UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007784
Receipt number R000009172
Scientific Title Clinical feasibility of mirror therapy combined with electromyography-triggered neuromuscular stimulation for paretic hand after stroke: a pilot randomized crossover trial.
Date of disclosure of the study information 2012/04/18
Last modified on 2014/04/18 23:09:50

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Basic information

Public title

Clinical feasibility of mirror therapy combined with electromyography-triggered neuromuscular stimulation for paretic hand after stroke: a pilot randomized crossover trial.

Acronym

Mirror therapy combined with electromyography-triggered neuromuscular stimulation for paretic hand after stroke.

Scientific Title

Clinical feasibility of mirror therapy combined with electromyography-triggered neuromuscular stimulation for paretic hand after stroke: a pilot randomized crossover trial.

Scientific Title:Acronym

Mirror therapy combined with electromyography-triggered neuromuscular stimulation for paretic hand after stroke.

Region

Japan


Condition

Condition

stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this early-phase, pilot randomized clinical trial was to investigate the feasibility and possible effects of mirror therapy combined with electromyography-triggered neuromuscular stimulation on upper extremity impairment and activery limitation of the stroke patients during inpatient rehabilitation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I,II


Assessment

Primary outcomes

Upper extremity items of Fugl-Meyer motor assessment scale

Key secondary outcomes

Active range of motion of wrist extension, Hand ratio, Box and Block Test, Wolf Motor Function Test, Motor Activity Log


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom Maneuver

Interventions/Control_1

mirror therapy combined with electromyography-triggered neuromuscular stimulation (two 20 minute sessions per day, 5 days a week for 4 weeks)

Interventions/Control_2

Conventional physical and occupational therapy (2 hours per day, 5 days a week, for 4 weeks)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Hemiparesis caused by single stroke between 30 and 180 days prior to study enrollment, normal consciousness with stable medical and neurological status, Mini Mental State Examination score of > 20, palpable contraction of the wrist and finger extensor muscles of the paretic hand and detectable EMG signal (< 5&micro;V) from those muscles.

Key exclusion criteria

a cardiac pacemaker, serious contractures or pain of shoulder, elbow or wrist joint, shoulder subluxation, severe cognitive impairments or severe aphasia, inability to give informed consent form.

Target sample size

62


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kosuke Kojima

Organization

Nishiyamato Rehabilitation Hospital

Division name

Department of Rehabilitation Medicine

Zip code


Address

3238-6, Kanmaki, Kanmaki-cho, Kitakatsuragi-gun, Nara

TEL

0745-71-6688

Email

kosuke0107@hotmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Kosuke Kojima

Organization

Nishiyamato Rehabilitation Hospital

Division name

Department of Rehabilitation

Zip code


Address

3238-6, Kanmaki, Kanmaki-cho, Kitakatsuragi-gun, Nara

TEL

0745-71-6688

Homepage URL


Email

kosuke0107@hotmail.com


Sponsor or person

Institute

Nishiyamato Rehabilitation Hospital

Institute

Department

Personal name



Funding Source

Organization

Kio University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Hannna Central Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

西大和リハビリテーション病院(奈良県)、阪奈中央病院(奈良県)


Other administrative information

Date of disclosure of the study information

2012 Year 04 Month 18 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

In the first 4 weeks, the immediate ETMS-MT group showed significant greater gain on FMA (p = .003) compared to the delayed ETMS-MT group. In the latter 4 weeks, the delayed ETMS-MT group showed significant greater gain on A-ROM (p = 0.009) compared to the immediate ETMS-MT group. For the immediate ETMS-MT group, significant within-group improvements on FMA (p = 0.04), HR (p = 0.03), WMFT-time (p = 0.03) were seen between T0 and T1 measurement. For the delayed ETMS-MT group, significant within-group improvements on FMA (p = 0.03), A-ROM (p = 0.04), WMFT-time (p = 0.03) and WMFT-FAS (p = 0.03) were seen between T1 and T2 measurement.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2010 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2010 Year 04 Month 01 Day

Last follow-up date

2013 Year 03 Month 01 Day

Date of closure to data entry

2013 Year 04 Month 20 Day

Date trial data considered complete

2013 Year 04 Month 20 Day

Date analysis concluded

2013 Year 04 Month 20 Day


Other

Other related information



Management information

Registered date

2012 Year 04 Month 18 Day

Last modified on

2014 Year 04 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009172


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name