Digital Technology-Informed Stroke Rehabilitation
Purpose
The goal of this study is to determine the effects of lab and home-based technology guidance during movement training post-stroke. The study will compare movement training informed by lab-based technology to training delivered with technology at home. The main questions it aims to answer are: - How well do lab and home-based technologies help individuals post-stroke improve their movement patterns? - Is there a difference in improvement between the in-lab and at-home training groups? - Which technologies lead to the most improvement?
Condition
- Stroke
Eligibility
- Eligible Ages
- Between 30 Years and 85 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age between 30-85 years. - Diagnosis of stroke. - Stroke onset of at least six months prior to the time of participation. - Fugl Meyer Upper Extremity between 30-50 (mild-moderate) - Cognitive skills to consent and actively participate, as indicated by scores of ≥ 24 on the Mini- Mental Status Examination - Able to visit lab up to 5x per week for 3 weeks
Exclusion Criteria
- Presence of severe aphasia preventing the ability to follow 1-step directions at least 80% of the time. - Excessive spasticity of the wrist, elbow, and shoulder, defined as a Modified Ashworth Score >2. - Diagnosis of neurological disorders other than stroke. - Orthopedic/musculoskeletal conditions (e.g., severe arthritis) affecting the upper extremity. - Currently or planning to become pregnant. - Participation in concurrent occupational therapy. - Unilateral neglect, defined as failure of the Line Bisection Task - Upper extremity pain >= 7/10 on Numeric Rating Scale
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental At-Home Training |
Participants will train at-home. |
|
|
Experimental In-Lab Training |
Participants will train in the lab. |
|
Recruiting Locations
Salt Lake City, Utah 84112
Scott Uhlrich, PhD
More Details
- Status
- Recruiting
- Sponsor
- University of Utah
Detailed Description
The study is a randomized, controlled feasibility trial investigating rehabilitation to improve movement patterns after stroke. The study will recruit participants who have had a stroke that led to upper-extremity impairment. Individuals will be assigned to one of two digital technology-guided groups. One group will be guided through exercises in a home-based setting, the other will be lab-based. Participants will engage in training sessions multiple days a week for up to 6 weeks, either in-lab or at home. Both groups will visit the lab weekly for movement assessments.