New arm therapy could help stroke survivors reach further
NCT ID NCT04118998
First seen Jun 27, 2026 · Last updated Aug 11, 2026 · Updated 2 times
Summary
This study tests a new exercise therapy called Progressive Abduction Loading Therapy for people who recently had a stroke. The goal is to reduce a common arm problem called 'flexion synergy' that makes it hard to reach outward. 86 participants will receive either the new therapy or standard supported reaching exercises, and be tracked for one year to see if arm function improves.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Progressive Abduction Loading Therapy (a behavioral exercise therapy)
- What this could lead to
- If it works, this could lead to a better rehabilitation method that helps stroke survivors regain arm movement and reduce long-term disability.
- What could go wrong
- This is a mid-stage trial with only 86 participants, so results may not apply to all stroke survivors. The therapy is behavioral, so benefits may be modest and depend on individual effort.
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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About 86 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2021
- Expected to finish
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Aug 2027
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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18 to 85 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Hemiparesis confined to one side, (CMSA Stage 2 or 3 out of 7) 2. Stroke impacting parenchyma of the middle cerebral artery distribution 3. Within 90 days post-stroke 4. 18 to 85 years old 5. No or Mild-to-moderate Aphasia (NIHSS #9 Best Language. = 0 or 1- Describe picture; No or Mild-to-moderate Aphasia) 6. No or Mild extinction and inattention (NIHSS 11 Extinction and Inattention. = 0 or 1- No abnormality or Inattention to one modality.) 7. Ability to perform a 3-step motor command with the unaffected arm 8. Capacity to provide informed consent Exclusion Criteria: 1. Premorbid and persistent disability or motor impairment of the upper extremities 2. Brainstem and/or cerebellar lesion 3. Comorbidity medically contraindicating motor assessments 4. Any other chronic neurological condition 5. Pain or hypersensitivity limiting motor assessments 6. Limb edema limiting study motor assessments
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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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Department of Physical Therapy and Human Movement Sciences
Chicago, Illinois, 60611, United States
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Northwestern Medicine Marianjoy Rehabilitation Hospital
Wheaton, Illinois, 60187, United States
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Shirley Ryan AbilityLab
Chicago, Illinois, 60611, United States
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