Clinical trial NCT03096262: Transforming Robot-mediated Telerehabilitation: Citizen Science for Rehabilitation
Official title: Feasibility of a Kinect-Based Citizen Science Telerehabilitation Platform
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Hemiparesis
Stroke
Keywords: cognitive skills
technical
internet platform
Stroke
Hemiparesis
Lead sponsor: Johns Hopkins University
Sponsor class: OTHER
Collaborators: name: National Science Foundation
First posted: 2017-03-30
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to advance upper limb robot-mediated tele-rehabilitation for patients recovering from stroke by empowering them through active science participation. By varying the tasks' features and affordances of a platform that combines a low-cost haptic device on one hand, and an online citizen science platform on the other, investigators will evaluate different strategies for social telerehabilitation. the two fundamental modes of social interaction - competition and cooperation - in addition to a control condition. Specifically, citizen science activities will be performed by competing, cooperating, or isolated users, and their rehabilitation effectiveness examined. Such effectiveness will be measured by (i) participants' rehabilitation performance (inferred from sensorimotor data acquired through the platform and directly quantified by a supervising therapist); (ii) participants' motivations to contribute (measured through surveys administered online); and (iii) participants' emotional well-being and sense of self-esteem (measured through online surveys).


Eligibility criteria: Inclusion Criteria:

For treatment group:

* post-stroke hemiparesis \>3 months
* ability to stand or sit independently
* sufficient cognitive skills to perform the exercises as demonstrated
* full passive range of motion in the affected arm but limited active movement as determined by a upper extremity Fugl-Meyer score of \<50/66
* technical savvy and interest to use an internet platform

For control group:

(ii) no history of learning disabilities (iii) technical savvy and interest to use an internet platform

Exclusion Criteria:

For treatment group:

* visual deficit such as deficit in visual acuity, eye movements, visual field cut, or neglect
* medical comorbidity such as other neurological conditions (e.g. Parkinson's disease, brain tumor, epilepsy), or previous injury to the upper limb
* pain in the upper limbs that prevents full passive range of motion to perform the exercises.

For control group:

* visual deficit such as deficit in visual acuity, eye movements, visual field cut, or neglect
* any previous injury or medical condition that prevents full passive range of motion to perform the exercises.

Primary outcomes:
measure: Fugl-Meyer scale
timeFrame: 1 Month
measure: Video-based motion analysis
timeFrame: 1 Month
measure: assessment of tone using Ashworth scale
timeFrame: 1 Month
Secondary outcomes:
Other outcomes:
Locations:
city: Baltimore
country: United States
facility: Matthew Bird
state: Maryland
Study officials:
affiliation: Johns Hopkins University
name: Preeti Raghavan, MD
role: PRINCIPAL_INVESTIGATOR
References: