Arm Motor Control on Bi and Uni ADLs



Status:Recruiting
Conditions:Hospital, Neurology, Neurology, Orthopedic
Therapuetic Areas:Neurology, Orthopedics / Podiatry, Other
Healthy:No
Age Range:18 - Any
Updated:1/13/2019
Start Date:May 2014
End Date:August 2019
Contact:Megan A Johnson, BS
Email:Megan.Johnson@uphs.upenn.edu
Phone:215-893-2679

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Insights Into Impaired Arm Motor Control on Bilateral and Unilateral Functional Activities After Injury: A Kinematic Study

This study is being performed to assess how certain chronic disabilities - stroke, upper
extremity (UE) amputation, spinal cord injuries (SCI), cerebral palsy (CP) - differ from
healthy subjects in their ability to perform ADLs. By studying the kinematics of the
respective cohort of study participants as they are assessed performing common activities of
daily living (ADLS), the investigators research team aims to better understand how impaired
neural pathways, and pathways that have been impaired at various points along the pathway,
deleteriously affect ADLs in patients with differing long-term disabilities.

Cross-sectional study comparing bilateral ADL activities for stroke survivors, SCI
paraplegics, UE amputees, adults with CP, and healthy controls. The study participants will
perform 4 ADL tasks with the BiAS passive robots. From these tasks, the BiAS robots will
provide information regarding position, velocity, distance, displacement, etc. This, along
with video information provided by the 3D Kinect and EEG neuroheadset, will be used as the
basis of the investigators data and aid in informing members of the research team on how the
respective impairments affected upper limb kinematics on ADL tasks.

Participation in the study will include the following steps:

1. Informed Consent: After arrival, subjects will review and sign the consent form with
study personnel present.

2. Pre-Assessments: A member of the research team will evaluate the subjects' upper
extremity and assess their ability to use it. Subjects will be evaluated using a battery
of assessments such as, but not limited to, the Box and Block, Pin and Prick, and grip
strength using a dynamometer.

3. Break: Subjects will be given a 15 minute break.

4. BiAS passive robot system: Subjects will be introduced to the device and each wrist will
be placed on to the end of each robot. As common therapy tasks are performed by the
subject, the BiAS devices will collect the data along with the video from 3D Kinect, ECG
gelled electrodes, and the EEG neuroheadset. After each of the 4 ADL activities,
subjects will be asked about their level of exercise and discomfort, if any. After
subjects finish all exercises with the BiAS, they will be thanked for their
participation in the study.

5. Video and photos may be collected to determine subject quality of ADL movement.

Inclusion Criteria:

Study will include subjects 18 years of age or older from any of the below groups:

- Stroke survivors, 3 months post event

- Upper extremity amputees, 3 months post event

- Cervical SCI (C-5 to C-7), 3 months post event

- Cerebral palsy participants

- Healthy participants

Exclusion Criteria:

- The inability to perform at least some aspects of ADL tasks such as drinking, pouring,
pinching, and grasping.

- Severe spasticity
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Philadelphia, Pennsylvania 19146
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Philadelphia, PA
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