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CTRI Number  CTRI/2018/05/013876 [Registered on: 14/05/2018] Trial Registered Retrospectively
Last Modified On: 05/05/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device
Physiotherapy (Not Including YOGA)
Other (Specify) [Rehabilitation]  
Study Design  Single Arm Study 
Public Title of Study   Brain controlled robot for hand rehabilitation 
Scientific Title of Study   Experimental Evaluation of a Brain-Computer Interface Operated Hand Exoskeleton for Movement Restoration in Paralysis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ashish Dutta 
Designation  Professor 
Affiliation  Indian Institute of Technology, Kanpur 
Address  NL 312, Mechanical Engineering Department, IIT Kanpur, Kanpur 208016, UP, India
Kanpur 208016
Kanpur Nagar
UTTAR PRADESH
208016
India 
Phone  9621488633  
Fax    
Email  adutta@iitk.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashish Dutta 
Designation  Professor 
Affiliation  Indian Institute of Technology Kanpur 
Address  NL 312, Mechanical Engineering Department, IIT Kanpur, Kanpur 208016, UP, India
Kanpur 208016
Kanpur Nagar
UTTAR PRADESH
208016
India 
Phone  9621488633  
Fax    
Email  adutta@iitk.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Ashish Dutta 
Designation  Professor 
Affiliation  Indian Institute of Technology Kanpur 
Address  NL 312, Mechanical Engineering Department, IIT Kanpur, Kanpur 208016, UP, India
Kanpur 208016
Kanpur Nagar
UTTAR PRADESH
208016
India 
Phone  9621488633  
Fax    
Email  adutta@iitk.ac.in  
 
Source of Monetary or Material Support  
Department of Science and Technology(DST) and UKIERI 
 
Primary Sponsor  
Name  DST 
Address  Technology Bhavan, New Mehrauli Road, New Delhi, Delhi 110 016 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
UKIERI  17 Kasturba Gandhi Marg, New Delhi 110001 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ashish Dutta  Regency Hospital  A 2, Sarvodaya Nagar, Kanpur
Kanpur Nagar
UTTAR PRADESH 
9621488633

adutta@iitk.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Hemiplegia due to stroke,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BCI based Hand Exoskeleton  The hand exoskeleton feedback was provided to the patients with anthropomorphic visual feedback in terms of a stop motion video of a hand extension action, which were contingent to the on going brain activity of the patients measured by a EEG signal acquisition device and novel signal processing algorithm. Participants undergone 2-3 therapy sessions per week for up to 6 weeks.  
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  24.00 Year(s)
Age To  62.00 Year(s)
Gender  Both 
Details  1. Stroke patients suffering from hand plegia.
2. Time since stroke greater than or equal to 6 months.


 
 
ExclusionCriteria 
Details  1.Cognitively impaired.
2.Having a history of epilepsy.
3.Medically unstable.
4. High muscle spasticity in hand.
5. High tremor in hand. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The hand functional recovery was measured using standard outcome measurement techniques such as grip strength(GS) using a dynamometer and action research arm test (ARAT) on the scale of 0 to 57. The performance of the brain activity was measured in terms of BCI classification accuracy and the event-related synchronization and de-synchronization in the brainwave.
 
The time points of outcome measurement were at every alternate session for GS and ARAT and for brain-activity it was at each session. It is to be noted that 2-3 sessions were done per week. 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary outcomes were the measurement of mood, fatigue and motivation of the participants on visual-analogue-scale (VAS) between 0 to 10.  Time points were after every session. 
 
Target Sample Size   Total Sample Size="4"
Sample Size from India="4" 
Final Enrollment numbers achieved (Total)= "4"
Final Enrollment numbers achieved (India)="4" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/07/2016 
Date of Study Completion (India) 31/10/2016 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   1. A. Chowdhury et al., "Online Covariate Shift Detection based Adaptive Brain-Computer Interface to Trigger Hand Exoskeleton Feedback for Neuro-Rehabilitation," IEEE Cognitive and Developmental Systems, 2017. DOI: 10.1109/TCDS.2017.2787040 2. A. Chowdhury et al., "EEG-EMG Based Hybrid Brain Computer Interface for Triggering Hand Exoskeleton for Neuro-Rehabilitation," in Proceedings of the International Conference on Advances in Robotics, New Delhi, 2017, pp. 45:1-45:6, DOI: 10.1145/3132446.3134909. 3. G. Prasad et al., "Combining mental and physical practice using brain computer interface driven hand exoskeleton for personalized post-stroke neuro-rehabilitation," in Proceedings of the 8th Annual Translational Medicine (TMED8) Conference, Londonderry, 2017.  
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The primary purpose of the study is to find out the impact of BCI operated hand exoskeleton based combined mental and physical practice on hemiplegic stroke patients for hand functional recovery. The study protocol involves the recruitment of hemiplegic stroke patients suffering from hand disability for at least 6 months and conducting a hand therapy for 12-16 sessions spanning over 3 months. The intervention was to trigger the hand-exoskeleton using the patient’s brain wave followed by an assist-as-needed physical practice using the hand-exoskeleton only. The hypothesis was that the proposed intervention would lead to the motor functional recovery of the disabled hand. 
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