Northstar Neuroscience has completed two feasibility
clinical studies (ADAMS and BAKER) that included 32
stroke survivors with hand and/or arm disability resulting
from their stroke (known as upper extremity hemiparesis).
The results of these two studies suggest that cortical
stimulation when combined with rehabilitation, may
improve a patient’s hand/arm motor recovery
more effectively than rehabilitation therapy alone.
Half of the patients were in the "control group,"
meaning they received rehabilitative physical therapy
only without cortical stimulation. The other half
of the patients were in the "treatment group,"
meaning they received the same rehabilitative physical
therapy as the control patients and also received
cortical stimulation treatment at the same time. Patients
in both groups benefited from participation in the
study. However, those patients receiving cortical
stimulation in addition to rehabilitative physical
therapy on average benefited significantly more than
those receiving physical therapy alone.
Benefit was demonstrated in the patients' scores
on standardized tests of hand and arm function and
in patients' ability to better accomplish activities
of daily living. The amount of improvement varied
from individual to individual but on average patients
who received the implanted cortical stimulation system
improved 15-30%. Control group patients improved
0-12%.
Based on the results of the ADAMS and BAKER studies,
a larger FDA approved clinical research study, named
EVEREST, has recently completed enrollment at 21 centers
nationwide. It is designed to investigate the safety
and effectiveness of the Renova™-ST
Cortical Stimulation System* in the recovery of hand
and arm disability after stroke.
*Caution: Investigational device. Limited
by Federal (or U.S.) law to investigational use.
**The results of this study have not been
shared with the FDA and there can be no definitive
claims of safety and effectiveness until the FDA has
reviewed and approved the labeling for this product.
Please note: All clinical trials
have potential benefits and risks. Any prospective
participant must sign an informed consent document
in which these risks and benefits are outlined and
must be discussed with the physician/institution participating
in the clinical research. Once the informed consent
is signed the patient may be enrolled in the clinical
trial. All information collected about patients is
subject to protection under a Federal law known as
“HIPAA.” More information about informed
consent and the protection of the patient’s
personal information is provided to prospective clinical
trial participants when they inquire about being involved
in the clinical trial.
|