Intensive assisted cycling to boost stroke recovery and lower rehab costs

The I-SCORE (Intensive Stroke Cycling for Optimal Recovery and Economic value) Trial

NIH-funded research Cleveland Clinic Lerner Com-Cwru · NIH-11290399

This program uses mechanically assisted, intensive cycling plus focused arm practice to help people recovering from stroke regain movement and make rehabilitation more affordable.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionCleveland Clinic Lerner Com-Cwru NIH-funded
Lab location1 site (Cleveland, United States)
Project IDNIH-11290399 on NIH RePORTER

What this research studies

You would take part in sessions that combine forced aerobic cycling — a bike that helps move your legs so you can reach a steady, challenging exercise level — followed by targeted arm movement practice. The team is testing whether this mix helps the brain relearn arm and leg function better than standard, time-intensive therapy while also tracking costs. Sessions occur in the subacute period after stroke and include monitored heart-rate–guided aerobic work. Outcomes and economic value will be compared across groups over months of follow-up.

Who could benefit from this research

Good fit: Ideal candidates are adults in the subacute phase after stroke who can tolerate aerobic exercise and can attend regular in-person sessions at the study site.

Not a fit: People with unstable medical conditions, significant cardiac or pulmonary limitations, or who cannot pedal or follow instructions may not benefit or be eligible.

Why it matters

Potential benefit: If successful, this approach could help people recover more arm and leg function after stroke while lowering time and cost of rehabilitation.

How similar studies have performed: Animal studies and preliminary human data indicate forced aerobic exercise can improve motor recovery after stroke, but larger clinical trials are still needed.

Where this research is happening

Cleveland, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired brain injury
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.