Brain Computer Interface (BCI) Integrated Wearable Hand Robotic Glove System for Upper Limb Stroke Rehabilitation: A 3-arm Randomized Controlled Trial
Upper extremity (UE) recovery remains a huge rehabilitation challenge with largely incomplete recovery of the upper limb post stroke. This is due to heavier priorities placed on other stroke competencies such as mobility, activities of daily living training and home integration which results in suboptimal amounts of time spent in upper limb training post stroke. In this study the investigators plan to pilot brain computer interface (BCI) integrated wearable hand robotic glove (HandyRehab) system for upper limb stroke rehabilitation.
• Age 21-85 years, males and females
• First diagnosis of stroke (ischemic or haemorrhagic), confirmed by neurologist/neurosurgeon/CT/MRI imaging
• \> 16 weeks post stroke
• Hemiplegic pattern of post-stroke weakness
• MRC ≥ 2/5 motor power and above for shoulder abduction \& elbow flexion
• MRC 0 to 4/5 motor power and above for finger flexors \&/or extensors of thumb, index, middle fingers
• Screening Fugl-Meyer wrist hand sub score \<18/24
• Spasticity MAS \<3 for thumb, index, and middle fingers
• Able to discriminate thumb and index sensation to pain
⁃ Hand sizes within 170-200mm (length) \&75-85mm (width), compatible with HandyRehab robotic glove
⁃ BCI compatible brain states using a standardised screening protocol
⁃ Able to understand simple commands with Mini Mental state examination scores MMSE \> 21/30)
⁃ Able to give informed consent
‣ Subjects who are unable to clear BCI screening 11. will be randomised to either CT or HR groups.