Evidence map›Paper›PMID 30690609›Full record

Trial reportPhysical therapy2019

TheraBracelet Stimulation During Task-Practice Therapy to Improve Upper Extremity Function After Stroke: A Pilot Randomized Controlled Study.

Na J Seo, Michelle L Woodbury, Leonardo Bonilha, Viswanathan Ramakrishnan, Steven A Kautz, Ryan J Downey, Blair H S Dellenbach, Abigail W Lauer, Caroline M Roark, Lauren E Landers and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07447934 (Vibrotactile Stimulation for Lower Limb Spasticity), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07447934 narecruitingnot on this mapstarted 2026, after this paper: background citation

Vibrotactile Stimulation for Lower Limb Spasticity

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2026 to 2027Enrolled25ConditionsLower Limb SpasticityArmsVibrotactile Stimulation (Static Use), Vibrotactile Stimulation (Dynamic Use), Vibrotactile Stimulation (Neurophysiological Mechanism)
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Determining Factors that Influence Adoption of New Post-Stroke Sensorimotor Rehabilitation Devices in the USA.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Na J SeoDivision of Occupation Therapy, Department of Health Professions, Department of Health Sciences and Research, Medical University of South Carolina, 151B Rutledge Ave, Charleston, SC 29425 (USA).
Michelle L WoodburyDepartment of Health Sciences and Research, Medical University of South Carolina.
Leonardo BonilhaDepartment of Neurology, Medical University of South Carolina.
Viswanathan RamakrishnanDepartment of Public Health Sciences, Medical University of South Carolina.
Steven A KautzDepartment of Health Sciences and Research, Medical University of South Carolina.
Ryan J DowneyDepartment of Health Professions, Medical University of South Carolina.
Blair H S DellenbachDepartment of Health Sciences and Research, Medical University of South Carolina.
Abigail W LauerDepartment of Public Health Sciences, Medical University of South Carolina.
Caroline M RoarkDivision of Occupational Therapy, Medical University of South Carolina.
Lauren E LandersDivision of Occupational Therapy, Medical University of South Carolina.
Sarah K PhillipsDivision of Occupational Therapy, Medical University of South Carolina.
Amanda A VatinnoCollege of Health Professions, Medical University of South Carolina.

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
NIGMS NIH HHS P20 GM109040NIGMS NIH HHS U54 GM104941RRD VA IK6 RX003075
6 · The paper itself

Abstract

backgroundPeripheral sensory stimulation has been used in conjunction with upper extremity movement therapy to increase therapy-induced motor gains in patients with stroke. The limitation is that existing sensory stimulation methods typically interfere with natural hand tasks and thus are administered prior to therapy, requiring patients' time commitment. To address this limitation, we developed TheraBracelet. This novel stimulation method provides subthreshold (ie, imperceptible) vibratory stimulation to the wrist and can be used during hand tasks/therapy without interfering with natural hand tasks.

objectiveThe objective was to determine the feasibility of using TheraBracelet during therapy to augment motor recovery after stroke.

designThe design was a triple-blinded pilot randomized controlled trial.

methodsTwelve chronic stroke survivors were assigned to the treatment or control group. All participants completed 2-hour task practice therapy sessions thrice weekly for 2 weeks. Both groups wore a small vibrator on the paretic wrist, which was turned on to provide TheraBracelet stimulation for the treatment group and turned off for the control group to provide sham stimulation. Outcome measures (Box and Block Test [BBT] and Wolf Motor Function Test [WMFT]) were obtained at baseline, 6 days after therapy, and at follow-up 19 days after therapy.

resultsThe intervention was feasible with no adverse events. The treatment group significantly improved their BBT scores after therapy and at follow-up compared with baseline, whereas the control group did not. For WMFT, the group × time interaction was short of achieving significance. Large effect sizes were obtained (BBT d = 1.43, WMFT d = 0.87). No indication of desensitization to TheraBracelet stimulation was observed. LIMITATIONS: The limitation was a small sample size.

conclusionsTheraBracelet could be a promising therapy adjuvant for upper extremity recovery after stroke.

Indexed as

Electric Stimulation TherapyTask Performance and AnalysisArmFemaleHandHumansMaleMiddle AgedPilot ProjectsRecovery of FunctionStroke RehabilitationUpper Extremity

Identifiers

PMID30690609
PMCPMC6383710

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.