UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059236
Receipt number R000067754
Scientific Title Assessing Functional Brain Reorganization after Brain-Machine Interface Rehabilitation for Hand Paresis in Subacute Stroke.
Date of disclosure of the study information 2025/09/30
Last modified on 2025/09/30 11:00:05

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Basic information

Public title

Assessing Functional Brain Reorganization after Brain-Machine Interface Rehabilitation for Hand Paresis in Subacute Stroke.

Acronym

Neural Changes after BMI Hand Therapy for Stroke

Scientific Title

Assessing Functional Brain Reorganization after Brain-Machine Interface Rehabilitation for Hand Paresis in Subacute Stroke.

Scientific Title:Acronym

Neural Changes after BMI Hand Therapy for Stroke

Region

Japan


Condition

Condition

stroke

Classification by specialty

Neurosurgery Rehabilitation medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to investigate whether a 2-week Brain-Machine Interface (BMI) training intervention induces changes in functional brain connectivity. To achieve this, we will acquire resting-state functional connectivity MRI (rs-fcMRI) scans before and after the training period.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Outcome Measure: Resting-state functional connectivity MRI (rsfcMRI)

Timepoint: Before and after the 2-week intervention

Key secondary outcomes

Fugl-Meyer Assessment
Stroke Impairment Assessment Set
Modified Ashworth Scale
Motor Activity Log
Functional Independence Measure
Range of Motion
Electroencephalogram (EEG)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

A 2-week, non-invasive Brain-Machine Interface (BMI) intervention.

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


Not applicable

Gender

Male and Female

Key inclusion criteria

Age: Patients must be 18 years of age or older.
Diagnosis: Patients who present with upper limb paresis caused by a stroke.
Severity of Paresis: A total score of 47 or less on the upper extremity motor section of the Fugl-Meyer Assessment (FMA) for the affected limb.

Key exclusion criteria

Joint Contracture: Patients with a passive extension range of motion of the metacarpophalangeal joints in the paretic hand of less than -10 degrees (i.e., a flexion contracture exceeding 10 degrees).
Time Since Onset: Patients in the chronic phase, defined as 180 days or more since the onset of upper limb paresis.
Cognitive Function: Patients who are unable to provide informed consent or have impaired decision-making capacity.
Severe Comorbidities: Patients with severe, unstable medical conditions (e.g., malignancy) that may interfere with the study procedures or safety.
Pregnancy and Lactation: Women who are pregnant, breastfeeding, or have the possibility of being pregnant.
Implanted Electronic Devices: Patients with a cardiac pacemaker, implantable cardioverter-defibrillator, or other active implanted electronic devices.
Implanted Magnetic/Metallic Materials: Patients with ferromagnetic materials in the body, such as intracranial aneurysm clips, surgical clips, cochlear implants, or artificial eyes.
Tattoos and Permanent Makeup: Patients with extensive tattoos (particularly those containing metallic dyes) or permanent makeup (e.g., eyeliner, eyebrows) that may cause burns during MRI.
Claustrophobia: Patients with a history of severe claustrophobia.
Inability to Maintain Position: Patients who are unable to remain in a supine position for approximately 30 minutes.
EEG Acquisition: Patients with scalp conditions or cranial deformities that would prevent the acquisition of a quality electroencephalogram (EEG).
Participation in Other Trials: Patients who have previously participated in other investigational trials for upper limb paresis.
Prior Antispasmodic Treatments: Patients who have previously received botulinum toxin therapy or nerve blocks (e.g., phenol block) for spasticity in the affected upper limb.
Investigator's Discretion: Patients deemed unsuitable for participation in the study for any reason by the investigator or physician.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Tomohide
Middle name
Last name Shirasaka

Organization

Hokuto Social Medical Corporation Tokachi Rehabilitation Center

Division name

Rehabilitation Division, Department of Medical

Zip code

080-0833

Address

2-1 Inadacho Kisen, Obihiro City, Hokkaido

TEL

0155-47-5700

Email

hokutopt.takahashi@gmail.com


Public contact

Name of contact person

1st name Ryosuke
Middle name
Last name Takahashi

Organization

Hokuto Social Medical Corporation Tokachi Rehabilitation Center

Division name

Physical Therapy Division, Department of Rehabilitation

Zip code

080-0833

Address

2-1 Inadacho Kisen, Obihiro City, Hokkaido

TEL

0155-47-5700

Homepage URL


Email

hokutopt.takahashi@gmail.com


Sponsor or person

Institute

Hokuto Social Medical Corporation Tokachi Rehabilitation Center

Institute

Department

Personal name



Funding Source

Organization

Non

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

medical ethics committee

Address

7-5, Inada-cho Kisen, Obihiro City, Hokkaido, Japan

Tel

0155-48-8000

Email

crc@hokuto7.or.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

2025 Year 09 Month 30 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

2025 Year 05 Month 28 Day

Date of IRB

2025 Year 06 Month 25 Day

Anticipated trial start date

2025 Year 05 Month 28 Day

Last follow-up date

2029 Year 03 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

2025 Year 09 Month 30 Day

Last modified on

2025 Year 09 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067754