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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2600129136 |
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最近更新日期: Date of Last Refreshed on: |
2026-07-31 11:55:25 |
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注册时间: Date of Registration: |
2026-07-31 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
基于SSVEP-BCI的上下肢协同训练对幕上脑卒中患者运动功能的疗效:一项随机、对照、多中心试验 |
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Public title: |
Efficacy of SSVEP-BCI-Based Upper and Lower Limb Coordinated Training on Motor Function in Patients with Supratentorial Stroke: A Randomized, Controlled, Multicenter Trial |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
基于SSVEP-BCI的上下肢协同训练对幕上脑卒中患者运动功能的疗效:一项随机、对照、多中心试验 |
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Scientific title: |
Efficacy of SSVEP-BCI-Based Upper and Lower Limb Coordinated Training on Motor Function in Patients with Supratentorial Stroke: A Randomized, Controlled, Multicenter Trial |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
乔晋 |
研究负责人: |
乔晋 |
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Applicant: |
Qiao Jin |
Study leader: |
Qiao Jin |
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申请注册联系人电话: Applicant telephone: |
+86 29 85323215 |
研究负责人电话:
Study leader's |
+86 29 85323215 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
qiaojn123@163.com |
研究负责人电子邮件: Study leader's E-mail: |
qiaojn123@163.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
中国陕西省西安市雁塔区雁塔西路277号 |
研究负责人通讯地址: |
中国陕西省西安市雁塔区雁塔西路277号 |
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Applicant address: |
277 West Yanta Road, Yanta District, Xi'an, Shaanxi, China |
Study leader's address: |
277 West Yanta Road, Yanta District, Xi'an, Shaanxi, China |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
西安交通大学第一附属医院 |
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Applicant's institution: |
The First Affiliated Hospital of Xi'an Jiaotong University |
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研究负责人所在单位: |
西安交通大学第一附属医院 |
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Affiliation of the Leader: |
The First Affiliated Hospital of Xi'an Jiaotong University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
2026 伦审医研字第 (0224) 号 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
西安交通大学医学院第一附属医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of the First Affiliated Hospital of Xi 'an Jiaotong University School of Medicine |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-03-25 00:00:00 | ||
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伦理委员会联系人: |
易秋月 |
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Contact Name of the ethic committee: |
Yi Qiuyue |
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伦理委员会联系地址: |
中国陕西省西安市雁塔区雁塔西路277号 |
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Contact Address of the ethic committee: |
277 West Yanta Road, Yanta District, Xi'an, Shaanxi, China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 29 85323473 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
yqy0118@163.com |
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研究实施负责(组长)单位: |
西安交通大学第一附属医院 |
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Primary sponsor: |
The First Affiliated Hospital of Xi'an Jiaotong University |
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研究实施负责(组长)单位地址: |
中国陕西省西安市雁塔区雁塔西路277号 |
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Primary sponsor's address: |
277 West Yanta Road, Yanta District, Xi'an, Shaanxi, China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
河南翔宇医疗设备股份有限公司 |
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Source(s) of funding: |
Enterprise Funding (Xiangyu Medical) |
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研究疾病: |
幕上脑卒中后运动功能障碍 |
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Target disease: |
Motor dysfunction after supratentorial stroke |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
II期临床试验 | ||||||||||||||||||||||
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Study phase: |
2 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
