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Can rehab at home help stroke survivors regain arm function?

NCT ID NCT06682429

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 Results may not be published yet.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This status has not been confirmed recently, so it may be out of date.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 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

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 202 people

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

Started

Aug 2025

Expected to finish

Jun 2030

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

18 to 80 years

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 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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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.

  1. The study's own enquiry address

    This study publishes an address for enquiries. See it below .

  2. The places running it

    27 sites. The list below names each one and where it is.

  3. 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 ↗

  4. 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

Study contacts

  • Contact

    Email: •••••@•••••

Locations

  • Baystate Medical Center

    RECRUITING

    Springfield, Massachusetts, 01199, United States

  • Brooks Rehabilitation Hospital

    RECRUITING

    Jacksonville, Florida, 32216, United States

  • Casa Colina Hospital and Centers for Healthcare

    RECRUITING

    Pomona, California, 91767, United States

  • Cleveland Clinic Foundation

    NOT_YET_RECRUITING

    Cleveland, Ohio, 44195, United States

  • Duke University Hospital

    RECRUITING

    Durham, North Carolina, 27710, United States

  • Emory Rehabilitation Hospital

    RECRUITING

    Atlanta, Georgia, 30322, United States

  • Hillcrest Medical Center at UC San Diego Health

    RECRUITING

    San Diego, California, 92103, United States

  • Icahn School of Medicine at Mount Sinai

    RECRUITING

    New York, New York, 10029, United States

  • Jackson Memorial Hospital Christine E. Lynn Rehabilitation Center

    NOT_YET_RECRUITING

    Miami, Florida, 33136, United States

  • Jefferson Moss Rehabilitation Research Institute

    RECRUITING

    Elkins Park, Pennsylvania, 19027, United States

    Contact Email: •••••@•••••

  • Keck Medical Center of USC

    RECRUITING

    Los Angeles, California, 90033, United States

  • Massachusetts General Hospital

    RECRUITING

    Boston, Massachusetts, 02114, United States

  • Medical University of South Carolina

    RECRUITING

    Charleston, South Carolina, 29425, United States

  • Medstar Health Research Institute

    RECRUITING

    Washington D.C., District of Columbia, 20010, United States

  • MetroHealth Old Brooklyn Health Center

    NOT_YET_RECRUITING

    Cleveland, Ohio, 44109, United States

  • NYP Columbia University Medical Center

    RECRUITING

    New York, New York, 10032, United States

  • Rancho Los Amigos Research Institute

    RECRUITING

    Downey, California, 90242, United States

  • Spaulding Rehabilitation Hospital

    RECRUITING

    Charlestown, Massachusetts, 02129, United States

  • The Institute for Rehabilitation and Research (TIRR) Memorial Hermann

    NOT_YET_RECRUITING

    Houston, Texas, 77030, United States

  • UT Houston/Memorial Hermann Hospital TMC

    RECRUITING

    Houston, Texas, 77030, United States

  • University of California, Irvine

    RECRUITING

    Irvine, California, 92868, United States

  • University of California, Los Angeles

    RECRUITING

    Los Angeles, California, 90095, United States

    Contact Email: •••••@•••••

  • University of Cincinnati

    RECRUITING

    Cincinnati, Ohio, 45219, United States

  • University of Kansas Medical Center

    RECRUITING

    Kansas City, Kansas, 66160, United States

  • University of Michigan University Hospital

    RECRUITING

    Ann Arbor, Michigan, 48108, United States

  • University of North Carolina Medical Center

    RECRUITING

    Chapel Hill, North Carolina, 27514, United States

  • University of Utah Health

    RECRUITING

    Salt Lake City, Utah, 84132, United States

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