Proprioception Testing in Persons With Sensorimotor Impairment



Status:Recruiting
Conditions:Hospital, Neurology, Neurology, Orthopedic
Therapuetic Areas:Neurology, Orthopedics / Podiatry, Other
Healthy:No
Age Range:18 - 65
Updated:4/2/2016
Start Date:October 2013
End Date:June 2016
Contact:Linda D Cordo, RN, BSN, MSN
Email:cordol@ohsu.edu
Phone:503-223-3442

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In this study, an FDA-cleared device and type of treatment called "AMES," which stands for
Assisted Movement with Enhanced Sensation, will be used to determine whether sensation in
the upper limb of individuals with incomplete spinal cord injuries, acquired brain injury,
or stroke improves along with movement through treatment. We hypothesize that measureable
improvement in the sensation of the upper limb will precede improvement in functional
movement.

The AMES device performs tests of sensorimotor impairment as well as delivering therapy. In
this study, we are testing 2 additional diagnostic tests (i.e., Joint Position Test and
"Frisbee" Test), both of proprioception, in order to determine which of the two is the best
test of proprioception. Our hypotheses are: (1) both sensation and movement recover with
AMES treatment, (2) sensory recovery precedes that of movement, (3) robotic delivery of the
Joint Position Test produces more reliable test results than does manual delivery of this
test, and (4) the Frisbee Test results will parallel those of the Joint Position Test.

Inclusion Criteria:

- Traumatic incomplete SCI, stroke or acquired brain injured ABI subjects.

- Able to tolerate sitting upright at for at least 1 hour.

- Significant, but not complete, motor deficit in the hand and wrist, as determined by
the Study Physician performing the screening.

- Significant, but not complete somatosensory deficit in the hand and wrist as
determined by the Study Physician performing the screening.

- Cognitively and behaviorally capable of complying with the regimen.

Exclusion Criteria:

- Fracture of the treated limb resulting in loss of range of motion.

- Progressive neurodegenerative disorder.

- DVT of the treated extremity.

- Uncontrolled seizure disorder.

- Uncontrolled high blood pressure/angina.

- Osteo- or rheumatoid arthritis limiting range of motion

- Contractures equal to or greater than 50% of the normal ROM.

- Chronic ITB therapy.

- Peripheral nerve injury of the treated extremity.

- Pain in affected limb or exercise intolerance.

- Participation in another therapy or activity-based program.

- Skin condition not tolerant of device.
We found this trial at
1
site
3181 Southwest Sam Jackson Park Road
Portland, Oregon 97239
503 494-8311
Oregon Health and Science University In 1887, the inaugural class of the University of Oregon...
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mi
from
Portland, OR
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