to 5, normal strength.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  8. Change in Medical Research Council (MRC)

    It is a validated measure of strength clinically measured. It ranges from 0, paralysis, to 5, normal strength.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  9. Change in Frenchay Arm Test

    The Frenchay Arm Test (FAT) is a measure of upper extremity proximal motor control and dexterity during activities of daily living in patients with upper limb impairments. The total scores range from 0 to 5 (normal performance).

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  10. Change in Frenchay Arm Test

    The Frenchay Arm Test (FAT) is a measure of upper extremity proximal motor control and dexterity during activities of daily living in patients with upper limb impairments. The total scores range from 0 to 5 (normal performance).

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  11. Change in Modified Ashworth Scale

    It is a validated measure of spasticity. It ranges from 0 (normal) to 4 (rigid limb).

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  12. Change in Modified Ashworth Scale

    It is a validated measure of spasticity. It ranges from 0 (normal) to 4 (rigid limb).

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  13. Changes in Motricity Index for upper extremity

    It is a validated measure of upper limb strength. It ranges from 0 (worse) to 100 (normal strength).

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  14. Changes in Motricity Index for upper extremity

    It is a validated measure of upper limb strength. It ranges from 0 (worse) to 100 (normal strength).

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  15. Changes in Numeric Rating Scale for pain

    The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale, from 0 (no pain) to 10 (worst pain imaginable).

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  16. Changes in Numeric Rating Scale for pain

    The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale, from 0 (no pain) to 10 (worst pain imaginable).

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  17. Changes in Neuropathic Pain 4 Questions (DN4)

    It is a validated clinician-administered screening tool for neuropathic pain. It ranges from 0 to 10; higher values means higher neuropathic pain probability.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  18. Changes in Neuropathic Pain 4 Questions (DN4)

    It is a validated clinician-administered screening tool for neuropathic pain. It ranges from 0 to 10; higher values means higher neuropathic pain probability.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  19. Changes in Modified Barthel Index

    The modified is an ordinal scale used to measure performance in activities of daily living. It ranges from 0 to 100, with lower scores indicating increased disability.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  20. Changes in Modified Barthel Index

    The modified is an ordinal scale used to measure performance in activities of daily living. It ranges from 0 to 100, with lower scores indicating increased disability.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  21. Changes in 36-Item Short Form Survey (SF-36)

    The 36-Item Short Form Survey (SF-36) is a self-reported measure of health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    The scores are: vitality; physical functioning; bodily pain; general health perceptions; physical role functioning; emotional role functioning; social role functioning; mental health.

    Moreover, two composite scores, i.e., the Physical Composite Score and the Mental Composite Score, both ranging from 0 to 100, will be considered.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  22. Changes in the Duration Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Duration" is the time required to complete the task. It is measured in seconds.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  23. Changes in the Duration Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Duration" is the time required to complete the task. It is measured in seconds.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  24. Changes in Velocity_mean Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Velocity_mean" is the average velocity of the device during the test. It is measured in m/s.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  25. Changes in Velocity_mean Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Velocity_mean" is the average velocity of the device during the test. It is measured in m/s.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  26. Changes in the Length_tot Index

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Length_tot" is the global length of the path travelled by the subject during center-out movements. It is measured in meters and it ranges from 0 (no movement) to 2.808 m (patient can fully perform the entire task);

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  27. Changes in the Length_tot Index

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Length_tot" is the global length of the path travelled by the subject during center-out movements. It is measured in meters and it ranges from 0 (no movement) to 2.808 m (patient can fully perform the entire task);

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  28. Changes in the Score Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Score" is the mean of the ratios between the actual distance covered by the patients and the required distance to be travelled, computed for each required movement; it ranges from 0 (no movement) to 10 (the patient can fully perform the required task). It is a dimensionless index.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  29. Changes in the Score Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Score" is the mean of the ratios between the actual distance covered by the patients and the required distance to be travelled, computed for each required movement; it ranges from 0 (no movement) to 10 (the patient can fully perform the required task). It is a dimensionless index.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  30. Changes in the Work_tan Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Work_tan" is the amount of total work directed towards the target. It is measured in Joules.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  31. Changes in the Work_tan Index.

    The kinematics of the end-effector of the robot will be acquired during reaching tasks performed by the patient without any assistance from the device. Specifically, "Work_tan" is the amount of total work directed towards the target. It is measured in Joules.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

  32. Changes in kinetic parameters: Force (N) towards 8 targets

    The kinetics of the end-effector of the robot will be measured by the robot during reaching tasks performed by the patient against the device. The outcome will be the maximum values towards 8 targets.

    Measured: Before the intervention, after a 3-week robotic rehabilitation intervention

  33. Changes in kinetic parameters: Force (N) towards 8 targets

    The kinetics of the end-effector of the robot will be measured by the robot during reaching tasks performed by the patient against the device. The outcome will be the maximum values towards 8 targets.

    Measured: Before the intervention, after a 6-week robotic rehabilitation intervention

Timeline

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

  1. First posted14 Feb 2022
  2. Study start1 Jun 2022
  3. Primary completion30 Mar 2023
  4. Study completion30 Mar 2023

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05238389
Sponsor's protocol ID
FDG-iMotore
Acronym
iMotore
Status last verified
Feb 2024
First submitted
25 Jan 2022
Last updated
28 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing AI-based upper limb robotic therapy in people with Stroke, run by Fondazione Don Carlo Gnocchi ETS at 1 site in Italy.

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 5 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 28 Feb 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 Italy. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Agreement between the physiotherapists and the decision support system (time frame: Through the study, an average of 10 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Feb 2024; AzTrials last refreshed its copy on 6 Nov 2026.

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