UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053433
Receipt number R000060813
Scientific Title Investigation of effective playback speed to improve upper extremity function of the affected side of observing video images on a tablet for community-dwelling chronic stroke patients: A Randomized Controlled Trial.
Date of disclosure of the study information 2024/01/30
Last modified on 2024/01/24 23:33:28

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Basic information

Public title

Investigation of effective playback speed to improve paralyzed arm in observing video images on a tablet for community-dwelling chronic stroke patients.

Acronym

CDCSTT(community-dwelling chronic stroke tablet trial)

Scientific Title

Investigation of effective playback speed to improve upper extremity function of the affected side of observing video images on a tablet for community-dwelling chronic stroke patients: A Randomized Controlled Trial.

Scientific Title:Acronym

CDCSTT(community-dwelling chronic stroke tablet trial)

Region

Japan


Condition

Condition

Chronic stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the effective playback speed to improve the affected upper extremity function in community-dwelling chronic stroke patients by taking motor video images of the unaffected upper extremity on a tablet in advance and observing the video images while placing the tablet on the affected upper extremity.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Fugl-Meyer Assessment upper extremity.
Time of evaluation: before the intervention, after 4 weeks of the intervention

Key secondary outcomes

Japanese Version of Motor Activity Log
Time of evaluation: before the intervention, after 4 weeks of the intervention

Visual Analog Scale
Time of evaluation: before the intervention, after 4 weeks of the intervention


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking

YES

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

In addition to usual care, observing video images at normal playback speed (1.0x) using a tablet will be conducted as home self-training.
First, the affected forearm is inserted into a self-made tablet box placed on a desk. Next, the size and position of the video image are adjusted to induce a motion illusion, and the degree of motion illusion is assessed using a Visual Analog Scale. The tablet is set to mute so that auditory stimuli are not present during the observing video images. The instruction is "Please observe the video images without moving your hands" and only visual stimuli are used. During video image observation, the upper extremity of the unaffected side should be kept out of sight, such as under a desk. The motion content of the observing video images should include forearm supination/pronation, wrist flexion/extension, finger open/close, opposite thumb and index finger, thumb adduction/abduction, and hook grip. Video images should be observed for 30 minutes per session, 5 times per week, 4 weeks. Breaks will be provided at appropriate intervals. The observation of video images will last for 38 seconds, with the first 3 seconds displaying the exercise on a black screen in text, followed by 5 seconds to adjust the size and position of the video with a still image of the hand, and the remaining 30 seconds for actual video observation. There will be a total of 6 exercises, lasting 3.8 minutes. For individuals who experiencing fatigue or poor attentional focus, it is recommended to maintain the intervention time and instead adjust by incorporating more breaks or shortening the observation time per movement. The number of days and frequency of video observation should be recorded by giving the subject a record sheet. The progress of the observing video images should be checked once per week by phone, at the outpatient, or by visiting the subject's home.

Interventions/Control_2

In addition to usual care, observing video images at high playback speed (2.0x) using a tablet will be conducted as home self-training.
The procedure for intervention is identical to that of normal playback speed groups.

Interventions/Control_3

In addition to usual care, observing video images at low playback speed (0.5x) using a tablet will be conducted as home self-training.
The procedure for intervention is identical to that of normal playback speed groups.

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) written informed consent to participate in this study,
(2) age 20-80 years
(3) Brunnstrom Recovery Stage 3-6 in the upper extremity
(4) Mini-Mental State Examination score of 24 or higher
(5) ability to maintain a sitting position
(6) Modified Ashworth Scale 3 or less

Key exclusion criteria

(1) presence of muscle hypertonia, pain, limited joint range of motion, or orthopedic disease that significantly interferes with upper extremity function
(2) obvious visual impairment, visual field constriction, or eye movement disorder
(3) obvious cognitive decline or higher brain dysfunction

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Kubo
Middle name
Last name Akira

Organization

International University of Health and Welfare

Division name

Department of Physical Therapy, School of Health Sciences at Odawara

Zip code

250-8588

Address

1-2-25 Shiroyama, Odawara-shi, Kanagawa

TEL

0465-21-6500

Email

akubo@iuhw.ac.jp


Public contact

Name of contact person

1st name Kanta
Middle name
Last name Kosuge

Organization

Graduate School of International University of Health and Welfare

Division name

Department of Health and Medical Sciences

Zip code

250-8588

Address

1-2-25 Shiroyama, Odawara-shi, Kanagawa

TEL

0465-21-6500

Homepage URL


Email

22s3049@g.iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare

Institute

Department

Personal name



Funding Source

Organization

Kanagawa physical therapy association

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)

International University of Health and Welfare


IRB Contact (For public release)

Organization

Ethics Committee of International University of Health and Welfare

Address

4-1-26 Akasaka, Minato-ku, Tokyo

Tel

03-5574-3900

Email

rinri-tky@iuhw.ac.jp


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

2024 Year 01 Month 30 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

Open public recruiting

Date of protocol fixation

2023 Year 11 Month 19 Day

Date of IRB

2023 Year 12 Month 13 Day

Anticipated trial start date

2024 Year 01 Month 09 Day

Last follow-up date

2024 Year 10 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

2024 Year 01 Month 24 Day

Last modified on

2024 Year 01 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060813


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name