Understanding shoulder and elbow recovery after stroke

Defining the Neurological Substrates of Proximal Upper Extremity Motor Control and Recovery After Stroke

NIH-funded research Massachusetts General Hospital · NIH-11322640

This project sees if a focused, intensive therapy can improve shoulder and elbow control for people who have arm weakness after a stroke.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11322640 on NIH RePORTER

What this research studies

You would have detailed tests of how well you can move your shoulder and elbow and then receive a period of targeted, high‑intensity training focused just on those movements. Researchers will use brain imaging and physiology measures to link your movement problems to damage in the corticospinal tract and other pathways. The therapy involves repeated, guided practice of shoulder and elbow tasks over multiple sessions to retrain coordination and control. Movement tests and brain scans will be repeated before and after therapy to look for improvements in function and corresponding changes in brain anatomy or physiology.

Who could benefit from this research

Good fit: Ideal candidates are stroke survivors with weakness or poor control of the proximal arm (shoulder and elbow) who are medically stable and able to take part in intensive therapy sessions.

Not a fit: People without proximal upper‑limb weakness, those who cannot tolerate repeated therapy visits, or those with conditions preventing MRI or neurophysiology testing are unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, this approach could improve arm strength and coordination and guide more effective, targeted rehabilitation after stroke.

How similar studies have performed: Previous rehabilitation studies have improved arm function after stroke and prior work suggests motor deficits map to specific brain pathways, but applying very high‑dose, targeted training to proximal control with linked brain measures is a newer approach.

Where this research is happening

Boston, 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.
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.