1. 验证核心疗效: 评价SSVEP-BCI驱动的上下肢协同训练相较于常规训练,在改善幕上脑卒中患者整体运动功能(FMA-Total评分)及日常生活能力方面的临床有效性; 2. 评估安全性: 全面监测并评估该SSVEP-BCI康复方案的安全性及患者耐受性; 3. 探索神经机制: 利用多模态技术(fNIRS、EEG、sEMG),探索该方案通过增强“视觉-运动”通路功能连接、优化双侧半球协同等机制促进功能恢复的神经生理基础; 4. 评估远期疗效与识别最佳获益人群。 |
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Objectives of Study: |
1. To evaluate the efficacy of SSVEP-BCI-based upper and lower limb coordinated training versus conventional training in improving global motor function (FMA-Total score) and activities of daily living in patients with supratentorial stroke; 2. To assess the safety and tolerability of this SSVEP-BCI rehabilitation protocol; 3. To investigate the neurophysiological mechanisms underlying functional recovery, particularly the strengthening of "visual-motor" pathway connectivity and interhemispheric coordination, using multimodal techniques (fNIRS, EEG, sEMG); 4. To evaluate long-term efficacy and identify patient subgroups most likely to benefit. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1. 首次发病的幕上脑卒中,发病时间在 2 周至 3 个月之内,年龄 40-75 岁。 2. 存在由上运动神经元损伤导致的中度至重度上肢运动功能障碍,Fugl-Meyer上肢运动功能评分(FMA-UE)在 10-50 分之间,且 Fugl-Meyer 下肢运动功能评分(FMA-LE)在 10-28 分之间。 3. 意识清楚,认知功能满足基本训练要求。按教育年限调整界值的方案,将MMSE评分界值设定为:文盲>17 分,小学学历>20 分,中学及以上学历>24 分。视力/矫正视力可满足 SSVEP-BCI 训练要求。 4. 患者或其法定监护人知情同意,并承诺配合研究及随访。 |
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Inclusion criteria |
1. First-ever supratentorial stroke, with onset within 2 weeks to 3 months, aged 40-75 years. 2. Presence of moderate to severe upper extremity motor dysfunction due to upper motor neuron injury, with Fugl-Meyer Upper Extremity (FMA-UE) score between 10 and 50, and Fugl-Meyer Lower Extremity (FMA-LE) score between 10 and 28. 3. Alert, with cognitive function meeting basic training requirements. The MMSE cutoff scores adjusted by education years are set as: illiterate >17, primary school education >20, secondary school and above >24. Visual acuity/corrected vision must meet the requirements for SSVEP-BCI training. 4. The patient or their legal guardian provides informed consent and agrees to cooperate with the study and follow-up. |
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排除标准: |
1. 严重并发症:严重认知障碍(低于对应文化程度MMSE界值)、肢体挛缩畸形、严重心肺肝肾功能不全、恶性肿瘤、活动性精神疾病、癫痫史等; 2. 严重视野缺损或视觉忽略,无法完成BCI任务; 3. 患侧肢体主要肌群改良Ashworth分级≥3级(肘屈肌、肘伸肌、膝屈肌、膝伸肌); 4. 同时参与其他干预性临床研究。 |
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Exclusion criteria: |
1. Severe comorbidities: severe cognitive impairment, limb contracture or deformity, severe cardiac/pulmonary/hepatic/renal insufficiency, malignant tumor, active mental illness, history of epilepsy; 2. Severe visual field defect or visual neglect that precludes participation in BCI tasks; 3. Modified Ashworth Scale grade ≥3 in the primary muscle groups of the affected limb (elbow flexors/extensors, knee flexors/extensors); 4. Concurrent participation in another interventional clinical study. |
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研究实施时间: Study execute time: |
从 From 2026-06-01 00:00:00至 To 2027-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-08-01 00:00:00 至 To 2027-05-01 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
随机分组:完成基线评估后,通过中央随机系统(IWRS)分组 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Random grouping: After the baseline assessment is completed, grouping is carried out through the Central Randomization System (IWRS) |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
不共享原始数据 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Do not share the original data |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
本研究采用纸质病例报告表进行数据采集。CRF为三联无碳复写纸设计,由各分中心研究者填写。总中心临床监查员每3个月现场回收CRF第一联及第三联,并抽查数据质量。数据由两名研究助理独立录入统计分析软件,进行双录入比对及一致性校验。原始CRF由总中心统一归档保存至研究结束后10年。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Data will be collected using standardized paper Case Report Forms (CRFs). CRFs are triplicate carbonless forms completed by site investigators. Clinical research associates from the coordinating center will retrieve completed CRFs on-site every 3 months and perform source data verification. Data will be double-entered independently into statistical software by two research assistants, with consistency checks to ensure accuracy. Original CRFs will be archived at the coordinating center for 10 years after study completion. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |