Why some people don't notice mistakes after a left-side stroke

Factors contributing to unawareness of performance errors after left hemisphere stroke

NIH-funded research Thomas Jefferson University · NIH-11295088

This project tests whether problems sensing arm movement, remembering actions, or paying attention explain why people with left-hemisphere stroke don't notice errors when using their arm.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionThomas Jefferson University NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11295088 on NIH RePORTER

What this research studies

You would be asked to perform everyday tasks with your affected arm while researchers record the errors you make and whether you notice them. The team will measure body sensing (proprioception), memory/representation of actions, and attention/monitoring during these tasks. They will link those behavioral measures to brain imaging or lesion data to find biological markers of error unawareness. Findings aim to show how sensation, cognition, and brain changes combine to cause unawareness and guide better rehab strategies.

Who could benefit from this research

Good fit: Adults who have had a left-hemisphere stroke and who have trouble using their arm or who may not notice errors during everyday tasks are the best fit.

Not a fit: People without left-hemisphere stroke, those whose problems are unrelated to limb apraxia, or those unable to travel to the study site are unlikely to benefit from participating.

Why it matters

Potential benefit: If successful, this work could help clinicians identify who is unaware of arm-use errors and tailor rehabilitation to improve safety, independence, and reduce caregiver burden.

How similar studies have performed: Previous work has documented unawareness of limb apraxia and linked proprioception and attention to awareness in small studies, but combining naturalistic tasks with brain markers is a relatively new approach.

Where this research is happening

Philadelphia, 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.