UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052087
Receipt number R000059344
Scientific Title Investigating the Relationship Between Various Impairments and Disabilities with Brain Lesions
Date of disclosure of the study information 2023/09/01
Last modified on 2024/10/05 11:58:57

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Basic information

Public title

Investigating the Relationship Between Various Impairments and Disabilities with Brain Lesions

Acronym

Investigating the Relationship Between Various Impairments and Disabilities with Brain Lesions

Scientific Title

Investigating the Relationship Between Various Impairments and Disabilities with Brain Lesions

Scientific Title:Acronym

Investigating the Relationship Between Various Impairments and Disabilities with Brain Lesions

Region

Japan


Condition

Condition

cerebral infarction,intracerebral hemorrhage

Classification by specialty

Neurosurgery Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To identify brain regions associated with the initial and final values of various rehabilitation assessments and the extent of improvement. The purpose of this study is to identify brain regions that are associated with functional disability and performance loss, and to investigate the degree of damage to nerve fiber bundles and whole brain white matter by using diffusion tensor imaging.
The significance of this study is that once the relationship between lesions and functional impairment and loss of ability is clearly elucidated, brain imaging information can be used in combination with conventional evaluation to accurately assess the severity of the disease and estimate prognosis with high accuracy, and to provide more appropriate rehabilitation care to patients.

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

fugi meyer assessment,glasgow come scale,berg balance scale,10m walk test,timed up and go test,6minute walk test,trunk control test,functional independence meausure,mini mental state examination,vitality index,scale for contraversive pushing,fractional anisotropy,mean diffusivity

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients who were hospitalized with cerebrovascular disease (cerebral infarction/cerebral hemorrhage) at our hospital between August 1, 2021 and September 30, 2023 and were prescribed physical therapy, and patients who were hospitalized for cerebrovascular disease (cerebral infarction or cerebral hemorrhage) and prescribed physiotherapy from March 2025 to March 2025 who gave consent for this study (for additional DTI imaging).

Key exclusion criteria

Recurrent cerebrovascular disease, other serious complications such as fractures, death.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Ryo
Middle name
Last name Sato

Organization

Minami tohoku fukushima hospital

Division name

rehabilitation

Zip code

960-2102

Address

3-1-13 Arai Kita, Fukushima City, Fukushima Prefecture

TEL

024-593-5100

Email

poosannpyonnko88@yahoo.co.jp


Public contact

Name of contact person

1st name Ryo
Middle name
Last name Sato

Organization

Minami tohoku fukushima hospital

Division name

rehabilitation

Zip code

960-2102

Address

3-1-13 Arai Kita, Fukushima City, Fukushima Prefecture

TEL

024-593-5100

Homepage URL


Email

poosannpyonnko88@yahoo.co.jp


Sponsor or person

Institute

Minami tohoku fukushima hospital

Institute

Department

Personal name

Ryo Sato


Funding Source

Organization

Minami tohoku fukushima hospital

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Minami tohoku fukushima hospital

Address

3-1-13 Arai Kita, Fukushima City, Fukushima Prefecture

Tel

024-593-5100

Email

poosannpyonnko88@yahoo.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2023 Year 06 Month 16 Day

Date of IRB

2023 Year 06 Month 16 Day

Anticipated trial start date

2023 Year 06 Month 16 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Brain imaging is used for the purpose of medical treatment of first stroke patients admitted to our hospital. Using various brain images such as T1-weighted, T2-weighted, T2FLAIR, and diffusion-weighted images taken for the purpose of medical treatment, lesions are delineated using image analysis software such as MRIcron and ITKsnap, and the delineated lesions are analyzed using analysis software such as statistical parametric The mapped lesions are then spatially standardized using analysis software such as statistical parametric mapping (SPM) and FMRIB Software Library (FLS), and the voxel based lesion symptom mapping is an analysis method that applies support vector regression analysis technology based on machine learning theory. Support vector regression based multivariate lesion-symptom mapping (SVR-LSM) is performed. The analysis items include routine assessments usually performed in rehabilitation such as Fugl meyer assessment (FMA), Glasgow Coma Scale (GCS), Berg balance scale (BBS), 10m walking speed, Timed up and go test ( TUG), 6-meter walk test, Trunk Control Test (TCT), Functional Independence Meausure (FIM), Mini Mental State Examination (MMSE), Vitality index (VI), Scale for Contraversive Pushing (SCP), and others. Scores on these assessment indices and associated foci will be investigated using the SVR-LSM.
In addition, DTI will be taken during brain imaging of first stroke patients admitted to our hospital, and various nerve fiber bundles will be depicted using analysis software such as DSIstudio and FSL to verify their relationship to the aforementioned evaluation and to improvement. TBSS and structural connectivity analysis will also be performed to investigate relevant regions in an exploratory manner in the neurowhite matter of the whole brain.In addition, we will investigate the relationship between the need for orthotic prescriptions, the final level of walking independence, and the need for aids for walking.


Management information

Registered date

2023 Year 09 Month 01 Day

Last modified on

2024 Year 10 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059344