Digital Technology-Informed Stroke Rehabilitation

University of Utah60 enrolled

Overview

The goal of this study is to determine the effects of lab and home-based technology guidance during movement training post-stroke. The study will compare movement training informed by lab-based technology to training delivered with technology at home. The main questions it aims to answer are: * How well do lab and home-based technologies help individuals post-stroke improve their movement patterns? * Is there a difference in improvement between the in-lab and at-home training groups? * Which technologies lead to the most improvement?

The study is a randomized, controlled feasibility trial investigating rehabilitation to improve movement patterns after stroke. The study will recruit participants who have had a stroke that led to upper-extremity impairment. Individuals will be assigned to one of two digital technology-guided groups. One group will be guided through exercises in a home-based setting, the other will be lab-based. Participants will engage in training sessions multiple days a week for up to 6 weeks, either in-lab or at home. Both groups will visit the lab weekly for movement assessments.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke

Interventions

Lab-based movement guidanceOTHER

Participants will receive computer-generated guidance on how to perform different activities of daily living efficiently. The guidance will be delivered using lab-based sensing and feedback technology.

Home-based movement guidanceOTHER

Participants will receive computer-generated guidance on how to perform different activities of daily living efficiently. This guidance will be delivered using home-based technologies, such as a computer or tablet.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 30-85 years. * Diagnosis of stroke. * Stroke onset of at least six months prior to the time of participation. * Fugl Meyer Upper Extremity between 30-50 (mild-moderate) * Cognitive skills to consent and actively participate, as indicated by scores of ≥ 24 on the Mini- Mental Status Examination * Able to visit lab up to 5x per week for 3 weeks Exclusion Criteria: * Presence of severe aphasia preventing the ability to follow 1-step directions at least 80% of the time. * Excessive spasticity of the wrist, elbow, and shoulder, defined as a Modified Ashworth Score \>2. * Diagnosis of neurological disorders other than stroke. * Orthopedic/musculoskeletal conditions (e.g., severe arthritis) affecting the upper extremity. * Currently or planning to become pregnant. * Participation in concurrent occupational therapy. * Unilateral neglect, defined as failure of the Line Bisection Task * Upper extremity pain \>= 7/10 on Numeric Rating Scale

Locations (1)

Kennecott Mechanical Engineering Building

Salt Lake City, Utah, United States

RECRUITING

Outcomes

Primary Outcomes

Kinematic movement quality score

A score based on subject kinematics during a daily task (like reaching), comparing the subject's reaching kinematics to normative kinematics.

Time frame: From enrollment to the end of treatment at 3 weeks.

Secondary Outcomes

FMA-UE Score

Upper Extremity Fugl-Meyer Score

Time frame: From enrollment to the end of treatment at 3 weeks.

Central Contacts

Samantha McNeill

CONTACT

(385) 215-9146‬samantha.mcneill@utah.edu

Data from ClinicalTrials.gov

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