Trial Outcomes & Findings for Harmony Scapulohumeral Rhythm (SHR) Reliability and Efficacy Study (NCT NCT05251077)

NCT ID: NCT05251077

Last Updated: 2026-02-24

Results Overview

The Upper Extremity Fugl-Meyer Assessment (UE FMA) is a 33 item stroke-specific, performance-based impairment index designed to assess motor functioning, balance, sensation, and joint functioning in patients with post-stroke hemiplegia. For the purposes of this study, only the upper extremity motor functioning domain will be assessed. This domain is comprised of assessing movement, coordination, and reflex action of the shoulder, elbow, forearm, wrist, and hand. Scoring is based on direct observation of performance and items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0 = cannot perform, 1 = performs partially, and 2 = performs fully. Total score range is from 0 to 66, with a higher total score indicates less impairment of the UE being tested.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

Prior to intervention start, day 1, and prior to discharge from inpatient rehabilitation (on average day 21) and the change in score will be recorded.

Results posted on

2026-02-24

Participant Flow

Participant milestones

Participant milestones
Measure
Optimization Group
Up to 10 participants will be enrolled to identify optimal device application in the acute stroke population. These participants will not be randomized into the intervention group or control group. They will receive the same treatment as the intervention group. The purpose of this group is to 1) train study staff prior to randomization and 2) ensure that the inclusion/exclusion criteria is adequate. Harmony SHR: Functional task training with use of Harmony SHR device
Active Control
Participants in this group will receive traditional occupational therapy up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Traditional Occupational Therapy: Functional task training of affected limb
Intervention
Participants in this group will receive functional task training with use of the Harmony SHR device up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Harmony SHR: Functional task training with use of Harmony SHR device
Overall Study
STARTED
1
10
10
Overall Study
COMPLETED
1
10
10
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Harmony Scapulohumeral Rhythm (SHR) Reliability and Efficacy Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=10 Participants
Participants in this group will receive functional task training with use of the Harmony SHR device up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Harmony SHR: Functional task training with use of Harmony SHR device
Total
n=21 Participants
Total of all reporting groups
Optimization Group
n=1 Participants
Up to 10 participants will be enrolled to identify optimal device application in the acute stroke population. These participants will not be randomized into the intervention group or control group. They will receive the same treatment as the intervention group. The purpose of this group is to 1) train study staff prior to randomization and 2) ensure that the inclusion/exclusion criteria is adequate. Harmony SHR: Functional task training with use of Harmony SHR device
Active Control
n=10 Participants
Participants in this group will receive traditional occupational therapy up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Traditional Occupational Therapy: Functional task training of affected limb
Age, Customized
62 years
n=1 Participants
61.9 years
n=484 Participants
44 years
n=58 Participants
61.8 years
Sex: Female, Male
Female
3 Participants
n=1 Participants
6 Participants
n=484 Participants
1 Participants
n=58 Participants
2 Participants
Sex: Female, Male
Male
7 Participants
n=1 Participants
15 Participants
n=484 Participants
0 Participants
n=58 Participants
8 Participants
Race/Ethnicity, Customized
Black/African American
5 Participants
n=1 Participants
12 Participants
n=484 Participants
1 Participants
n=58 Participants
6 Participants
Race/Ethnicity, Customized
Caucasian
4 Participants
n=1 Participants
8 Participants
n=484 Participants
0 Participants
n=58 Participants
4 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=1 Participants
1 Participants
n=484 Participants
0 Participants
n=58 Participants
0 Participants
Race/Ethnicity, Customized
Ethnicity - Hispanic
1 Participants
n=1 Participants
1 Participants
n=484 Participants
0 Participants
n=58 Participants
0 Participants
Race/Ethnicity, Customized
Ethnicity - non-Hispanic
9 Participants
n=1 Participants
19 Participants
n=484 Participants
0 Participants
n=58 Participants
10 Participants

PRIMARY outcome

Timeframe: Prior to intervention start, day 1, and prior to discharge from inpatient rehabilitation (on average day 21) and the change in score will be recorded.

The Upper Extremity Fugl-Meyer Assessment (UE FMA) is a 33 item stroke-specific, performance-based impairment index designed to assess motor functioning, balance, sensation, and joint functioning in patients with post-stroke hemiplegia. For the purposes of this study, only the upper extremity motor functioning domain will be assessed. This domain is comprised of assessing movement, coordination, and reflex action of the shoulder, elbow, forearm, wrist, and hand. Scoring is based on direct observation of performance and items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0 = cannot perform, 1 = performs partially, and 2 = performs fully. Total score range is from 0 to 66, with a higher total score indicates less impairment of the UE being tested.

Outcome measures

Outcome measures
Measure
Optimization Group
n=1 Participants
Up to 10 participants will be enrolled to identify optimal device application in the acute stroke population. These participants will not be randomized into the intervention group or control group. They will receive the same treatment as the intervention group. The purpose of this group is to 1) train study staff prior to randomization and 2) ensure that the inclusion/exclusion criteria is adequate. Harmony SHR: Functional task training with use of Harmony SHR device
Active Control
n=10 Participants
Participants in this group will receive traditional occupational therapy up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Traditional Occupational Therapy: Functional task training of affected limb
Intervention
n=10 Participants
Participants in this group will receive functional task training with use of the Harmony SHR device up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Harmony SHR: Functional task training with use of Harmony SHR device
Upper Extremity Fugl-Meyer Assessment (UE FMA)
6 score on scale
Interval 6.0 to 6.0
9.5 score on scale
Interval 1.0 to 33.0
8.2 score on scale
Interval 1.0 to 18.0

SECONDARY outcome

Timeframe: Prior to intervention start, day 1, and prior to discharge from inpatient rehabilitation (on average day 21) and the change in score will be recorded

The Action Research Arm Test (ARAT) is a 19 item observational measure used to assess upper extremity performance (coordination, dexterity, and functioning) in stroke recovery, brain injury, and multiple sclerosis. Items comprising the ARAT are categorized into 4 subscales (grasp, grip, pinch, gross motor) and arranged in order of decreasing difficulty, with the most difficult task examined first, followed by the least difficult task. Task performance is rated on a 4-point scale, ranging from 0 (no movement) to 3 (movement performed normally). Score ranges from 0-57. Higher total score indicates more function of the UE being tested.

Outcome measures

Outcome measures
Measure
Optimization Group
n=1 Participants
Up to 10 participants will be enrolled to identify optimal device application in the acute stroke population. These participants will not be randomized into the intervention group or control group. They will receive the same treatment as the intervention group. The purpose of this group is to 1) train study staff prior to randomization and 2) ensure that the inclusion/exclusion criteria is adequate. Harmony SHR: Functional task training with use of Harmony SHR device
Active Control
n=10 Participants
Participants in this group will receive traditional occupational therapy up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Traditional Occupational Therapy: Functional task training of affected limb
Intervention
n=10 Participants
Participants in this group will receive functional task training with use of the Harmony SHR device up to 24 sessions, 60 minutes in length, during the participant's inpatient rehabilitation stay. Harmony SHR: Functional task training with use of Harmony SHR device
Action Research Arm Test (ARAT)
5 score on scale
Interval 5.0 to 5.0
7.5 score on scale
Interval -1.0 to 17.0
6.9 score on scale
Interval -3.0 to 19.0

Adverse Events

Optimization Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Active Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Arun Jayaraman

Shirley Ryan AbilityLab

Phone: 312-238-1000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place