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Telerehabilitation for Post-Stroke Hand Function

Sponsor: University of Michigan • ClinicalTrials.gov ID: NCT07792655

Registry updated: 2026-10-15
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Description

This pilot randomized controlled trial will evaluate the feasibility and preliminary effects of a home-based, technology-enabled hand telerehabilitation program for adults with chronic stroke. Participants will receive either remotely guided hand training or a standard home exercise program matched for duration and intensity. Outcomes will include measures of hand function, adherence, and feasibility to assess the potential of telerehabilitation for improving access to structured post-stroke hand rehabilitation.

Interventions

  • Technology-Supported Hand Training (Behavioral)
    Participants will undergo a remotely delivered, technology-supported hand training program that involves guided hand activities. These activities will target finger coordination, finger individuation, and performance in activities of daily living. Participants may interact with virtual or real passive items to supplement program activities. Activities will be guided remotely by a study team member using video conferencing.
  • Pamphlet-Supported Hand Activity (Behavioral)
    Participants will follow a home advice plan to improve hand function. The plan will be created based on the participant's ability and typical occupational therapy guidance. Activities may resemble typical hand rehabilitation activities performed in a therapy clinic and may involve passive items to supplement program activities. Participants will record their adherence to the program.

Eligibility criteria

Inclusion Criteria: * Unilateral cortical or subcortical stroke * Chronic stroke (≥ 6 months since stroke) * No significant cognitive deficits as determined by the Mini Mental State Examination (MMSE) score (score≥ 22) Exclusion Criteria: * Cerebellar stroke * Unstable heart condition, uncontrolled diabetes or hypertension * Recent trauma or fracture in the upper extremities * History of significant orthopedic or neurological conditions that could affect hand function (e.g., multiple sclerosis) * Recent history of significant spatial neglect * Joint contractures or significant spasticity in the hand * History of a recent Botulinum Toxin (Botox) injection to the upper-extremity muscles (≤ 3 months) * Pregnant or actively planning to become pregnant (self-reported) * Inability to communicate or unable to consent Exclusion Criteria for subjects exposed to Transcranial Magnetic Stimulation (TMS): * Unable to obtain reliable motor evoked potentials * Recent history of repeated fainting spells or syncope. * Recent history of seizure while on anti-seizure medication * Recent history of skull fracture/head injury * Ferromagnetic metal implants in the skull * Cochlear implant * Implanted deep brain stimulator * Implanted vagus nerve stimulator * Implanted cervical spine epidural stimulator * Ventriculoperitoneal shunt * Skull defect related to the current stroke * Previous serious adverse reaction to TMS * Implanted electronic cardiac device (e.g., cardiac pacemaker)

Conditions

Stroke

Locations

  • Physical Medicine & Rehabilitation 325 E Eisenhower Pkwy Suite 3011 — Ann Arbor, Michigan, United States
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record