Is a unique tele-rehabilitation service directed at treating upper limb weakness due to stroke feasible to provide at Mayo Clinic and are the individuals with stroke and the clinicians providing the care satisfied with the process?
Participants will be identified from Mayo Clinic Division of Brain Rehabilitation's existing clinical practice and recruited either in person or by using a phone script.
Eligible participants will have 2 in-person clinical assessments, one before the intervention and one concluding the protocol. The first clinical assessment will involve introducing and familiarizing the participant with the study procedure, demonstrating and practicing with the system, and obtaining baseline clinical measures. During this first session the participant's technical skills and home equipment capabilities will be assessed and any assistance needed for establishing the technology in their home will be determined and provided. The second clinical assessment will include acquiring post-intervention clinical and outcome measures. Intervention duration will be 3 months. During the study period, each participant will receive online treatment for up to 45 minutes (in order to have net 30 min clinical time) twice per week. During these sessions, the clinician will teach system interaction including integrating feedback, instruct in system intervention activities and assure participant competence in system use, and adjust the level of difficulty in each activity according to the participant's abilities and needs. After the first month of intervention, the participant may be given permission by the therapist to train with the system for no more than 40 minutes per day. Such self-training opportunities are in addition to the twice weekly online sessions with the therapist.
- Tele-motion rehabilitation system Device
Other Names: Microsoft XB1 Kinect Sensor Intervention Desc: Tele-motion rehabilitation system: Interventions include functional therapeutic exercise and real-time feedback. Clinicians remotely monitor subjects' motor performance using Microsoft Kinect 3D sensor tracking system in their home to record their upper limb and trunk movements as they participate in a variety of functional tasks and motor activities, which are directed by their interaction with a monitor screen in their home using uniquely adapted software to integrate key rehabilitation intervention principles. ARM 1: Kind: Experimental Label: Tele-motion rehabilitation system Description: Clinicians remotely monitor subjects' motor performance using Microsoft Kinect 3D sensor tracking system in their home to record their upper limb and trunk movements as they participate in a variety of functional tasks and motor activities, which are directed by their interaction with a monitor screen in their home using uniquely adapted software to integrate key rehabilitation intervention principles.
- Masking: Open Label
- Purpose: Treatment
- Intervention: Single Group Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Satisfaction Questionnaire||3 months||No|
|Primary||System Usability Scale||3 months||No|
|Primary||Qualitative measure of technology/communications problems||3 months||No|
|Secondary||Upper limb (shoulder, elbow) range of motion||after consent and at 3 months||No|
|Secondary||Fugl- Meyer Scale||after consent and at 3 months||No|
|Secondary||Motor Activity Log (MAL)||after consent and at 3 months||No|
|Secondary||Measures from the ReAbility Online system of participant and clinician activity||Weekly through 3-month study period||No|
|Secondary||Task performance scores||Weekly through 3-month study period||No|
|Secondary||Upper limb range of motion||Weekly through 3-month study period||No|
|Secondary||Number of compensatory movements||Weekly through 3-month study period||No|
|Secondary||Time online||Weekly through 3-month study period||No|