Telerehabilitation for the Hand and Arm After Stroke and Traumatic Brain Injury

Sponsor

Ono Academic College (Other)

Overall Status

Unknown status

CT.gov ID

NCT00295399

Collaborator

(none)

Locations

Study Details

Study Description

Brief Summary

The goal of this project is to develop a low-cost, user-friendly, portable telerehabilitation system for physical therapy of the upper limb after stroke or traumatic brain injury. The system is based on the use of a commercially available force feedback joystick and will work with an ordinary home PC and a standard high-speed internet connection. Using the joystick, the patient will perform exercises designed to aid in recovering motor function of the hand and arm. The joystick will be programmed to either assist or resist the patient's movements. The system will include sophisticated analysis of patient status and progress to provide the therapist and physician with detailed information. In the first phase of the study, we will develop the system in cooperation with the physical therapy staff and other rehabilitation specialists. The investigators will examine the usability, comfort, safety and therapeutic benefit of the system. In the second phase of the study, the investigators will employ the system in patients' homes, using the internet to connect to rehabilitation specialists in the clinic. The study hypothesis is that it is possible to adapt commercially available, low cost gaming equipment such as force feedback joysticks to provide therapy for patients in their own homes, and that patients will be able to work with this system and will find it enjoyable and helpful for recovering motor function.

Condition or Disease	Intervention/Treatment	Phase
Cerebrovascular Accident Traumatic Brain Injury	Device: The Jerusalem Telerehabilitation System	N/A

Study Design

Study Type:

Interventional

Allocation:

Non-Randomized

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Outcome Measures

Primary Outcome Measures

Modified motor assessment scale []
Kinematic analysis []
Feedback questionnaires for patients, therapists and caretakers []

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years to 80 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Post-cerebrovascular accident or post-traumatic brain injury
In medically stable condition
Resident in Israel

Note: In addition there will be healthy, age-matched volunteers

Exclusion Criteria:

History of psychiatric illness
Grade of less than 23 in the Mini-Mental Test
Inability to understand informed consent form
Inability to follow 3-step instructions
Pregnancy
Receptive aphasia

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Hadassah Medical Organization	Jerusalem		Israel	91120
2	Chaim Sheba Medical Center	Tel Hashomer		Israel	52662

Sponsors and Collaborators

Ono Academic College

Investigators

Study Chair: Heidi Sugarman, Ph.D., Ono Academic College
Principal Investigator: Joseph Tiran, PhD, Ben Gurion University, Beer Sheva, Israel
Principal Investigator: Ehud Dayan, BSc, Sonarion Hadassah Virtual Reality Center