Repetitious motor therapy has been shown to yield the greatest improvement in motor function in those who suffer hemiplegia because of a neurological impairment. However, motor therapy remains largely clinically based due to the absence of quantitative home-based therapy technology or equipment. With the current lack of accountability, patient adherence to home exercise physical therapy programs is estimated to be as low as 35%. In response, some companies have extended the applications of their motion capture devices to be used for home-based physical therapy. However, the technologies often have not passed their initial stages of development. In contrast, a company named 4D Motion is actively working alongside the Restorative Neurology Clinic at Burke Medical Research Institute to develop a motion capture system tailored to the motor rehabilitation of hemiplegic stroke patients. This device is driven by a user's active range of motion and does not impart electrical or mechanical stimulation to the user. The device does not force the user beyond their active range of motion and does not apply resistance to motion that limits the user's capability. The 4D Motion capture system is only used to record what the patient is doing and to promote adherence to their prescribed physical therapy plan.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DEVICE_FEASIBILITY
Masking
NONE
Enrollment
6
Participants will be given access to a tablet-based application and non-invasive sensors that will track movements of the upper extremity and will prompt daily exercise. Participants will be encouraged to use the device daily for 30 consecutive days, up to one hour per day.
Burke Medical Research Institute
White Plains, New York, United States
Number of treatment days completed
Measure of the number of days that the participant adheres to the prescribed therapy plan (completion of 1000 movements). Goal is to have participants perform 1000 movements per day over 30 days.
Time frame: From day 1 to day 30 of intervention
Change in active range of motion of shoulder, elbow, and wrist
Maximum angular position about a joint that the participant can reach without assistance.
Time frame: From day 1 to day 30 of intervention
Change in Fugl Meyer upper extremity assessment
Clinical scale that measures upper extremity impairment in stroke patients
Time frame: From day 1 to day 30 of intervention
Physical Activity Enjoyment Scale
Survey of how well a participant enjoyed the study treatment.
Time frame: Day 30 of intervention
System usability survey
Survey of user-friendliness of software and device
Time frame: Day 30 of intervention
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