Stroke recovery goes remote: can Video-Guided hand training restore function?
NCT ID NCT07792655
First seen Aug 28, 2026 · Last updated Sep 02, 2026 · Updated 2 times
Summary
This pilot trial tests whether a home-based, technology-supported hand training program can improve hand function in adults who had a stroke at least six months ago. Participants receive either remotely guided hand activities via video conferencing or a standard home exercise pamphlet, matched for duration and intensity. Researchers measure changes in hand opening, arm ability, and self-reported hand use in daily life, along with adherence and feasibility. The goal is to see if telerehabilitation can expand access to structured post-stroke hand therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A remotely delivered, technology-supported hand training program guided by a study team via video conferencing, compared with a pamphlet-supported home exercise plan.
- What this could lead to
- If it works, this could offer a convenient home-based option for stroke survivors to improve hand function without frequent clinic visits.
- What could go wrong
- This is a small pilot study, so results may not apply broadly. The technology and remote guidance may not suit everyone, and hand function improvements could be modest.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 22 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Unilateral cortical or subcortical stroke * Chronic stroke (≥ 6 months since stroke) * No significant cognitive deficits as determined by the Mini Mental State Examination (MMSE) score (score≥ 22) Exclusion Criteria: * Cerebellar stroke * Unstable heart condition, uncontrolled diabetes or hypertension * Recent trauma or fracture in the upper extremities * History of significant orthopedic or neurological conditions that could affect hand function (e.g., multiple sclerosis) * Recent history of significant spatial neglect * Joint contractures or significant spasticity in the hand * History of a recent Botulinum Toxin (Botox) injection to the upper-extremity muscles (≤ 3 months) * Pregnant or actively planning to become pregnant (self-reported) * Inability to communicate or unable to consent Exclusion Criteria for subjects exposed to Transcranial Magnetic Stimulation (TMS): * Unable to obtain reliable motor evoked potentials * Recent history of repeated fainting spells or syncope. * Recent history of seizure while on anti-seizure medication * Recent history of skull fracture/head injury * Ferromagnetic metal implants in the skull * Cochlear implant * Implanted deep brain stimulator * Implanted vagus nerve stimulator * Implanted cervical spine epidural stimulator * Ventriculoperitoneal shunt * Skull defect related to the current stroke * Previous serious adverse reaction to TMS * Implanted electronic cardiac device (e.g., cardiac pacemaker)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Physical Medicine & Rehabilitation 325 E Eisenhower Pkwy Suite 3011
RECRUITINGAnn Arbor, Michigan, 48108, United States
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Other studies related to the condition(s) this trial covers.
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- Correlation of visual and motor deficits in stroke patients
- Pilot study on the effects induced by an electromyographic-controlled functional electrical stimulator (FitFES) for upper limb rehabilitation in post-stroke patients
- Brazilian version of a behavior change intervention to support healthy lifestyle adoption after stroke - iVIDAVC: protocol for a pilot randomized study
- Determination of efficacy of sustained motor contraction generated using StimWave peripheral nerve stimulator
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