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Ischemic StrokeBCI-RMTNCT07553416

Prospective, Randomized, Parallel-Controlled Study of Brain Computer Interface Integrated Robotic Mirror Therapy for Post-Stroke Upper Limb Motor Function Disorder

A study testing Brain computer interface-robotic mirror therapy in people with Ischemic Stroke and Intracranial Haemorrhage, run by Beijing Tiantan Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to utilize non-invasive brain-computer interface technology in conjunction with mirror therapy to design a new paradigm for rehabilitation robots to induce compensatory movements on the healthy side in stroke patients, evaluate the potential rehabilitation value of this paradigm for patients with… Read more about this study

Who is it for?
Ages 30 to 80 years
What is being tested?
Brain computer interface-robotic mirror therapy
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteChina
Study dates
1 May 2026to 31 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 30 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged 30 to 80 years
  • Patients with unilateral upper limb motor dysfunction caused by primary ischemic/hemorrhagic stroke within 1 to 6 months prior to enrollment
  • Cerebral magnetic resonance diffusion-weighted imaging (DWI) at the time of onset indicating that the stroke lesion is limited to the unilateral basal ganglia region
  • Modified Rankin Scale (mRS) score of 0 to 2 before stroke onset
  • Fugl-Meyer Motor Function Assessment of Upper Extremities (FMA-UE) score of 10 to 42
  • Montreal Cognitive Assessment (MoCA) score > 18
Show all 10Show fewer
  • Fugl-Meyer Balance Assessment score > 6
  • Normal binocular visual acuity or corrected visual acuity
  • Normal hearing and intact verbal comprehension ability
  • Provided written informed consent

Who cannot join

  • Patients with other severe cardiovascular and cerebrovascular diseases and unstable vital signs
  • Patients with motor dysfunction caused by other etiologies, such as amyotrophic lateral sclerosis, myasthenia gravis, muscular dystrophy, hypokalemic periodic paralysis, spondylitis, arthritis, osteomyelitis, etc.
  • Patients with severe diseases of the lungs, liver, kidneys and other vital organs
  • Patients with limb movement impairment caused by diseases such as fractures and arthritis
  • Modified Ashworth Scale (MAS) score > 3
  • Patients unable to understand and cooperate with limb rehabilitation training due to factors such as severe aphasia
Show all 18Show fewer
  • Presence of severe visual field defects or visual impairments (e.g., hemianopsia, hemispatial neglect, etc.
  • History of previous stroke
  • A history of severe motor injury and/or surgical intervention of the affected upper limb, such as muscle tear, tendon rupture, rhabdomyolysis
  • Life expectancy of less than 1 year due to the underlying disease
  • Undergoing major surgery within the past 30 days or planning to undergo major surgery within the next 90 days
  • Pregnant or lactating women
  • History of drug or alcohol abuse, head trauma or central nervous system infection; current use of cognition-impairing medications such as psychoactive or sedative drugs
  • With definite psychiatric and psychological disorders, such as depression, anxiety disorder, obsessive-compulsive disorder, schizophrenia, autism, chronic sleep disorder, consciousness disorder, etc.
  • Having implanted electronic devices in the body that interfere with magnetic resonance imaging (MRI), such as cochlear implants, cardiac pacemakers/defibrillators, drug delivery pumps
  • Poor compliance of the subject, their family members and caregivers, or inability to complete at least 12 months of follow-up as required by the study
  • Having been enrolled in other clinical studies that conflict with this study
  • Judged by the Indication Evaluation Committee as ineligible for or not falling within the scope of this study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • Beijing Tiantan Hospital, Capital Medical University

    Beijing, Beijing Municipality

    Sihao Liu, PhD, +86 010-59975531, liusihao0521@163.com

    Yong Cao, Pro.

Other trials in China

About this study

Official title: A Prospective, Randomized, Parallel-Controlled Clinical Study Protocol of Non-Invasive Brain Computer Interface Robot Based on Mirror Rehabilitation Theory in the Treatment of Upper Limb Motor Function Disorder After Stroke

This study aims to utilize non-invasive brain-computer interface technology in conjunction with mirror therapy to design a new paradigm for rehabilitation robots to induce compensatory movements on the healthy side in stroke patients, evaluate the potential rehabilitation value of this paradigm for patients with severely impaired motor areas on the affected side, explore the neural rehabilitation compensation mechanism, and provide more personalized rehabilitation treatment strategies for patients with post-stroke motor dysfunction.

