Facilitating Neuroplastic Changes of Acute Stroke Survivors
Start Date
6/1/2025
Completion Date
8/31/2028
Summary
This project will develop a wearable rehabilitation robot suitable for in-bed acute stage rehabilitation. It involves robot-guided motor relearning, passive and active motor-sensory rehabilitation early in the acute stage post-stroke including patients who are paralyzed with no motor output. The early acute stroke rehabilitation device will be evaluated in this clinical trial.
Detailed Description
Stroke survivors often experience loss of motor control and impaired function. Immediately after stroke, there is a time-limited window of heightened plasticity during which the greatest gains in recovery occur. Therefore, early intensive sensorimotor rehabilitation post-stroke is critical in improving functional outcomes and minimizing disability. However, acute stroke survivors often receive little active training to improve mobility during their hospital stay and they are left alone during most of the day. Especially for those acute patients with no voluntary motor output, active motor training might be even less, partly due to a lack of rehabilitation protocols to detect potential motor recovering signals sensitively and facilitate neuroplastic changes. To address this unmet clinical need, this project will develop a novel wearable rehabilitation robot suitable for in-bed acute stage rehabilitation with guided motor relearning, passive and active motor-sensory rehabilitation early in the acute stage post-stroke including patients who are paralyzed with no motor output. The early acute stroke rehabilitation device will be evaluated in this clinical trial.
Eligibility Criteria
Age Range: 30 years to 85 years
Interventions
Motor relearning training
Passive stretching
Gamed-based active movement training
Passive movement
Active movement training
Ankle torque and motion measurement
Conditions
Locations
University of Maryland Baltimore
Baltimore, Maryland 21201
United States
UMROI
Baltimore, Maryland 21207
United States
TIRR Memorial Hermann
Houston, Texas 77030
United States