Ignite Creation Date:
2024-10-26 @ 3:37 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06538506
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-01
Brief Title:
ANIMATOR - RehUP BCI Controlled Robotic Therapy vs an Attention-based Control
Sponsor:
None
Organization:
None
Study Overview
Official Title:
ANIMATOR - A Single-blind Randomized Controlled Trial of RehUP BCI Controlled Robotic Therapy vs an Attention-based Control
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ANIMATOR
Brief Summary:
ANIMATOR aims to examine how BCI therapy vs attention based control therapy can be used to treat people in the chronic phase of stroke with moderate to severe upper extremity impairment This interventional trial has two phases Pilot 10 consecutive days of intervention and a Randomized Phase 24 sessions over 8 weeks
Detailed Description:
There is a large population of Canadians with chronic stroke and severely impaired upper limbs Consultation with this population reveals individuals who are looking for treatment to improve their ability to move their arm and hand The aim of the trial is to offer such a post-stroke neurorehabilitation solution using the RehUp brain computer interface BCI To do so the investigators will harness neuroplastic mechanisms that form new connections in the brain helping the participant to move their arm and hand voluntarily outside of BCI and robotic support
Given the potential for BCI facilitated post-stroke therapy to improve upper extremity function the investigators will conduct a pilot trial and then a randomized controlled trial to compare the responses of the upper extremity in chronic stroke survivors to RehUp BCI controlled robotic device vs an attention-based control comparator
ANIMATOR is a phase 2 prospective open label randomized controlled trial with blinded outcome assessment Randomization will be centrally blocked and computerized Participants will be randomized 11 BCI intervention or control
In the Pilot phase 10 participants will be enrolled and all allocated to the intervention arm
In the Randomized Phase Forty stroke survivors more than 6 months post-stroke with severe arm impairment will be recruited for this trial Participants will complete 24 one-hour sessions 3xwk for 8 weeks of BCI robotic upper extremity therapy or a control intervention Potential participants will be identified by stroke physiatrists neurologists and therapists working in clinics with individuals with stroke related impairment They may also be identified through previous participation in research studies at one of the trial sites or through self-identification in response to community outreach by the investigators to local stroke recovery groups Consent will be acquired prior to participating in the study Participant will be screened using the Fugl-Meyer Upper Extremity FM-UE Modified Ashworth Scale MAS and Visual Acuity measures to meet inclusion criteria after they have consented to participate
All groups will receive standard of care rehabilitation Participants will not be blinded but the assessor therapist will be These therapists will complete a training session with the central site to ensure replicability between sites and assessors Blinded assessors will never deliver either intervention in the trail
The BCI intervention uses the VIBRAINT BCI robot It allows participants to perform tasks in a virtual reality environment In the VRthe participant is given a task to either focus on the motor goal a target virtual object or imagine motion of the paralyzed arm connected to this object while reaching to it or grasping it Once the BCI recognizes cortical activity related to the assigned task it sends a message to the robotic device to accomplish the desired motion complemented by synchronous movement in Virtual Reality VR of the participants avatars arm During the robotic-driven motion the participant imagines the movement as if it is being performed by them voluntarily The participant will perform a series of tasks in VR focused on improving arm and hand function These tasks will be scaled in difficulty and tailored to the participants level of impairment The goal is for the participant to complete as many repetitions as possible A therapist will supervise these sessions to ensure the participant does not become too fatigued The session will last 45 minutes
The control intervention is completed with a therapist and focuses on three activities passive range of motion exercises motor imagery and mirror therapy for 15 minutes each
Given the potential for BCI facilitated post-stroke therapy to improve upper extremity function the investigators will conduct a pilot trial and then a randomized controlled trial to compare the responses of the upper extremity in chronic stroke survivors to RehUp BCI controlled robotic device vs an attention-based control comparator
ANIMATOR is a phase 2 prospective open label randomized controlled trial with blinded outcome assessment Randomization will be centrally blocked and computerized Participants will be randomized 11 BCI intervention or control
In the Pilot phase 10 participants will be enrolled and all allocated to the intervention arm
In the Randomized Phase Forty stroke survivors more than 6 months post-stroke with severe arm impairment will be recruited for this trial Participants will complete 24 one-hour sessions 3xwk for 8 weeks of BCI robotic upper extremity therapy or a control intervention Potential participants will be identified by stroke physiatrists neurologists and therapists working in clinics with individuals with stroke related impairment They may also be identified through previous participation in research studies at one of the trial sites or through self-identification in response to community outreach by the investigators to local stroke recovery groups Consent will be acquired prior to participating in the study Participant will be screened using the Fugl-Meyer Upper Extremity FM-UE Modified Ashworth Scale MAS and Visual Acuity measures to meet inclusion criteria after they have consented to participate
All groups will receive standard of care rehabilitation Participants will not be blinded but the assessor therapist will be These therapists will complete a training session with the central site to ensure replicability between sites and assessors Blinded assessors will never deliver either intervention in the trail
The BCI intervention uses the VIBRAINT BCI robot It allows participants to perform tasks in a virtual reality environment In the VRthe participant is given a task to either focus on the motor goal a target virtual object or imagine motion of the paralyzed arm connected to this object while reaching to it or grasping it Once the BCI recognizes cortical activity related to the assigned task it sends a message to the robotic device to accomplish the desired motion complemented by synchronous movement in Virtual Reality VR of the participants avatars arm During the robotic-driven motion the participant imagines the movement as if it is being performed by them voluntarily The participant will perform a series of tasks in VR focused on improving arm and hand function These tasks will be scaled in difficulty and tailored to the participants level of impairment The goal is for the participant to complete as many repetitions as possible A therapist will supervise these sessions to ensure the participant does not become too fatigued The session will last 45 minutes
The control intervention is completed with a therapist and focuses on three activities passive range of motion exercises motor imagery and mirror therapy for 15 minutes each
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None