New combo therapy shows promise for stroke hand recovery
NCT ID NCT05736653
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether combining brain stimulation, nerve stimulation, and hand exercises can help people with chronic stroke regain hand movement. Fifty-one participants who had a stroke at least six months prior received the combined therapy. The goal was to see if it strengthens the connection between the brain and weak hand muscles, and improves hand function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Combined brain, nerve, and hand stimulation (transcranial magnetic stimulation, peripheral nerve stimulation, and functional electrical stimulation)
- What this could lead to
- If it works, this could point toward a new therapy to improve hand function in people with chronic stroke.
- What could go wrong
- This is a small, early-stage study (51 people) with no control group, so results may not apply to everyone. The improvements seen may be modest or not last long.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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51 people
The number who actually took part.
- Started
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Jun 2023
- Finished
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Dec 2025
- 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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18 to 80 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: 1. Age between 18-85 years 2. Diagnosis of first-ever subcortical stroke (single cerebrovascular accident) 3. Stroke onset of at least six months prior to the time of participation 4. A score of at least 1 out of 2 on the spherical grasping item of the Fugl-Meyer Upper Extremity Subscale to allow participants to grasp the ball 5. Cognitive skills to actively participate, as indicated by scores of \> 23 on the Mini-Mental Status Examination 6. English speaking Exclusion Criteria: 1. Inability to elicit a motor evoked potential (MEP) in the EDC muscle even with a 20% background muscle contraction 2. Presence of severe aphasia 3. Excessive spasticity of the wrist and finger muscles, defined as a Modified Ashworth Score \>2 4. Diagnosis of neurological disorders other than stroke 5. History of seizure or epilepsy 6. Orthopedic/musculoskeletal conditions (e.g., arthritis) affecting the upper extremity 7. Presence of metallic implants in the head or neck 8. Currently or planning to become pregnant 9. Difficulty maintaining alertness or remaining still 10. Ferromagnetic metallic implants, pacemakers, other implanted devices, or ventilators for magnetic resonance imaging (MRI) 11. Bodyweight \> 300 lbs due to MRI scanner dimensions (for subjects also undergoing MRI) 12. Psychiatric diagnosis according to the criteria of the Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition (DSM-V), or who are on psychotropic medication 13. Life expectancy less than the duration of the study 14. Excessive pain in the paretic hand, defined as a Visual Analog Scale Score \>4 15. Participation in concurrent occupational therapy 16. Current use of recreational drugs and stimulants like cocaine and methylenedioxymethamphetamine (MDMA)
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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.
Contacts and locations
Locations
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Neural Plasticity Rehabilitation and Movement Dynamics Lab
Salt Lake City, Utah, 84108, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Moving patterns may help stroke survivors read faster
- Vibrating wearables put stroke walking to the test
- Robot plus electrical stimulation aims to rebuild arm movement after stroke
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- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next