Functional Assistance provided by Myoelectric Elbow-wrist-hand orthoses (FAME) Save

Date Added
February 21st, 2017
PRO Number
Pro00061939
Researcher
Michelle Woodbury
Keywords
Stroke, Stroke Recovery
Summary

This study, for stroke survivors with partial paralysis of one arm, will test whether or not an arm exoskeleton (the MyoPro Motion-G) immediately impacts arm movement more than a regular brace or more than wearing no brace. A stroke survivor who is 1 year or more post-stroke will qualify for this study if he/she has at least a little movement in the more affected arm. Subjects who qualify will come to MUSC 4 times over 3 weeks for about 2-3 hours per visit. During that time subjects will be fit for, and learn how to operate the exoskeleton and the comparison brace. Subjects' arm movement will be tested with a series of standard clinical measures of dexterity, functional task performance, range of motion, and strength.

Institution
MUSC
Recruitment Contact
Michelle Woodbury
843-792-1671
WoodbuML@musc.edu

An International, Multicentre, Prospective, Single-Arm Study to Assess the Effect on Voluntary Movements of AbobotulinumtoxinA 1500 U Administered in Both Upper and Lower Limbs in Conjunction with a Guided Self-Rehabilitation Contract in Adult Subjects with Spastic Hemiparesis Save

Date Added
January 24th, 2017
PRO Number
Pro00062911
Researcher
Wuwei Feng
Keywords
Drug Studies, Rehabilitation Studies, Stroke, Stroke Recovery
Summary

The purpose of this clinical study is to see whether injections of AbobotulinumtoxinA in the upper limb (arm) and lower limb (leg) in combination with a personal exercise plan can improve voluntary movements in subjects with hemiparesis.

Institution
MUSC
Recruitment Contact
Fay Davis
843-792-0883
davisfa@musc.edu

TheraBracelet: The first and only wearable to instantly improve stroke hand function Save

Date Added
January 3rd, 2017
PRO Number
Pro00062471
Researcher
Na jin Seo
Keywords
Aging, Central Nervous System, Movement Disorders, Muscle, Nerve, Nervous System, Physical Therapy, Rehabilitation Studies, Stroke, Stroke Recovery
Summary

Post-stroke hand impairment is highly prevalent and severely restricts functional ability and independence. Yet, there is no assistive device to help hand function at home, every day, during activities of daily living. This study addresses this gap by providing an innovative technology. The ?TheraBracelet? is a wristband applying imperceptible white-noise vibration to skin. TheraBracelet is efficacious, as it has been shown to immediately improve chronic stroke survivors? touch sensation and hand dexterity in preliminary studies. TheraBracelet is affordable by using only a low-cost vibrator. TheraBracelet is also translational, because a vibrator strategically placed at the wrist does not interfere with dexterous finger motions, and it is low-risk by involving only imperceptible vibration on skin. These practicalities assure easy adoption in home environment for large impact on sensorimotor impairment. This study is to determine the feasibility and safety of using this assistive device all day every day for a month during daily activity, and to determine if TheraBracelet?s instant effects are sustained during prolonged use. This objective will be accomplished in a double-blinded, randomized, controlled, crossover design study. Feasibility (compliance of using the device everyday) and safety will be assessed for the treatment condition compared to the control condition (wearing the device without vibration) through weekly evaluations. In addition, TheraBracelet?s instant benefits in improving hand function will be assessed weekly. Persistence of TheraBracelet?s instant benefits across all weekly evaluations will support durability (i.e. desensitization to vibration does not occur during extended daily use over a one-month period). This project is expected to lead to an assistive wristband that increases hand function during activities of daily living, thus increasing independence and quality of life and reducing caregiver burden for a large number of stroke survivors with hand impairment.

Institution
MUSC
Recruitment Contact
Andrew Fortune
843-792-8970
fortunea@musc.edu

Operant conditioning of spinal reflexes in healthy people and people with neurological disorders. Save

Date Added
November 23rd, 2016
PRO Number
Pro00060769
Researcher
Richard Segal
Keywords
Body Composition, Healthy Volunteer Studies, Movement Disorders, Muscle, Nerve, Nervous System, Physical Therapy, Rehabilitation Studies, Stroke, Stroke Recovery
Summary

Our long term goal is to enhance the locomotion of impaired individuals after a neurological injury.
We are trying to recruit as healthy control participants, and neurologically impaired individuals (incomplete SCI and after-stroke patients) to participate in this study.
For neurologically impaired individuals a physical therapist will complete IRB approved questionnaires to measure your mobility, muscle strength, balance, walking speed, and distance.
All participants will meet with study staff who would then test your reflexes by placing some superficial skin based electrodes behind the knee and apply mild stimulation while standing/sitting.
If enrolled, you may be required to participate for 30 sessions (3 sessions/week), each lasting about one hour over a period of 3 months. Compensation is available for your participation.

