Current Environment:

Summary

We plan to investigate whether the Isolated Orthosis for Thumb Actuation (IOTA) can effectively facilitate the ability of participants to perform a specific set of clinically relevant tasks conducted in a clinic setting.

Conditions

Hemiplegic Stroke, Hemiplegic Cerebral Palsy

Recruitment Status

Completed

Detailed Description

Many Activities of Daily Living involve precision grasp and fine motor manipulation, such as putting toothpaste on a toothbrush or feeding oneself. However, children afflicted by stroke, cerebral palsy, or traumatic brain injury may lose the ability to actively (and accurately) control the thumb, and specifically abduct/adduct the carpometacarpal (CMC) joint and flex/extend the metacarpophalangeal (MCP) joint. We are testing the Isolated Orthosis for Thumb Actuation (IOTA), a device developed at the Wyss Institute at Harvard University in collaboration with Children's Hospital Boston, for assisting opposable thumb grasping tasks. The IOTA contains an adjustable brace fitted to the thumb and dorsum of the hand that is easy to put on and facilitates grasping motions through flexible cable-driven actuators that assist with CMC joint abduction and MCP joint extension. In this pilot study, we plan to investigate whether the IOTA can effectively facilitate the ability of participants to perform a specific set of clinically relevant tasks conducted in a clinic setting. The hypothesis for this work is that the IOTA will significantly improve the participant's performance on clinically relevant tasks.

Eligibility Criteria

Inclusion Criteria:

Be between 7 - 16 years old
Have a clinical diagnosis of hemiplegic cerebral palsy or hemiplegic stroke causing a thumb contracture affecting one hand
Not have a diagnosis of dystonia
Have completed at least a 6-week post-operative period following hand surgery (if applicable; self-reported)
Be able to follow instructions (as determined by their attending Occupational Therapist)
Not be allergic to nylon or lycra

Intervention

Intervention Type

Intervention Name

Device

Isolated Orthosis for Thumb Actuation (IOTA)

Gender

All

Minimum Age

7 Years

Maximum Age

16 Years

Download Date

June 9, 2020

Principal Investigator

N/A

Primary Contact Information

For more information on this trial, visit clinicaltrials.gov.

Contact

For more information and to contact the study team: