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StrokeNCT06979934

Effect of 3D Printing Functional Hand Splints for Patients With Stroke

A study testing 3D printing splint group and functional splint group in people with Stroke, run by Taipei Medical University Shuang Ho Hospital at 1 site in Taiwan.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The study is to evaluate the effect of 3D printing functional splints on hand function for patients with stroke.Twenty stroke patients with moderate motor deficits were recruited and randomized into experimental (3D printing splint) or control (functional splint) groups for 8 weeks of treatment.The performance was… Read more about this study

Who is it for?
Ages 20 to 75 years
Conditions the study is for
Stroke
What is being tested?
3D printing splint group and functional splint group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteTaiwan
Study dates
1 Jul 2021to 30 Sep 2022
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 20 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cerebral stroke, patients with unilateral hemiplegia
  • Onset is more than three months;
  • Able to understand activity instructions;
  • Fugl-Meyer assessment 20-50 points

Who cannot join

  • Age over 75 years and under 20 years old;
  • Other medical diseases that affect the execution program
  • Modified Ashworth Scale of Wrist and hand greater than 2 Points
  • Deformed elbow, wrist and hand joints
  • Treated with botulinum toxin on the upper limbs of the affected side.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Shuang Ho Hospital, Taipei Medical University

    Taipei, Taiwan, 235

Other trials in Taiwan

About this study

Official title: The Effect of 3D Printing Functional Splints on Hand Function for Patients With Stroke

The study is to evaluate the effect of 3D printing functional splints on hand function for patients with stroke.Twenty stroke patients with moderate motor deficits were recruited and randomized into experimental (3D printing splint) or control (functional splint) groups for 8 weeks of treatment.The performance was assessed by a blinded assessor for two times including motor, function, and feasibility.Collected data will be analyzed with nonparametric tests by SPSS version 20.0, and alpha level was set at .05.

Read the detailed description

Background: Spasticity is an important factor limiting independency and activity of daily living for post-stroke patients. Splinting has been proved to be successful treatment for spasticity.3D printing technology was used to construct personalized, complicated orthosis, and one piece to reduce assembly time. The evidence most are product development, but few of study investigate the effectiveness.

Aim: To evaluate the effect of 3D printing functional splints on hand function for patients with stroke.

Methods: Twenty stroke patients with moderate motor deficits were recruited and randomized into experimental (3D printing splint) or control (functional splint) groups for 8 weeks of treatment (Sixty minutes for position and twenty minutes for training a time, triple times a day). The performance was assessed by a blinded assessor for two times included Fugl-Meyer Assessment-Upper Limb section(FMA-UE), Electromyography (EMG), Grip dynamometer, Passive Range of motion (PROM) at upper extremity, Muscle tone at upper extremity, and Disability of the arm, shoulder and hand questionnaire(DASH). The splint wearing performance and Satisfaction were recorded. Collected data will be analyzed with nonparametric tests by SPSS version 20.0, and alpha level was set at .05.

Conditions
Stroke
Being tested
3D printing splint group, functional splint group
Medical subject headings
Stroke

What participants receive

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

  • 3D printing splint groupBehavioural

    Wear 3D printing design splint for position for 60 minutes each time, plus 20 minutes of exercise which including:(1) Raise hands for 5 minutes, and bend and straighten the elbow for 5 minutes for proximal movement exercise;(2) Wear 3D printed design hand splint and change objects according to the ability of grasp, such as hold a cup, handle, eraser, pen, etc.

  • functional splint groupBehavioural

    Wear functional splint for position for 60 minutes each time, plus 20 minutes of exercise which including:(1) Raise hands for 5 minutes, and bend and straighten the elbow for 5 minutes for proximal movement exercise;(2) Grasp the holder according the grasp ability, such as hold a cup, handle, eraser, pen, etc.

