This study will assess whether a computer haptic peripheral device programmed to provide repetitive motion training is as effective as the same repetitive motion training provided by a human being.
This study builds on a large body of neurological research that uses robot-guided repetitive motion training to induce neuroplasticity and improvements in upper extremity motor skills in adults and children. This research study is looking at handwriting, a fine-motor task that is used daily.
In our study, we want to see if 3-dimensional robotic-assisted repetitive motion training can be a safe and effective intervention for school-age children with fine motor deficits arising from several different impairment origins. Our research construct is: Legible handwriting = function of (tactile feedback, visual feedback, duration, and fine-motor control).
- Tactile feedback is a continuous variable of force-feedback measured in pounds of force.
- Duration is a continuous variable measured in seconds and number of repetitions.
- Visual feedback is the letter scribed on the paper.
- Legible handwriting will be measured by scoring on the Test of Handwriting Skills and the Print Tool™ evaluation.
- Fine motor deficit/control will be measured directly and objectively by quantifying the error between the desired scribing task and the actual scribing task.
The robotic device is an affordable (<$200) computer haptic (the Falcon(R)) that currently is approved by the FCC for home and office. It is *not* approved for medical use. This is an investigational, nonsignificant risk device.
- Cerebral Palsy
- Traumatic Brain Injury
- Asperger's Syndrome
- Attention Deficit Disorder
- My Scrivener(R) Device
Other Names: My Scrivener; Falcon, by Novint Technologies; Handwriting Without Tears Intervention Desc: Twenty 20-minute sessions of the Handwriting Without Tears(R) instructional handwriting program, with substitution of hand-over-hand or self-generated repetitive motion writing by computer guided repetitive motion. ARM 1: Kind: Experimental Label: Haptic guidance
- Allocation: Randomized
- Masking: Single Blind (Outcomes Assessor)
- Purpose: Treatment
- Endpoint: Safety/Efficacy Study
- Intervention: Parallel Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Beery Motor Coordination Subtest||after 20 interventions||No|
|Primary||Print Tool and Cursive Tool||after 20 interventions||No|
|Primary||Deviations from desired 3-D writing path||after 5, 10, 15, 20 interventions||No|
|Secondary||Brief Assessment of Fine Motor Skills||after 20 interventions||No|
- Obslap Research LLC Lead