Can rehab at home help stroke survivors regain arm function?
NCT ID NCT06682429
First seen Jun 24, 2026 · Last updated Sep 10, 2026 · Updated 10 times
Summary
This study tests whether a home-based telerehabilitation program, using games, exercises, and video calls with therapists, can improve arm function and reduce disability in people who had a stroke 90-150 days ago. 202 participants will be randomly assigned to receive telerehabilitation plus usual care or usual care alone. The main goal is to see if arm function improves more with telerehabilitation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- telerehabilitation system (computer-based games, exercises, stroke education, and videoconferencing with therapists)
- What this could lead to
- If successful, this could provide an effective, convenient way to improve arm function and reduce disability after stroke, potentially making rehabilitation more accessible from home.
- What could go wrong
- This is a relatively small, early-stage trial. The telerehabilitation may not prove significantly better than usual care, and results may not apply to all stroke survivors. Adherence to the 70-minute daily sessions may be challenging.
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 202 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Jun 2030
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 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 18-80 years at the time of randomization 2. The index stroke was radiologically verified, due to ischemia or intracerebral hemorrhage (ICH), and had time of onset 120±30 days prior to randomization 3. The stroke caused upper extremity deficits as defined by Action Research Arm Test score 18-44 (out of 57) at Baseline Visit 1 4. Box \& Block Test score with affected arm is ≥1 block in 60 seconds at Baseline Visit 1 5. Able to successfully perform all 3 rehabilitation exercise test examples (simple commands) at Baseline Visit 1 6. Informed consent and behavioral contract signed by the subject (i.e., no surrogate consent) Exclusion Criteria: 1. A major, active, coexistent neurological, psychiatric, or medical disease that reduces the likelihood that a subject will be able to comply with all study procedures 2. Unable or unwilling to perform study procedures/therapy, or expectation of noncompliance with study procedures/therapy, or expectation that subject cannot participate in all study visits 3. A diagnosis (apart from the index stroke) that substantially affects paretic arm function 4. Severe depression, defined as Geriatric Depression Scale Score \>10/15 at Baseline Visit 1 5. Significant cognitive impairment, defined as Montreal Cognitive Assessment score \<22 \[a lower score is permitted if due to aphasia and allowed by the site PI\] 6. Deficits in communication that interfere with reasonable study participation 7. Severe UE spasticity, defined as presence of contracture or modified Ashworth Scale score=4 in either biceps or pectoralis 8. Modified Rankin Scale score was \>2 prior to the index stroke 9. A new symptomatic stroke has occurred since the index stroke, or a separate stroke occurred within 30 days prior to the index stroke 10. Lacking visual acuity, with or without corrective lens, of 20/50 or better in at least one eye 11. Life expectancy \< 9 months 12. Pregnant; women of child-bearing potential must have a negative pregnancy test 13. Botulinum toxin to the paretic arm: received in the prior 3 months OR expected by the 8-Month Visit 14. Concurrent enrollment in another therapy-based investigational study where the duration of the investigational therapy's activity is likely to occur during the subject's participation in the study 15. Subject lacks sufficient English or Spanish to comply with study procedures and TR instructions 16. Expectation that subject will not have a single domicile address during the 6 weeks of therapy that is within 1.5-hr drive of the central study site \[this can be waived at the discretion of the site PI\] 17. Contraindication to MRI 18. On isolation precautions, e.g., due to active COVID-19
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
27 sites. 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Baystate Medical Center
RECRUITINGSpringfield, Massachusetts, 01199, United States
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Brooks Rehabilitation Hospital
RECRUITINGJacksonville, Florida, 32216, United States
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Casa Colina Hospital and Centers for Healthcare
RECRUITINGPomona, California, 91767, United States
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Cleveland Clinic Foundation
NOT_YET_RECRUITINGCleveland, Ohio, 44195, United States
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Duke University Hospital
RECRUITINGDurham, North Carolina, 27710, United States
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Emory Rehabilitation Hospital
RECRUITINGAtlanta, Georgia, 30322, United States
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Hillcrest Medical Center at UC San Diego Health
RECRUITINGSan Diego, California, 92103, United States
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Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029, United States
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Jackson Memorial Hospital Christine E. Lynn Rehabilitation Center
NOT_YET_RECRUITINGMiami, Florida, 33136, United States
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Jefferson Moss Rehabilitation Research Institute
RECRUITINGElkins Park, Pennsylvania, 19027, United States
Contact Email: •••••@•••••
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Keck Medical Center of USC
RECRUITINGLos Angeles, California, 90033, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Medical University of South Carolina
RECRUITINGCharleston, South Carolina, 29425, United States
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Medstar Health Research Institute
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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MetroHealth Old Brooklyn Health Center
NOT_YET_RECRUITINGCleveland, Ohio, 44109, United States
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NYP Columbia University Medical Center
RECRUITINGNew York, New York, 10032, United States
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Rancho Los Amigos Research Institute
RECRUITINGDowney, California, 90242, United States
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Spaulding Rehabilitation Hospital
RECRUITINGCharlestown, Massachusetts, 02129, United States
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The Institute for Rehabilitation and Research (TIRR) Memorial Hermann
NOT_YET_RECRUITINGHouston, Texas, 77030, United States
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UT Houston/Memorial Hermann Hospital TMC
RECRUITINGHouston, Texas, 77030, United States
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University of California, Irvine
RECRUITINGIrvine, California, 92868, United States
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University of California, Los Angeles
RECRUITINGLos Angeles, California, 90095, United States
Contact Email: •••••@•••••
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University of Cincinnati
RECRUITINGCincinnati, Ohio, 45219, United States
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University of Kansas Medical Center
RECRUITINGKansas City, Kansas, 66160, United States
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University of Michigan University Hospital
RECRUITINGAnn Arbor, Michigan, 48108, United States
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University of North Carolina Medical Center
RECRUITINGChapel Hill, North Carolina, 27514, United States
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University of Utah Health
RECRUITINGSalt Lake City, Utah, 84132, United States
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Other studies related to the condition(s) this trial covers.
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