60 Participants NeededMy employer runs this trial

Digital Technology for Stroke Rehabilitation

SM
Overseen BySamantha McNeill
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests digital technologies to aid in recovering movement skills after a stroke. It compares two types of movement training: lab-based movement guidance and home-based movement guidance, to determine which is more effective. The study aims to assess how well these technologies improve movement patterns and identify the most effective setting. This trial suits individuals who experienced a stroke six months ago or more and can travel to a lab up to five times a week. As an unphased trial, it offers participants the chance to contribute to innovative research that could enhance stroke recovery methods.

What prior data suggests that these technologies are safe for stroke rehabilitation?

Research has shown that performing movement exercises at home for stroke recovery is both practical and effective. Studies indicate that people generally manage it well, and it can be as beneficial, if not more so, than traditional rehab settings. This method is user-friendly, making it a popular choice for many stroke survivors.

For exercises conducted in a lab, studies have also reported positive outcomes. Digital tools used in a lab to guide movement exercises have proven effective and safe. These tools assist in monitoring and improving arm movements during rehab.

Both home and lab-based methods safely improve movement after a stroke. There are no major reports of negative effects, suggesting these methods are well-tolerated by most individuals.12345

Why are researchers excited about this trial?

Researchers are excited about using digital technology for stroke rehabilitation because it offers a flexible and personalized approach to recovery. Unlike traditional in-person therapy, the home-based movement guidance allows patients to practice exercises at their convenience, potentially increasing adherence and motivation. Meanwhile, the lab-based movement guidance provides a controlled environment for more intensive sessions. Both methods leverage technology to provide real-time feedback, which can help patients refine their movements more effectively than standard therapy alone. This innovative approach aims to enhance recovery outcomes by making rehabilitation more accessible and tailored to individual needs.

What evidence suggests that this trial's technologies could be effective for stroke rehabilitation?

Research has shown that performing movement exercises at home can significantly aid stroke recovery. Some studies have found substantial improvements in daily activities, as measured by tools like the Barthel Index. Virtual reality at home also appears promising, potentially enhancing physical abilities more than some other technologies.

In this trial, participants will receive either home-based or lab-based movement guidance. Although specific data on the effectiveness of lab-based movement exercises for stroke recovery is not available from the current sources, rehabilitation exercises in a lab generally offer benefits due to specialized equipment and expert guidance, which may enhance recovery. This trial will compare home-based and lab-based methods to determine which setting better supports stroke recovery.678910

Who Is on the Research Team?

SU

Scott Uhlrich, PhD

Principal Investigator

University of Utah

Are You a Good Fit for This Trial?

This trial is for people who have had a stroke and are looking to improve their movement abilities through rehabilitation. Participants should be able to take part in movement training, either in a lab or at home.

Inclusion Criteria

My arm and hand function is mildly to moderately impaired.
I had my stroke at least six months ago.
I have the mental ability to understand and join this study.
See 3 more

Exclusion Criteria

Currently pregnant or planning to become pregnant
I am currently taking part in occupational therapy.
Unilateral neglect defined as failure of the Line Bisection Task
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in movement training sessions multiple days a week for up to 6 weeks, either in-lab or at home, with weekly lab visits for movement assessments

6 weeks
Weekly lab visits for assessments

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Home-based movement guidance
  • Lab-based movement guidance

Trial Overview

The study compares two types of technology-guided movement training after stroke: one done in a lab setting and the other done at home. It aims to see which approach helps people recover better movement skills.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: In-Lab TrainingExperimental Treatment1 Intervention
Group II: At-Home TrainingExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Utah

Lead Sponsor

Trials
1,169
Recruited
1,623,000+

Citations

Efficacy of Home-Based Physical Exercise in Stroke Survivors

The lack of significant differences in BBS and MAS scores suggests that home-based rehabilitation may not be more effective than other approaches in improving ...

Post-Stroke Rehabilitation Outcomes: Statistics on Physical ...

Home-based rehabilitation positively impacts crucial functional outcomes. The Barthel Index scores improved significantly, with increases ...

Effectiveness of Home–Based Rehabilitation on Activities of ...

Objective: This systematic review compared the effectiveness of home–based rehabilitation with that of hospital-based rehabilitation and usual ...

Stroke Rehabilitation at Home

The results showed that functional and neurological outcomes improved similarly in both groups, but patients managed at home had lower ...

Home-Based Gait Interventions for Adults with Stroke

Thirty-eight studies (61%) investigated home-based gait treatment as a standalone treatment, independent of other rehabilitation interventions. The remaining ...

Guidelines for Adult Stroke Rehabilitation and Recovery

Home-based rehabilitation may not be appropriate for all individuals with stroke, depending on level of severity, comorbidities, or the need for specialized ...

Stroke rehabilitation in adults - NCBI Bookshelf - NIH

This guideline covers rehabilitation after stroke for over 16s. It aims to ensure people are assessed for common problems and conditions linked to stroke.

Strengths, limitations, and way forward of home-based ...

This review aims to map existing practices in home-based motor rehabilitation after stroke and critically examine whether this potential is ...

Clinical Guideline on Stroke Rehabilitation - Extranet Systems

Home based or hospital based (outpatient or day hospital) rehabilitation should be considered for people after discharge.

Management of Stroke Rehabilitation (2024)

The guideline describes the critical decision points in the Management of Stroke Rehabilitation and provides clear and comprehensive evidence ...