Read the detailed description

This is a prospective, single-center, open-label, outcome-assessor-blinded, randomized, parallel-controlled clinical study initiated by investigators. Based on the post-stroke compensatory model theory, this study innovatively combines brain-computer interface and mirror robot technology to build a dynamic closed-loop feedback system. Using the contralesional compensatory activation mechanism and a designed robot training paradigm, it explores the efficacy of the intervention in improving upper limb motor function and its underlying neural recovery mechanisms.

Being tested
Brain computer interface-robotic mirror therapy
Keywords
Ischemic Stroke, Intracranial Haemorrhage, Brain-Computer Interfaces, Rehabilitation Exercise, Mirror rehabilitation robot
Medical subject headings
Ischemic Stroke, Intracranial Hemorrhages

What participants receive

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

  • Brain computer interface-robotic mirror therapyDevice

    BCI-RMT was performed by acquiring electroencephalographic signals from the unaffected hemisphere via a brain-computer interface, analyzing the signals with artificial intelligence, and finally delivering assisted motor function rehabilitation for the affected upper extremity via an intelligent exoskeleton training robot.

Study groups in NCT07553416
Study groupRoleWhat they receive
Control groupNo interventionThe control group received conventional comprehensive rehabilitation therapy for 30 minutes per session, twice daily, 5 days per week, for 4 consecutive weeks.This therapy combined techniques including Bobath, Brunnstrom, Motor Relearning Program (MRP), and Proprioceptive Neuromuscular Facilitation (PNF), and involved training of movements such as shoulder flexion, extension and abduction, elbow flexion and extension, forearm pronation and supination, wrist flexion and extension, flexion and extension of interphalangeal and metacarpophalangeal joints, finger-to-finger opposition and thumb opposition, as well as roller training, ball grasping training, sanding board training, wooden peg moving training and card flipping training.
Experimental GroupExperimentalThe experimental group received brain computer interface-robotic mirror therapy (BCI-RMT) 5 days per week for 4 consecutive weeks, combined with conventional comprehensive rehabilitation therapy at 30 minutes per session, twice daily, 5 days per week. Each BCI-RMT session included a basic phase and an intensive phase, with a total training duration of approximately 20 minutes. The intervention was implemented using a brain-computer interface intelligent exoskeleton active and passive training system (Model: AiHand Expanse-BCI-L1) developed by Shuli Zhixing (Xi'an) Intelligent Technology Co., Ltd., a subsidiary of Shanghai Shuli Intelligent Technology Co., Ltd. BCI-RMT was performed by acquiring electroencephalographic signals from the unaffected hemisphere via a brain-computer interface, analyzing the signals with artificial intelligence, and finally delivering assisted motor function rehabilitation for the affected upper extremity via an intelligent exoskeleton training robot.
Receives: Device: Brain computer interface-robotic mirror therapy

What is being measured

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

  1. Changes in Fugl-Meyer Assessment of the Upper Extremity for the affected upper limb at the forth week after enrollment.

    The primary outcome measure of this study was the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE), which was employed to assess upper limb motor function in patients. The FMA-UE consists of 33 items, each graded on a 0-2 scale (0 = unable to perform, 1 = partially accomplished, 2 = fully accomplished), with a total score ranging from 0 to 66; higher scores indicate superior upper limb motor function. This scale enables comprehensive evaluation of joint range of motion, reflex activity, isolated motor control, and coordination in the hemiplegic upper extremity of stroke patients.

    Measured: 4 weeks

Secondary outcomes (7)
  1. The improvement in the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) for the affected upper limb at the eighth week after enrollment.

    The FMA-UE consists of 33 items, each graded on a 0-2 scale (0 = unable to perform, 1 = partially accomplished, 2 = fully accomplished), with a total score ranging from 0 to 66; higher scores indicate superior upper limb motor function. This scale enables comprehensive evaluation of joint range of motion, reflex activity, isolated motor control, and coordination in the hemiplegic upper extremity of stroke patients.

    Measured: 8 weeks

  2. Changes in neural conduction pathways at the forth week after enrollment.

    Diffusion Tensor Imaging (DTI) enables visualization of cerebral white matter fiber tracts and assessment of the repair of neural conduction pathways. In this study, the unaffected primary motor cortex (M1) was used as the seed region, and the ipsilesional cervical spinal cord was set as the target region. Fractional Anisotropy (FA) values of the fiber tract were extracted. A higher FA value indicates greater integrity of the fiber tract and stronger neural conduction ability.