Study groups in NCT06979934
Study groupRoleWhat they receive
3D printing splint groupExperimental3D printing splint for 8 weeks of treatment (Sixty minutes for position and twenty minutes for training a time, triple times a day)
Receives: Behavioral: 3D printing splint group
functional splint groupActive comparatorfunctional splint for 8 weeks of treatment (Sixty minutes for position and twenty minutes for training a time, triple times a day)
Receives: Behavioral: functional splint group

What is being measured

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

  1. Fugl-Meyer Assessment-upper extremity

    The Fugl-Meyer Assessment-upper extremity (FMA-UE) measures motor impairment in the upper extremity. The assessment consists of 33 items, including movement, reflex, grasp, and coordination, and a total score of 66.The unit of measure is score.

    Measured: Change from Baseline at 8 weeks

Secondary outcomes (7)
  1. Electromyography

    Record the maximum voluntary contraction (maximal voluntary contraction; MVC) of the wrist extensor muscles, total extensor muscles, and flexor muscles.The unit of measure is motor unit.

    Measured: Change from Baseline at 8 weeks

  2. Dynanometer

    The grip dynamometer was used to measure the maximum isometric strength of the hand and forearm muscles. The mean score of 3 trials was calculated. For this measurement, the elbow was placed at 90° and the forearm was placed in mid-position.The unit of measure is kilograms.

    Measured: Change from Baseline at 8 weeks

  3. Range of motion of upper limb joints

    Passive movement angle of elbow joint, wrist joint and thumb, finger metacarpophalangeal joint.The unit of measure is degree.

    Measured: Change from Baseline at 8 weeks

  4. Disabilities of The Arm, Shoulder And Hand Questionnaire

    a self-administered region-specific outcome instrument developed as a measure of self-rated upper-extremity disability and symptoms. The DASH consists mainly of a 30-item disability/symptom scale, scored 0 (no disability) to 100. We used the subtest of Activity capacity, severity of illness.The unit of measure is score.

    Measured: Change from Baseline at 8 weeks

  5. Side effects record

    The number of side effects after intervention (such as soreness, pain, motion vertigo, injury, etc.) were recorded every day. The unit of measure is number of times.

    Measured: Every training session, total sessions continued to 8 weeks

  6. Satisfaction questionnaire

    The questionnaire is a subjective self-filling scale using a hand brace, with 5-level scores (strongly agree to strongly disagree), including aesthetics, complexity, weight, resistance, comfort, ease of wear, etc.The unit of measure is score.

    Measured: Every training session, total sessions continued to 8 weeks

  7. Wear performance record

    The wear and exercise times were recorded every day. The unit of measure is number of times.

    Measured: Every training session, total sessions continued to 8 weeks

Timeline

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

  1. First posted20 May 2025
  2. Study start1 Jul 2021 (estimated)
  3. Primary completion30 Aug 2022 (estimated)
  4. Study completion30 Sep 2022 (estimated)

Why it stopped: Because the project proposal was not approved for funding, it was not carried out.

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
Single blind
Who is masked
Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06979934
Sponsor's protocol ID
TMU-JIRB N202104007
Status last verified
May 2025
First submitted
23 May 2021
Last updated
20 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Alexander J, Dawson J, Langhorne P. Dynamic hand orthoses for the recovery of hand and arm function in adults after stroke: A systematic review and meta-analysis of randomised controlled trials. Top Stroke Rehabil. 2022 Mar;29(2):114-124. doi: 10.1080/10749357.2021.1878669. Epub 2021 Jan 31.

    PubMed 33517868
  • Ates, S., Haarman, C. J., & Stienen, A. H. J. A. R. (2017). SCRIPT passive orthosis: design of interactive hand and wrist exoskeleton for rehabilitation at home after stroke. 41(3), 711-723.

  • Azeez, A., Gopichand, A., Shankar, N., Hanumantharao, K. J. I. J. o. E. T., & Technology. (2015). A novel prosthetic hand support for physically disabled. 29(6), 295-298

  • Baronio G, Harran S, Signoroni A. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process. Appl Bionics Biomech. 2016;2016:8347478. doi: 10.1155/2016/8347478. Epub 2016 Aug 9.

