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Turning stroke recovery into a game: can a knob controller restore hand dexterity?

NCT ID NCT05929027

Disease control Sponsor: Johns Hopkins University Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time

Summary

This trial tests whether adding self-administered hand therapy at home, using a videogame controller called the Twirlstone, can improve hand dexterity and coordination in stroke survivors. Participants, who are within six weeks of a stroke and have arm or hand weakness, will either receive standard care alone or standard care plus the gaming therapy. The study measures changes in finger dexterity and arm-hand function to see if this playful approach can boost recovery.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Self-administered hand therapy using the Twirlstone device, a knob-like controller for a videogame called Nono's World
What this could lead to
If effective, this approach could offer a convenient, engaging way for stroke survivors to boost hand recovery at home, potentially improving dexterity and coordination beyond standard care.
What could go wrong
This is a small, early-stage trial, so results may not apply broadly. The therapy's success depends on patient adherence and may not outperform standard care for everyone.

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

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

About 60 people

The number the study aims to enrol. It can still change while the study runs.

Started

Sep 2023

Expected to finish

Dec 2027

An estimate. End dates often move.

Lead sponsor

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

21 years and older

Sex

Anyone

Healthy volunteers

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

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 21 years and over 2. Stroke confirmed by CT or MRI within the previous 6 weeks. 3. Arm and/or hand impairment induced by the stroke. 4. Meet JSTTEP criteria and are enrolled in JSTTEP. 5. Admitted to the Johns Hopkins Hospital (JHH) inpatient stroke service. 6. Proficient in speaking and reading English. 7. Willing and capable to contacted remotely for all necessary telemedicine contacts. 8. No history of prior ischemic or hemorrhagic stroke with associated motor deficits (prior stroke with no upper limb motor symptoms is allowed) 9. Ability to give informed consent. Exclusion Criteria: 1. Arm impairment that is too severe (FM-UE \< 40) on day of baseline testing prior to beginning of the study. 2. Recent Botox injection to upper limb (since stroke onset). 3. History of physical or neurological condition that interferes with study procedures or assessment of motor function (e.g. severe arthritis, severe neuropathy, Parkinson's disease). 4. Terminal illness with life expectancy \< 6 months. 5. Inability to sit in a chair and perform hand exercises for 20 minutes at the time. 6. Cognitive impairment, with score on Montreal Cognitive Assessment (MoCA) ≤ 20. 7. Social and/or personal circumstances that prevent telemedicine follow-up.

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Conditions

The condition(s) this trial relates to.

stroke disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Hand weakness Stroke

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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

  • Johns Hopkin

    RECRUITING

    Baltimore, Maryland, 21287-6953, United States

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