RecruitingNot ApplicableNCT04045080

Hand Rehab Using AMADEO in PD Patients

The Use of AMADEO in Hand Rehabilitation in Patients With Parkinson Disease

Sponsor

IRCCS Centro Neurolesi Bonino Pulejo

Enrollment

40 participants

Start Date

Sep 1, 2019

Study Type

INTERVENTIONAL

Conditions

Parkinson Disease

Summary

Hand movements are particularly impaired in Parkinson's Disease (PD) patients contributing to functional disability and difficulties in activities of daily living. AMADEO®. is an end-effector system enables intensive training with frequently repeated gripping movements. It offers the possibility to select from between passive, assistive and active modes using exercise of finger strength, finger movement, movement control and a selective activation of the fingers.Aim of this study is to evaluate the efficacy of the end-effector finger system, AMADEO®, on hand-finger movements in PD patients evaluating the improvement on finger tapping and agility of hand movement item scores on the MDS-UPDRS, variation on the active finger strengths and the active and passive Range of Motion (ROM); variation on Electromyographic (EMG)-parameters.

Eligibility

Min Age: 45 YearsMax Age: 80 Years

Plain Language Summary

Simplified for easier understanding

This trial tests a robotic hand rehabilitation device called AMADEO to help people with Parkinson's disease improve hand movement and grip strength. Parkinson's often causes hand stiffness and reduced dexterity, and robot-assisted therapy may provide more consistent and intensive training than traditional exercises. **You may be eligible if...** - You have been diagnosed with Parkinson's disease - You have hand stiffness, weakness, or reduced fine motor control - You are stable on your current Parkinson's medications - You are 18 or older and able to participate in therapy sessions **You may NOT be eligible if...** - You have severe hand deformities that prevent use of the device - You have other neurological conditions affecting your hands - Your Parkinson's symptoms are too severe to tolerate the therapy sessions - You have pacemakers or metal implants incompatible with the device Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DEVICEAMADEO

AMADEO® is an end-effector system enables intensive training with frequently repeated gripping movements. It offers the possibility to select from between passive, assistive and active modes using exercise of finger strength, finger movement, movement control and a selective activation of the fingers. Moreover, even without muscular strength, active work can be done using EMG-based training. The Continuous Passive Motion (CPM Plus) therapy facilitates the implementation of automatic movement sequences even when the patient is unable to complete the entire range of motion on their own. It may be used in all phases of finger-hand rehabilitation and can be adapted to the needs of every patient. In patients with PD, it will be useful in improving bradykinesia and potentially distal hypostenia.

OTHERTraining

training

OTHEROT Training

training