    PubMed 27594781
  • Basteris A, Nijenhuis SM, Stienen AH, Buurke JH, Prange GB, Amirabdollahian F. Training modalities in robot-mediated upper limb rehabilitation in stroke: a framework for classification based on a systematic review. J Neuroeng Rehabil. 2014 Jul 10;11:111. doi: 10.1186/1743-0003-11-111.

    PubMed 25012864
  • Cazon, A., Aizpurua, J., Paterson, A., Bibb, R., Campbell, R. I. J. V., & Prototyping, P. (2014). Customised design and manufacture of protective face masks combining a practitioner-friendly modelling approach and low-cost devices for digitising and additive manufacturing: This paper analyses the viability of replacing conventional practice with AM method to make customized protective face masks. 9(4), 251-261.

  • Chang, K., Chang, J.-H., Huang, M.-W., & Lee, L.-Y. (2018). Innovative orthosis for phalanx extension neurofacilitation (iOPEN)-development of a 3D-printed hand orthosis for chronic stroke patient. Paper presented at the 2018 IEEE International Conference on Applied System Invention (ICASI).

  • Chang WD, Lai PT. New design of home-based dynamic hand splint for hemiplegic hands: a preliminary study. J Phys Ther Sci. 2015 Mar;27(3):829-31. doi: 10.1589/jpts.27.829. Epub 2015 Mar 31.

    PubMed 25931740
  • Copley J, Kuipers K, Fleming J, Rassafiani M. Individualised resting hand splints for adults with acquired brain injury: a randomized, single blinded, single case design. NeuroRehabilitation. 2013;32(4):885-98. doi: 10.3233/NRE-130913.

    PubMed 23867415
  • Diment LE, Thompson MS, Bergmann JH. Three-dimensional printed upper-limb prostheses lack randomised controlled trials: A systematic review. Prosthet Orthot Int. 2018 Feb;42(1):7-13. doi: 10.1177/0309364617704803. Epub 2017 Jun 24.

    PubMed 28649911
  • Duncan PW, Propst M, Nelson SG. Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident. Phys Ther. 1983 Oct;63(10):1606-10. doi: 10.1093/ptj/63.10.1606.

    PubMed 6622535
  • Emzain, Z. F., Huang, S.-C., Yang, Y.-S., & Qosim, N. J. R. M. (2020). Design and Analysis of a Dynamic Splint Based on Pulley Rotation for Post-Stroke Finger Extension Rehabilitation Device. 11(3), 477-485.

  • Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, Moran AE, Sacco RL, Anderson L, Truelsen T, O'Donnell M, Venketasubramanian N, Barker-Collo S, Lawes CM, Wang W, Shinohara Y, Witt E, Ezzati M, Naghavi M, Murray C; Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014 Jan 18;383(9913):245-54. doi: 10.1016/s0140-6736(13)61953-4.

    PubMed 24449944
  • Fitzpatrick, A. P., Mohanned, M. I., Collins, P. K., & Gibson, I. J. K. E. (2017). Design of a patient specific, 3D printed arm cast. 135-142.

  • Gregson JM, Leathley M, Moore AP, Sharma AK, Smith TL, Watkins CL. Reliability of the Tone Assessment Scale and the modified Ashworth scale as clinical tools for assessing poststroke spasticity. Arch Phys Med Rehabil. 1999 Sep;80(9):1013-6. doi: 10.1016/s0003-9993(99)90053-9.

    PubMed 10489001

Questions about this trial

What is this clinical trial studying?

A study testing 3D printing splint group and functional splint group in people with Stroke, run by Taipei Medical University Shuang Ho Hospital at 1 site in Taiwan.

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: withdrawn, as of the sponsor's last update on 20 May 2025. 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 Taiwan. 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 was withdrawn before enrolling participants, so there are no results.

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?

Fugl-Meyer Assessment-upper extremity (time frame: Change from Baseline at 8 weeks). 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 NCT06979934, which also lists 30 linked publications.

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 20 May 2025; AzTrials last refreshed its copy on 30 Oct 2026.

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