    Measured: 4 weeks

  3. Differences in changes of electroencephalographic (EEG) signals at the forth week after enrollment.

    Electroencephalographic signal acquisition enables the analysis of time-frequency characteristics, spatial features, and functional connectivity in patients before and after rehabilitation intervention. Time-frequency analysis serves as a primary approach to evaluating the efficacy of BCI-RMT training. Spatial feature analysis enables the detailed visualization of the spatial distribution of ERD/ERS in the form of brain topographic maps, which is particularly well-suited for monitoring the spatial pattern of compensatory activation in the unaffected hemisphere and its longitudinal changes throughout the training process. Functional connectivity analysis is primarily employed to investigate information connectivity and exchange patterns among motor-related brain regions.

    Measured: 4 weeks

  4. Improvements in the Wolf Motor Function Test of the affected upper extremity at the forth week and the eighth week after enrollment.

    The Wolf Motor Function Test (WMFT) also enables quantitative evaluation of motor function in the hemiplegic upper extremity among stroke patients, with a specific emphasis on the quality of movement execution. As a complementary measure to the FMA-UE, it simulates daily functional activities more comprehensively, covering tasks from single-joint isolated movements (e.g., lateral elbow extension) to multi-joint complex actions (e.g., towel folding). The WMFT comprises 15 items scored according to movement fluency, coordination and accuracy, with each item rated on a 0-5 scale and a total score ranging from 0 to 75; higher scores reflect better upper extremity motor function.

    Measured: 4 weeks and 8 weeks

  5. Improvements in Modified Barthel Index (MBI) scores at the forth week and the eighth week after enrollment.

    The Modified Barthel Index (MBI) is utilized to evaluate patients' activities of daily living (ADL). This scale covers basic daily living activities, including feeding, bathing, dressing, toileting, bowel and bladder control, bed-chair transfer, walking on level ground, stair climbing, and grooming (tooth brushing and hair combing). The total score ranges from 0 to 100 points. A higher score indicates greater functional independence: a score of 0 represents complete dependence, whereas a score of 100 indicates full independence.

    Measured: 4 weeks and 8 weeks

  6. Changes in Modified Ashworth Scale (MAS) scores at the forth week and the eighth week after enrollment.

    The Modified Ashworth Scale (MAS) is a commonly used clinical scale for assessing limb muscle tone in stroke patients. It evaluates the severity of limb spasticity by sensing changes in resistance during passive joint movement.The MAS comprises six grades: Grade 0, Grade 1, Grade 1+, Grade 2, Grade 3, and Grade 4. A higher grade indicates increased muscle tone.

    Measured: 4 weeks and 8 weeks

  7. Changes in Montreal Cognitive Assessment (MoCA) scores at the forth week and the eighth week after enrollment.

    The Montreal Cognitive Assessment (MoCA) can evaluate patients' cognitive function, covering 8 cognitive domains including orientation, executive function, naming, attention, language, abstract thinking, delayed recall and visuospatial ability. It has a total score of 30 points, and a score of ≥26 points indicates normal cognitive function.

    Measured: 4 weeks and 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 posted28 Apr 2026
  2. Study start1 May 2026 (estimated)
  3. Primary completion30 Nov 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

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
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07553416
Sponsor's protocol ID
BJXZ-CY-07
Acronym
BCI-RMT
Status last verified
Apr 2026
First submitted
22 Apr 2026
Last updated
28 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Ward NS, Cohen LG. Mechanisms underlying recovery of motor function after stroke. Arch Neurol. 2004 Dec;61(12):1844-8. doi: 10.1001/archneur.61.12.1844.

    PubMed 15596603
  • Mohapatra S, Harrington R, Chan E, Dromerick AW, Breceda EY, Harris-Love M. Role of contralesional hemisphere in paretic arm reaching in patients with severe arm paresis due to stroke: A preliminary report. Neurosci Lett. 2016 Mar 23;617:52-8. doi: 10.1016/j.neulet.2016.02.004. Epub 2016 Feb 9.

    PubMed 26872851
  • Kaiser V, Daly I, Pichiorri F, Mattia D, Muller-Putz GR, Neuper C. Relationship between electrical brain responses to motor imagery and motor impairment in stroke. Stroke. 2012 Oct;43(10):2735-40. doi: 10.1161/STROKEAHA.112.665489. Epub 2012 Aug 14.

    PubMed 22895995
  • Ma ZZ, Wu JJ, Cao Z, Hua XY, Zheng MX, Xing XX, Ma J, Xu JG. Motor imagery-based brain-computer interface rehabilitation programs enhance upper extremity performance and cortical activation in stroke patients. J Neuroeng Rehabil. 2024 May 29;21(1):91. doi: 10.1186/s12984-024-01387-w.

    PubMed 38812014
  • Liu X, Zhang W, Li W, Zhang S, Lv P, Yin Y. Effects of motor imagery based brain-computer interface on upper limb function and attention in stroke patients with hemiplegia: a randomized controlled trial. BMC Neurol. 2023 Mar 31;23(1):136. doi: 10.1186/s12883-023-03150-5.

