UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054226
Receipt number R000061866
Scientific Title The Effectiveness of Fast-Forward Action Observation and Motor Imagery Training and the Verification of Target Training Repetitions for Improving the Paretic Upper Limb in Patients with Severe Post-Stroke Hemiparesis
Date of disclosure of the study information 2025/01/04
Last modified on 2025/12/04 19:19:17

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Basic information

Public title

The Effectiveness of Fast-Forward Action Observation and Motor Imagery Training and the Verification of Target Training Repetitions for Improving the Paretic Upper Limb in Patients with Severe Post-Stroke Hemiparesis

Acronym

The Effectiveness of Fast-Forward Action Observation and Motor Imagery Training and the Verification of Target Training Repetitions for Improving the Paretic Upper Limb in Patients with Severe Post-Stroke Hemiparesis

Scientific Title

The Effectiveness of Fast-Forward Action Observation and Motor Imagery Training and the Verification of Target Training Repetitions for Improving the Paretic Upper Limb in Patients with Severe Post-Stroke Hemiparesis

Scientific Title:Acronym

The Effectiveness of Fast-Forward Action Observation and Motor Imagery Training and the Verification of Target Training Repetitions for Improving the Paretic Upper Limb in Patients with Severe Post-Stroke Hemiparesis

Region

Japan


Condition

Condition

Stroke hemiplegia

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Efficiency of Action Observation Motor Imagery (AOMI) training



Basic objectives2

Others

Basic objectives -Others

Providing training data to enhance the reproducibility of Event-Related Desynchronization (ERD) in Brain-Computer Interface (BCI) for robot therapy, aiming to improve training efficiency for patients to use their paralyzed hand in some activities of daily living (ADLs).

Trial characteristics_1

Others

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Fugl-Meyer Assessment UpperExtremity

Key secondary outcomes

1) ERD Power
2) Kinesthetic and Visual Imagery Questionnaire: KVIQ-20 (sensory scales)
3) AOMI practice time until reaching 5040 trials
4) Optimal speed from 1x to 4.0x speed on the Visual Analog Scale: VAS


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

A video of the upper limb reaching forward is shown to patients with severe paralysis of stroke (FMA-UE score less than 20, MMSE score less than 24, and KVIQ score less than 75) in addition to the normal rehabilitation time, and give them an image of exercise.
In the video, one set of 60 reach movements is performed, and seven sets of these movements are performed in one training session, aiming for a total of 420 trials.
This training is performed three times a week for four weeks, and the training is completed after a total of 5,040 attempts.
Practice with the video playback speed set to 1.0x.

Interventions/Control_2

Show the video of reaching forward with the upper limb to stroke patients with severe paralysis (FMA-UE score less than 20, MMSE score less than 24, and KVIQ score less than 75) during regular rehabilitation sessions. In addition to the usual rehabilitation time, engage them in mental imagery of the movement.
The video depicts one set of 60 repetitions of reaching movements. Aim to complete 7 sets in one training session, totaling 420 repetitions. Repeat this training three times a week for four weeks, reaching a total of 5040 repetitions.
Practice at the playback speed that the patient subjectively evaluates as the most conducive for mental imagery, choosing from speeds of 1.5x, 2.0x, 3.0x, and 4.0x.

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

20 years-old <=

Age-upper limit

90 years-old >

Gender

Male and Female

Key inclusion criteria

1) Those in the recovery phase exhibiting upper limb hemiparesis due to stroke.
2) Those with an MMSE score of 24 or higher, an FMA-UE score of less than 20, and a KVIQ-20 score of less than 74.

Key exclusion criteria

1) Those unable to perform motor imagery or tasks.
2) Individuals with a history of or current mental illness.
3) Those with central nervous system disorders other than stroke or orthopedic disorders significantly limiting recovery from paralysis.

Target sample size

48


Research contact person

Name of lead principal investigator

1st name Tadashi
Middle name
Last name Yamamoto

Organization

Toda Chuo Rehabilitation Hospital

Division name

Rehabilitation Department

Zip code

335-0026

Address

4-1-29 Shinso Minami, Toda City, Saitama Prefecture

TEL

048

Email

t_yamamoto3@tmg.or.jp


Public contact

Name of contact person

1st name Tadashi
Middle name
Last name Yamamoto

Organization

Saitama Prefectural University

Division name

Graduate School of Health, Medicine, and Welfare

Zip code

343-8540

Address

820 Sannomiya, Koshigaya City, Saitama Prefecture

TEL

0489710500

Homepage URL


Email

2591009r@spu.ac.jp


Sponsor or person

Institute

Saitama Prefectural University

Institute

Department

Personal name



Funding Source

Organization

Non

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama Prefectural University

Address

820 Sanomiya, Koshigaya City, Saitama Prefecture

Tel

0489710500

Email

2591009r@spu.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

R5-5

Org. issuing International ID_1

Toda Chuo Rehabilitation Hospital

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

戸田中央リハビリテーション病院(埼玉県)


Other administrative information

Date of disclosure of the study information

2025 Year 01 Month 04 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

Open public recruiting

Date of protocol fixation

2024 Year 04 Month 18 Day

Date of IRB

2023 Year 10 Month 09 Day

Anticipated trial start date

2024 Year 04 Month 25 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 04 Month 22 Day

Last modified on

2025 Year 12 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061866