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Robot-Assisted Rehabilitation After HIV-Associated Stroke: Botswana

Active Not RecruitingNA

Sponsor: University of Pennsylvania

Conditions: HIV/AIDS, Stroke

Interventions: Robot Therapy

Countries: United States, Botswana

Today, nearly 37 million people are living with HIV (PLHIV) worldwide and 30 to 40% of them will have neurologic complications leading to disability. Our long-term working hypothesis is that an effective solution for increasing rehabilitation access in Botswana and improving functional outcomes of PLHIV having experienced a stroke with or without HIV uses an affordable robot and mobile health technologies to create a cost-effective intervention strategy. For this project, we test the feasibility of affordable robot therapy.

Eligibility overview

Sex: ALL

Age: 18 Years to 90 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* diagnosis of Stroke (at least 3 months post incident) with or without HIV, age over 18;
* medically stable (Able to tolerate therapy and given the determination as able to go through protocol by physician);
* have neurological function between 5 and 24 as defined by the NIH Stroke Scale (NIHSS);
* have no less than moderate cognitive function as defined by the International HIV-Dementia Scale
* Able to give consent.

Exclusion Criteria:

* unable to give consent;
* severely depressed (Becks Depression Inventory-Fast Screener);
* experiencing excessive pain (Visual Analog Scale (VAS) score greater than 4);
* have severe spasticity ( than 3) in muscle tone in elbow/shoulder/wrist hip/knee/ankle using the Ashworth Scale;
* have total paralysis or muscular contractures of upper or lower extremity;
* have a history of psychiatric disorder or cardiac problems;
* have a history of prior brain injury including lesions to the cerebella or brain stem;
* have open lesions on the upper or lower limbs;
* It is up to the physician to decide if a subject should be excluded due to severe drug and/or alcohol abuse or taking of medication that would impair cognitive ability.

Locations (2)

Philadelphia, Pennsylvania, United States
Gaborone, Botswana