Digital Technology for Stroke Rehabilitation
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.12345Why 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.678910Who Is on the Research Team?
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
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
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
Follow-up
Participants are monitored for safety and effectiveness after treatment
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
Participants will train in the lab.
Participants will train at-home.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Utah
Lead Sponsor
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 ...
2.
obrienphysicaltherapy.net
obrienphysicaltherapy.net/blog/post-stroke-rehabilitation-outcomes-statistics-on-physical-therapy-effectivenessPost-Stroke Rehabilitation Outcomes: Statistics on Physical ...
Home-based rehabilitation positively impacts crucial functional outcomes. The Barthel Index scores improved significantly, with increases ...
3.
aptahhs.memberclicks.net
aptahhs.memberclicks.net/assets/Effectiveness%20of%20home%20base%20rehab%20in%20patients%20living%20with%20stroke.pdfEffectiveness 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 ...
9.
extranet.who.int
extranet.who.int/ncdccs/Data/MNG_D1_2.%20Rehabilitation%20guideline%20of%20Stroke.pdfClinical 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 ...
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