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StrokeNCT04900896

Outcome Measures Study on an Adult Myoelectric Elbow-Wrist-Hand Orthosis

An observational study of Stroke and Brachial Plexus Injury, run by Myomo at 3 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The objective of this study is to evaluate the therapeutic and functional gains of a myoelectric elbow-wrist-hand orthosis for adult individuals with upper limb impairments using repeated measures studies that combines both gross motion and quantitative function outcome measures. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Myoelectric Elbow-Wrist-Hand Orthosis
Type of treatment
Medical device
How many people
59 participants
Where
3 sitesUnited States
Study dates
11 May 2021to Dec 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult with upper limb impairment caused by brachial plexus injury, stroke, or spinal cord injury, or other neurological disease or injury who have no fixed upper limb contractures on the affected side and have been fitted with a myoelectric Elbow-Wrist-Hand orthosis.

Who may be able to join

  • Adults, 18 years and older
  • Upper limb impairment caused by brachial plexus injury (BPI), any stroke (CVA), spinal cord injury (SCI), or other neurological diagnoses
  • Be medically stable
  • Be in the process of being fit with a MyoPro as a first-time user
  • Has at least trace muscle activation in the elbow and wrist flexors and extensors as measured by a 1/5 on a manual muscle test at targeted joints
  • Has the minimum microvolt EMG threshold to operate the MyoPro, such that the individual can sustain the EMG signals above the threshold for two full seconds (both at elbow and hand) for a minimum of three times within three minutes
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  • Has passive range of motion within 5 degrees of terminal range for finger open and close
  • Has passive range of motion within 5 degrees of terminal range for wrist flexion and at least neutral for wrist extension
  • Has passive range of motion within 5 degrees of terminal range for elbow flexion and extension
  • Has at least 30 degrees of active range of motion for shoulder flexion or shoulder abduction
  • Able to support the weight of the MyoPro
  • Able to tolerate functional tasks for 20 min with intermittent rests without excessive fatigue
  • Has intact cognition
  • Able to clearly and verbally communicate in the English language
  • Has a wireless internet connection to participate in telehealth sessions
  • Be attending therapy within four weeks of getting fit and trained with a MyoPro

Who cannot join

  • Has a body weight above 235 lbs
  • Upper limb measurements will not allow for correct fit of the orthosis.
  • Fixed upper limb contractures on affected side
  • Unable to have full passive finger opening when the wrist is in neutral
  • Severe spasticity or tone defined as 2 or higher at the wrist or fingers, or 3 or higher at the elbow on the Modified Ashworth Spasticity Scale
  • Severe shoulder subluxation (greater than one finger with significant pain) or shoulder dislocation
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  • Passive shoulder range of motion less than 45 degrees in flexion and abduction
  • Excessive pain, hypersensitivity, or skin issues in the arm(s) that would prevent wearing the MyoPro
  • Severe cognitive or psychiatric problems that might be contraindicated for training and safe MyoPro use
  • Bilateral upper limb impairment
  • Pregnancy
  • Other conditions (e.g. history of neurological disorder other than SCI, BPI, or CVA) or circumstances that would preclude safe and/or effective participation, including severe sensory deficits, skin conditions, and/or other sequelae that may be contraindicated for myoelectric MyoPro use

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Myomo, Inc.

    Boston, Massachusetts, 02114

  • Geauga Rehabilitation Engineering, Inc.

    Chardon, Ohio, 44024

  • Orthocare Innovations, LLC

    Edmonds, Washington, 98020

Other trials in United States

About this study

The objective of this study is to evaluate the therapeutic and functional gains of a myoelectric elbow-wrist-hand orthosis for adult individuals with upper limb impairments using repeated measures studies that combines both gross motion and quantitative function outcome measures.

Read the detailed description

The objective of this study is to evaluate the therapeutic and functional gains of a myoelectric elbow-wrist-hand orthosis for adult individuals with upper limb impairments using repeated measures studies that combines both gross motion and quantitative function outcome measures.

The primary outcomes of this study will collect data on the participants' therapeutic and functional outcome measures when using the MyoPro over time in their home. Baseline data without the device will be collected prior to receiving the MyoPro. Data with and without the device will then be collected at 2-weeks post fitting and then at 1-month intervals thereafter for 12 months. These outcome measures will enable an understanding of the participants' functional gains with and without the MyoPro and over time with the MyoPro.

