Brain and Coordination Changes Induced By Robotics and FES Treatment Following Stroke



Status:Archived
Conditions:Neurology
Therapuetic Areas:Neurology
Healthy:No
Age Range:Any
Updated:7/1/2011

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CNS Plasticity Induced By Motor Learning Technologies Following Stroke


The long-range goal of this work is to identify how to target treatment so that the brain is
functionally re-organized to produce movement. This study will compare treatment response
to robotics versus functional neuromuscular stimulation.


Methods. Ninety-six chronic stroke subjects (> 12 months post stroke) will be randomized to
one of the treatment groups. For all groups, treatment will offered 5 hrs/day, 5 days/week,
for 12 weeks. Outcome measures will be collected at weeks 1, 6, 12, and three months after
the end of treatment. Measures will include muscle strength (Manual Muscle Testing);
coordination of joint movement (Fugl-Meyer Coordination Scale); motor control of target
acquisition, pathway maintenance; and smoothness of movement (robotics measures);
performance of 13 functional tasks (Arm Motor Ability Test); and quality of life (Stroke
Impact Scale). Measures of brain function will be non-invasive and will include cognitive
planning time, cognitive effort level, and location of brain activity during simple shoulder
and arm movements. Changes in brain function measures will reflect plasticity or
adaptability in response to treatment.


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