About this trial
Early evidence suggests the benefits of post-stroke motor rehabilitation may be enhanced by applying electrical stimulation to the ear. This study aims to test the new approach of pairing ear stimulation with motor rehabilitation in the home setting in stroke survivors with upper limb motor function deficits.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18-80 years old with an ischemic or hemorrhagic stroke that occurred ≥6 months prior;
Ability to give consent;
Unilateral limb (left or right) weakness with Fugl Meyer-Upper Extremity Scale score of 19-53/60 points which indicates adequate arm/hand use for rehabilitation tasks;
active wrist flexion/extension ≥10° with active abduction/extension of thumb and at least 1 digit ≥10° to further assure ability to participate in rehabilitation tasks;
Disqualifiers
Other concomitant neurological disorders affecting upper extremity motor function;
Presence of Dysphagia or aspiration difficulties;
Prior injury to vagus nerve;
Pregnancy;
Trial design
Single group
Treatments tested in this trial
Remote Transcutaneous Auricular Vagal Nerve Stimulation Paired with Task-Specific Training
DeviceEach participant will complete 2 weeks, 3 times per week, task-specific training paired with transcutaneous auricular vagal nerve stimulation.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility through dropout rates
Dropout rates will be assessed over the course of the study.
Safety of stimulation
Any side effects or adverse events will be assessed.
Compliance
Compliance with study procedures will be assessed every study visit.
Subjective ratings of feasibility.
Feasibility will be assessed with subjective ratings on subject's ability to complete study procedures at home.
Secondary outcomes
Compliance with at-home sessions
The total number of completed at-home sessions will be measured. The total stimulation duration completed within each session. Benchmarks of \>80% total motor rehabilitation sessions completed, and 45 minute in-session duration will be the feasibility cutoffs for the analysis.
Motor Function
Motor function will be assessed in-person at baseline and at the end of the two-week intervention using the Fugl-Meyer Assessment (FMA).
Sponsors and contacts
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Medical University of South Carolina
Lead sponsor
National Institute of General Medical Sciences (NIGMS)
Collaborator