Being tested
Myoelectric Elbow-Wrist-Hand Orthosis
Medical subject headings
Stroke, Spinal Cord Injuries, Nervous System Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Myoelectric Elbow-Wrist-Hand OrthosisDevice

    Also called MyoPro®

    An arm orthosis that uses myoelectric signals to control the level of mechanical assistance provided to a user's elbow and hand in order to overcome upper limb weakness or paralysis and achieve functional tasks.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline to after intervention in Shoulder Flexion Strength

    A manual muscle test (MMT) will be conducted to measure shoulder flexion strength of the affected arm.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  2. Change from baseline to after intervention in Shoulder Abduction Strength

    A manual muscle test (MMT) will be conducted to measure shoulder abduction strength of the affected arm.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  3. Change from baseline to after intervention in Bicep Strength

    A manual muscle test (MMT) will be conducted to measure bicep strength of the affected arm.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  4. Change from baseline to after intervention in Triceps Strength

    A manual muscle test (MMT) will be conducted to measure triceps strength of the affected arm.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  5. Change from baseline to after intervention in Hand Grip Strength

    A manual muscle test (MMT) or dynamometer will be used to measure hand grip strength of the affected arm.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  6. Change from baseline to after intervention in Modified Ashworth Scale: Bicep

    Bicep muscle spasticity of the affected arm will be measured according to the Modified Ashworth Scale.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  7. Change from baseline to after intervention in Modified Ashworth Scale: Triceps

    Triceps muscle spasticity of the affected arm will be measured according to the Modified Ashworth Scale.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  8. Change from baseline to after intervention in Modified Ashworth Scale: Wrist Flexors

    Wrist flexors muscle spasticity of the affected arm will be measured according to the Modified Ashworth Scale.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  9. Change from baseline to after intervention in Modified Ashworth Scale: Wrist Extensors

    Wrist extensors muscle spasticity of the affected arm will be measured according to the Modified Ashworth Scale.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  10. Change from baseline to after intervention in Modified Ashworth Scale: Finger Flexors

    Finger flexors muscle spasticity of the affected arm will be measured according to the Modified Ashworth Scale.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  11. Change from baseline to after intervention in Modified Ashworth Scale: Finger Extensors

    Finger extensors muscle spasticity of the affected arm will be measured according to the Modified Ashworth Scale.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  12. Change from baseline to after intervention in Active Range of Motion: Shoulder Flexion

    Active shoulder flexion range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  13. Change from baseline to after intervention in Active Range of Motion: Shoulder Extension

    Active shoulder extension range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  14. Change from baseline to after intervention in Active Range of Motion: Shoulder Abduction

    Active shoulder abduction range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  15. Change from baseline to after intervention in Active Range of Motion: Shoulder Adduction

    Active shoulder adduction range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  16. Change from baseline to after intervention in Active Range of Motion: Elbow Flexion

    Active elbow flexion range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  17. Change from baseline to after intervention in Active Range of Motion: Elbow Extension

    Active elbow extension range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  18. Change from baseline to after intervention in Active Range of Motion: Wrist Flexion

    Active wrist flexion range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  19. Change from baseline to after intervention in Active Range of Motion: Wrist Extension

    Active wrist extension range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  20. Change from baseline to after intervention in Passive Range of Motion: Shoulder Flexion

    Passive shoulder flexion range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  21. Change from baseline to after intervention in Passive Range of Motion: Shoulder Extension

    Passive shoulder extension range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  22. Change from baseline to after intervention in Passive Range of Motion: Shoulder Abduction

    Passive shoulder abduction range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  23. Change from baseline to after intervention in Passive Range of Motion: Shoulder Adduction

    Passive shoulder adduction range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  24. Change from baseline to after intervention in Passive Range of Motion: Elbow Flexion

    Passive elbow flexion range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  25. Change from baseline to after intervention in Passive Range of Motion: Elbow Extension

    Passive elbow extension range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  26. Change from baseline to after intervention in Passive Range of Motion: Wrist Flexion

    Passive wrist flexion range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  27. Change from baseline to after intervention in Passive Range of Motion: Wrist Extension

    Passive wrist extension range of motion of the affected arm will be measured.

    Measured: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)

  28. Functional Timed Tasks Score

    Participants will complete a pre-identified battery of functional timed tasks that will be scored.

    Measured: Baseline, 2-weeks post fitting, monthly for 12-months post fitting

  29. Functional Timed Tasks Time

    Participants will complete a pre-identified battery of functional timed tasks that will be timed.

    Measured: Baseline, 2-weeks post fitting, monthly for 12-months post fitting

Secondary outcomes (3)
  1. Elbow flex/extend

    The number of elbow flex/extend repetitions per day will be recorded.

    Measured: 2-weeks post fitting, monthly for 12-months post fitting

  2. Hand open/close

    The number of hand open/close repetitions per day will be recorded.

    Measured: 2-weeks post fitting, monthly for 12-months post fitting

  3. Quality of life rating

    Participants will be asked to rate their quality of life from "Very Poor" to "Very Good".

    Measured: Baseline, 2-weeks post fitting, monthly for 12-months post fitting

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 May 2021
  2. Study start11 May 2021
  3. Primary completionDec 2023 (estimated)
  4. Study completionDec 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
59 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04900896
Sponsor's protocol ID
PRO-001
Status last verified
May 2023
First submitted
12 May 2021
Last updated
10 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Stroke and Brachial Plexus Injury, run by Myomo at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 10 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline to after intervention in Shoulder Flexion Strength (time frame: Once at baseline; once after intervention at midway through therapy (anticipated at 4 weeks); once after intervention at discharge from therapy (anticipated at 8 weeks)). The study lists 29 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 May 2023.

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