UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051090
Receipt number R000058263
Scientific Title Comparison of treatments for pusher behavior after stroke : a series of N-of-1 trials
Date of disclosure of the study information 2023/05/17
Last modified on 2023/05/17 21:54:30

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Basic information

Public title

Comparison of treatments for pusher behavior after stroke : a series of N-of-1 trials

Acronym

Comparison of treatments for pusher behavior

Scientific Title

Comparison of treatments for pusher behavior after stroke : a series of N-of-1 trials

Scientific Title:Acronym

Comparison of treatments for pusher behavior

Region

Japan


Condition

Condition

Stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the most effective treatment for patients with pusher behavior by comparing visual feedback training (conventional therapy), prone position therapy and electrical stimulation therapy using N-of-1 trial. In addition, to conduct N-of-1 trials on multiple cases and investigate the therapeutic effects based on the severity of pusher behavior.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Scale for contraversive pushing and Burke lateropulsion scale before and after treatment

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

n-of-1

Randomization

Randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

Single cases are randomly assigned conventional therapy for Pusher behavior including visual feedback training; standing/gait training with a knee-ankle-foot orthosis presented using vertical cues, and prone position therapy, electrical stimulation therapy compared for about 3 weeks (15 times).

Interventions/Control_2


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Among stroke patients who were admitted to Kohnan Hospital and prescribed rehabilitation, those who exhibited Pusher behavior (each subscale of Scale for contraversive pushing > 0)

Key exclusion criteria

(1)Age under 20 years old
(2)Patients with infratentorial lesion or bilateral hemispheric lesion
(3)Patients with difficulty performing exercises in standing position for more than 20 minutes (such as maintaining standing posture, standing balance, gait training, etc.)
However, those who can practice in a standing position for 20 minutes or more within 14 days will be eligible at that time.
(4)Patients contraindicated to electrical stimulation therapy (patients with a cardiac pacemaker, those with a history of seizures or those who are expected to have seizures, those with wounds or skin diseases at the electrical stimulation site, patients with malignant tumors, Those with sensory disturbance in the non-paralytic upper limbs, those with deep vein thrombosis)
(5)Patients who it is difficult to perform the prone position (tracheostomy, gastrostomy, and patients with extreme joint range of motion limitation in the hip joint or thoracolumbar spine)
(6)Subjects with an extremely high risk of falling if assisted by a single therapist or evaluator (cases weighing 80 kg or more, for whom assistance by a single caregiver is assumed to be difficult)

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Kazuto
Middle name
Last name Oki

Organization

Kohnan Hospital Sendai Japan

Division name

Department of Rehabillitation medicine

Zip code

982-8523

Address

4-20-1,Nagamachiminami,Taihaku-ku,Sendai

TEL

022-248-2131

Email

ookika0525@gmail.com


Public contact

Name of contact person

1st name Kazuto
Middle name
Last name Oki

Organization

Kohnan Hospital Sendai Japan

Division name

Department of Rehabillitation medicine

Zip code

982-8523

Address

4-20-1,Nagamachiminami,Taihaku-ku,Sendai

TEL

022-248-2131

Homepage URL


Email

ookika0525@gmail.com


Sponsor or person

Institute

Kohnan Hospital Sendai Japan

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Fukushima Medical University

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kohnan Hospital Sendai Japan

Address

4-20-1,Nagamachiminami,Taihaku-ku,Sendai

Tel

022-248-2131

Email

ookika0525@gmail.com


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



Other administrative information

Date of disclosure of the study information

2023 Year 05 Month 17 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


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

Preinitiation

Date of protocol fixation

2023 Year 04 Month 10 Day

Date of IRB

2023 Year 04 Month 17 Day

Anticipated trial start date

2023 Year 05 Month 15 Day

Last follow-up date

2024 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 05 Month 17 Day

Last modified on

2023 Year 05 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058263


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name