Institution
MUSC
Recruitment Contact
Aviroop Dutt-Mazumder
843-792-0275
duttamaz@musc.edu

Center for the Study of Aphasia Recovery (C-STAR) - Project 1 (POLAR) Project 001: Modeling Treated Recovery from Aphasia Save

Date Added
November 9th, 2016
PRO Number
Pro00058579
Researcher
Leonardo Bonilha
Keywords
Rehabilitation Studies, Stroke, Stroke Recovery
Summary

Speech and language therapy for the management of aphasia (a language impairment that often occurs as a result of a stroke) is generally shown to be effective. However, the reasons that certain treatments may work for some individuals, and not others, and why some individuals do not respond to treatment is largely unknown. In this study, we plan to identify and model the relationship between many different factors (such as personal/biographical factors and an individual's baseline cognitive and language abilities) to help predict aphasia treatment outcome. Participants will be recruited for speech and language testing, brain imaging (MRI), and aphasia treatment (as warranted).

Institution
MUSC
Recruitment Contact
Katie Murphy
843-792-3678
murka@musc.edu

Establishing the functional viability and dose-response of Duck, Duck Punch: A Stroke Rehabilitation Computer Game Save

Date Added
October 25th, 2016
PRO Number
Pro00059924
Researcher
Michelle Woodbury
Keywords
Stroke, Stroke Recovery
Summary

This study has 2 parts: In one part of this study, people with stroke will either play a custom designed computer game for stroke rehabilitation called Duck Duck Punch or an off the shelf computer game with their weaker arm 3 times per week for 6 weeks. Evaluations will determine whether or not one computer game improved arm movement more than the other. In the second part of the study, people with stroke, caregivers of people with stroke and stroke rehabilitation therapists will meet in several focus groups to design a useful and informative Duck Duck Punch performance report.

Institution
MUSC
Recruitment Contact
Michelle Woodbury
843-792-1671
WoodbuML@musc.edu

A novel mechanics-based intervention to improve post-stroke gait stability Save

Date Added
October 4th, 2016
PRO Number
Pro00059390
Researcher
Jesse Dean
Keywords
Stroke, Stroke Recovery
Summary

People who have experienced a stroke often have an increased risk of falling and decreased confidence in their balance, in part because of an inability to accurately place their feet while walking. Unfortunately, existing therapies have not been able to improve this problem. This study will test whether a novel therapy can improve foot placement accuracy during walking. Specifically, the therapy will involve repeated practice walking on a treadmill, while forces are applied to the legs to affect foot placement.

Institution
MUSC
Recruitment Contact
Brian Cence
843-792-2668
cence@musc.edu

Examining the effects of transcranial direct current stimulation and task-specific practice on cortical modulation among individuals with unilateral spatial neglect post stroke Save

Date Added
July 5th, 2016
PRO Number
Pro00056688
Researcher
Emily Grattan
Keywords
Rehabilitation Studies, Stroke Recovery
Summary

It is common for stroke survivors to have difficulty attending to the affected side of their body or to the affected side of space after stroke (unilateral neglect). Individuals with neglect frequently experience weakness in their arm/hand also. The purpose of this study is to test the effects of 3 different rehabilitation training sessions that combine non-invasive brain stimulation (transcranial direct current stimulation, tDCS) with arm/hand rehabilitation training (repetitive task-specific practice, RTP). This study is designed to determine the effects of tDCS + RTP on the excitability in the brain, attention to the affected side, and arm movement ability.

Institution
MUSC
Recruitment Contact
Emily Grattan
843-792-3435
grattan@musc.edu

The effects of impaired post-stroke coordination and motor pathway integrity on mobility performance Save

Date Added
November 6th, 2015
PRO Number
Pro00048394
Researcher
Steven Kautz
Keywords
Healthy Volunteer Studies, Military, Muscle, Physical Therapy, Rehabilitation Studies, Stroke Recovery
Summary

Walking is important to persons who have had a stroke and better rehabilitation methods are needed to restore or improve their walking. This project will investigate ways to improve upon and diagnose the specific underlying impairments. Future work will allow clinicians, such as physicians and physical therapists, to make measurements in their clinic to better diagnose a person?s specific walking deficit, design a specific treatment plan, and monitor its ability to restore or improve the person?s walking.

Institution
MUSC
Recruitment Contact
Christina Thompson
843-792-6313
thompchr@musc.edu

?Telerehabilitation in the Home versus In-Clinic for Patients with Stroke. An assessor-blind, randomized, non-inferiority trial? Save

Date Added
August 5th, 2015
PRO Number
Pro00043918
Researcher
Michelle Woodbury
Keywords
Stroke, Stroke Recovery
Summary

The current study will test the effectiveness of a novel home-based telehealth system designed to improve motor recovery and patient education after stroke. A total of 20 subjects at MUSC with arm motor deficits 4-20 weeks after an ischemic stroke will be randomized to receive 6 weeks of intensive arm motor therapy (a) in a traditional in-clinic setting ?Standard therapy arm or (b) via in-home telerehabilitation (rehabilitation services delivered to the subject?s home via an internet-connected computer) ?Investigational arm. The intensity, duration, and frequency of this therapy will be identical across the two groups, with subjects in both treatment arms receiving 36 sessions (18 supervised and 18 unsupervised), 80 minutes each, over 6 weeks. Arm motor status is the focus here because it is commonly affected by stroke, is of central importance to many human functions, and is strongly linked to disability and well being after stroke.

Institution
MUSC
Recruitment Contact
James Vick
843-792-0989
vickj@musc.edu

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