Sensory-Motor Rehabilitation Post Stroke
University of Maryland, Baltimore
Summary
Early after stroke, patients often have significant motor impairment and sensory deficit. Evidence has demonstrated heightened plasticity and significant recovery in the acute phase (first months) post stroke but there has been a lack of effective and practical protocols and devices for early intensive sensorimotor therapy.This research study will conduct a randomized clinical trial of an intensive motor-sensory rehabilitation on patients with acute stroke using a wearable rehabilitation robot. The primary aims are to facilitate sensorimotor recovery, reduce ankle impairments, and improve balance and gait functions. This clinical trial will be conducted on the Study and Control groups of acute stroke survivors.
Description
The study will investigate an early intensive rehabilitation in acute stroke for motor relearning, reducing ankle impairments and improving balance and mobility/locomotion functions. The acute stroke survivor will be randomly placed into two groups. Subjects in the Study group will receive robot-aided motor relearning under real-time feedback, stretching under intelligent control, sensory stimulation, and active movement training with interactive games. Subjects in the Control group will receive passive movement in the middle ROM without intelligent stretching and active movement training wit…
Eligibility
- Age range
- 18–80 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. First time unilateral acute stroke, hemorrhagic or ischemic, 24 hours after admission in hospital to 1 year post stroke. 2. Hemiplegia or hemiparesis 3. Age 18-80 4. Ankle impairments Exclusion Criteria: 1. No impairment or very mild ankle impairment of ankle. 2. Unstable medical conditions that interferes with ability to training and exercise. 3. Severe cardiovascular disorders that interfere with ability to perform moderate movement exercises. 4. Cognitive impairment or aphasia with inability to follow instructions 5. Pressure ulcer, recent surgical incision or acti…
Interventions
- Devicestretching and active movement training
A portable rehabilitation robot will be used to strongly or gently move the impaired ankle joint back and forth. Then subjects will be asked to use muscles to move the ankle with or without the robotic guidance depending on which group the subjects are in.
Location
- University of Maryland, BaltimoreBaltimore, Maryland