    PubMed 37003976
  • Kruse A, Suica Z, Taeymans J, Schuster-Amft C. Effect of brain-computer interface training based on non-invasive electroencephalography using motor imagery on functional recovery after stroke - a systematic review and meta-analysis. BMC Neurol. 2020 Oct 22;20(1):385. doi: 10.1186/s12883-020-01960-5.

    PubMed 33092554
  • Martini ML, Oermann EK, Opie NL, Panov F, Oxley T, Yaeger K. Sensor Modalities for Brain-Computer Interface Technology: A Comprehensive Literature Review. Neurosurgery. 2020 Feb 1;86(2):E108-E117. doi: 10.1093/neuros/nyz286.

    PubMed 31361011
  • Colucci A, Vermehren M, Cavallo A, Angerhofer C, Peekhaus N, Zollo L, Kim WS, Paik NJ, Soekadar SR. Brain-Computer Interface-Controlled Exoskeletons in Clinical Neurorehabilitation: Ready or Not? Neurorehabil Neural Repair. 2022 Dec;36(12):747-756. doi: 10.1177/15459683221138751. Epub 2022 Nov 25.

    PubMed 36426541
  • Wang A, Tian X, Jiang D, Yang C, Xu Q, Zhang Y, Zhao S, Zhang X, Jing J, Wei N, Wu Y, Lv W, Yang B, Zang D, Wang Y, Zhang Y, Wang Y, Meng X. Rehabilitation with brain-computer interface and upper limb motor function in ischemic stroke: A randomized controlled trial. Med. 2024 Jun 14;5(6):559-569.e4. doi: 10.1016/j.medj.2024.02.014. Epub 2024 Apr 19.

    PubMed 38642555
  • GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2024 May 18;403(10440):2133-2161. doi: 10.1016/S0140-6736(24)00757-8. Epub 2024 Apr 17.

    PubMed 38642570
  • Kim DH, Lee KD, Bulea TC, Park HS. Increasing motor cortex activation during grasping via novel robotic mirror hand therapy: a pilot fNIRS study. J Neuroeng Rehabil. 2022 Jan 24;19(1):8. doi: 10.1186/s12984-022-00988-7.

    PubMed 35073933
  • Kurniawan S, Mubarak H, Sam N, Waluyo Y, Zainuddin AA, Mochtar AA. Enhancing Hand Motor Recovery Poststroke: A Comparative Study of Robotic vs Conventional Mirror Therapy. Arch Phys Med Rehabil. 2025 Aug;106(8):1183-1188. doi: 10.1016/j.apmr.2024.11.008. Epub 2024 Nov 29.

    PubMed 39615826
  • He YZ, Huang ZM, Deng HY, Huang J, Wu JH, Wu JS. Feasibility, safety, and efficacy of task-oriented mirrored robotic training on upper-limb functions and activities of daily living in subacute poststroke patients: a pilot study. Eur J Phys Rehabil Med. 2023 Dec;59(6):660-668. doi: 10.23736/S1973-9087.23.08018-8. Epub 2023 Oct 23.

    PubMed 37869761
  • Chen YW, Li KY, Lin CH, Hung PH, Lai HT, Wu CY. The effect of sequential combination of mirror therapy and robot-assisted therapy on motor function, daily function, and self-efficacy after stroke. Sci Rep. 2023 Oct 6;13(1):16841. doi: 10.1038/s41598-023-43981-3.

    PubMed 37803096
  • Zhuang JY, Ding L, Shu BB, Chen D, Jia J. Associated Mirror Therapy Enhances Motor Recovery of the Upper Extremity and Daily Function after Stroke: A Randomized Control Study. Neural Plast. 2021 Sep 29;2021:7266263. doi: 10.1155/2021/7266263. eCollection 2021.

    PubMed 34630560

Questions about this trial

What is this clinical trial studying?

A study testing Brain computer interface-robotic mirror therapy in people with Ischemic Stroke and Intracranial Haemorrhage, run by Beijing Tiantan Hospital at 1 site in China.

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 10 inclusion and 18 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: opening soon, as of the sponsor's last update on 28 Apr 2026. 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 China. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Sihao Liu, PhD (+86 010-59975531, liusihao0521@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Fugl-Meyer Assessment of the Upper Extremity for the affected upper limb at the forth week after enrollment. (time frame: 4 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 NCT07553416, which also lists 19 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 28 Apr 2026.

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BCI-RMT Clinical Trial NCT07553416 | AzTrials