[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Complejo Asistencial Universitario de León Urgencias\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":77},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,45],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":28,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":4},"100628028","artificial-intelligence-driven-virtual-reality-rehabilitation-for-upper-limb-recovery-in-acute-and-subacute-stroke-patients-100628028",false,"NCT07456306","Artificial Intelligence-Driven Virtual Reality Rehabilitation for Upper Limb Recovery in Acute and Subacute Stroke Patients","Randomized Controlled Trial of Artificial Intelligence-Driven Virtual Reality Rehabilitation for Upper Limb Recovery in Acute and Subacute Stroke Patients","Inclusion Criteria:\n\n* Adults ≥18 years\n* Confirmed acute or subacute stroke (ischemic or hemorrhagic)\n* Upper limb motor deficits\n* Admitted to hospital\n* Favourable assessment by the rehabilitation service to begin treatment\n* Signing of informes consent\n\nExclusion Criteria:\n\n* Moderate to severe cognitive impairment.\n* Severe global aphasia.\n* Language barrier.\n* Visual impairment.\n* Previous stroke with significant sequelae in upper limb.\n* Contraindication for RHB therapy.","ALL","18 Years",{"count":19,"type":20},50,"ESTIMATED","INTERVENTIONAL",[23],"NA","Background: Upper limb motor deficits are common after stroke, and early rehabilitation is crucial for functional recovery. Virtual reality (VR) combined with artificial intelligence (AI) has shown potential to enhance motor learning, but evidence from randomized controlled trials in acute and subacute hospitalized patients is limited.\n\nObjective: To evaluate whether AI-driven VR rehabilitation in addition to standard care improves upper limb motor recovery compared with standard rehabilitation alone in acute and subacute stroke patients.\n\nDesign: Prospective, assessor-blinded, randomized controlled trial with stratified 1:1 allocation by baseline Fulg Meyer Assessment Score.S Participants: Adults (≥18 years) with confirmed acute or subacute stroke, admitted to the hospital, with upper limb motor déficits.\n\nIntervention: Experimental group will receive standard rehabilitation plus AI-driven VR therapy during hospitalization. Control group will receive standard rehabilitation alone.\n\nPrimary Outcome: Change in FM-UE score from baseline to hospital discharge. Secondary Outcomes: VR-derived digital biomarkers, therapy adherence, NIHSS, FM-UE, and Modified Ashworth Scale at each session, and the following baseline and treatment variables: etiology, Modified Rankin Scale (mRS), handedness, stroke lateralization, aphasia, acute reperfusion, reperfusion treatment, days from stroke to start of rehabilitation, adverse events, patient satisfaction, and date of discharge. FM-UE at 1 month post-intervention.\n\nRandomization and Blinding: Patients will be randomized in a 1:1 ratio to either group, stratified by baseline FM-UE (≤30 vs \\>30) to ensure balance between groups for stroke severity. Within each stratum, block randomization will be used. Outcome assessors will be blinded.\n\nSample Size: 50 patients (25 per group).\n\nEthics and Registration: Approved by hospital ethics committee. Significance: This trial will provide evidence on the effectiveness of AI-driven VR therapy for early upper limb rehabilitation in hospitalized stroke patients.",[26,27],"Stroke","Rehabilitation",[29,30,31,32],"stroke","rehabilitation","virtual-reality","artifficial intelligence","NOT_YET_RECRUITING","2026-03-04",{"date":36,"type":37},"2026-03-06","ACTUAL",{"date":39,"type":20},"2026-03-01",{"date":41,"type":20},"2026-08-01",{"name":43,"class":44},"Complejo Asistencial Universitario de León Urgencias","OTHER",{"id":46,"slug":47,"hasResults":11,"nctId":48,"briefTitle":49,"officialTitle":50,"acronym":4,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":52,"targetDuration":4,"studyType":21,"phases":54,"briefSummary":55,"conditions":56,"keywords":61,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":76},"100409325","prospective-i-factortm-analysis-fusion-rate-and-quality-of-life-100409325","NCT04610021","Prospective i-FactorTM Analysis Fusion Rate and Quality of Life","Prospective Analysis of the i-FactorTM Bone Graft on the Fusion Rate and Quality of Life of Patients With Adult Spine Deformity","Inclusion Criteria:\n\n* Patients of legal age.\n* Patients diagnosed with adult deformity, whether due to scoliosis, imbalance, thoracolumbar curves, etc. In which the minimum number of levels to be instrumented is 5, that is, 4 intervertebral discs.\n* Patients who provide their informed consent in writing. (In the event that the patient's circumstances do not allow him to grant consent, this may be provided by the legal representative).\n* Present radiological tests, computed tomography and \u002F or magnetic resonance imaging prior to surgery.\n* The implants used in the surgery are Cobalt Chrome bars and Titanium screws and interbody cages.\n\nExclusion Criteria:\n\n* Patients who are expected to be unavailable for follow-up.\n* Patients with mental disabilities that make it difficult for them to fill in the questionnaires.\n* Patients who have had other types of implants placed, other than Cobalt Chrome bars and Titanium screws and interbody cages.\n* Patients who are going to have cemented and \u002F or expansive screws, Peek boxes or another type of material other than Titanium.\n* Underlying neurological or neuromuscular disease.\n* Underlying inflammatory or tumor disease.",{"count":53,"type":20},128,[23],"Adult spinal deformity surgery is a complex procedure that involves many risks and complications. Bone grafts and bone substitutes are essential to achieve fusion and manage stability in spinal surgery.\n\nAutologous bone has been considered the \"gold-standard\" for obtaining a spinal fusion. However, the source from which to obtain it is limited. Furthermore, the problems of bone quality in patients with osteoporosis and the morbidity have forced the orthopedic community to seek other options.\n\nI-Factor ™ Bone Graft (Cerapedics, Inc., Westminster, CO) is a compound formed by peptide P-15 bound to an anorganic bone mineral of bovine origin that is composed of porous and smooth hydroxyapatite (ABM) particles.\n\nIn the literature there are no articles which identify bone formation with the i-Factor ™ graft in more than 4 instrumented levels, therefore the development of this study will allow assessing the fusion rate and quality of life of patients, which could lead to an improvement in the management and decision-making of surgical procedures, as well as better control of healthcare spending",[57,58,59,60],"Spinal Deformity","Bone Graft","Fusion Rate","Quality of Life",[62,63,64,65,66,67],"Adult Spinal deformity","Bone graft","Fusion rate","Quality of life","Spinal Surgery","Functional limitations","2021-02-05",{"date":70,"type":37},"2021-02-09",{"date":72,"type":20},"2021-03",{"date":74,"type":20},"2027-03",{"name":43,"class":44},1,""]