Home telerehabilitation therapy for patients with vascular dementia

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the feasibility and effectiveness of home telerehabilitation therapy for chronic stroke patients with and without vascular dementia. Participants will receive usual care for one month, followed by a month of remote rehabilitation targeting their weaker arm. The study will assess the impact of this intervention on caregiver burden and patient outcomes through various evaluations and questionnaires. Participants will be monitored for safety and comfort throughout the study.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Symptomatic ischemic or hemorrhagic stroke verified by computerized axial tomography or magnetic resonance imaging
* at least 6 months post stroke
* At least some active movement in the affected upper extremity (MRS 1 or more in shoulder elbow or wrist)
* Ability to provide informed consent, or LAR able to provide consent
* Expressed willingness to comply with all study procedures and attend all study-related visits for both the patient and at least one caregiver.
* Age ≥ 18.
* Ability to follow one-step commands.
* Community-dwelling with transportation to evaluation sessions.
* Ability to operate the therapy system with minimal assistance, including sufficient corrected vision to perceive objects from a distance of 5 feet.
* Modified Ashworth Scale Score 3 or less in the involved upper extremity
* Passive range of motion within functional ranges at the shoulder, elbow, wrist and hand

Exclusion Criteria:

* Patients with history of severe alcohol or drug abuse, psychiatric illnesses like severe depression, poor motivational capacity, or severe language disturbances, particularly of receptive nature or with serious cognitive deficits (defined as unable to follow study instructions even with help from caregiver).
* Patients with bilateral paresis, or weakness or sensory damage due to peripheral causes (e.g. peripheral nerve injury, muscle or orthopedic injury etc.)
* Patients with severe uncontrolled medical problems that would render intensive rehabilitation unfeasible or unsafe (e.g. cardiovascular disease, unstable cardiac arrhythmia, severe rheumatoid arthritis, active joint deformity of arthritic origin, active cancer or renal disease, any kind of end-stage pulmonary or cardiovascular disease, or a deteriorated condition due to age, epilepsy or others).
* Concurrent participation in other experimental upper extremity rehabilitation trials that would interfere with results.
* Non-English-speaking individuals will only be eligible if they can provide the appropriate translator for all the sessions of the study as no funding is available to pay for such services. However, we plan to include them once funding has been secured in the subsequent larger trial.
* Pregnancy
* Prisoners

Where it's running

• Houston Methodist Hospital
  Houston, Texas, United States Recruiting

Study contacts

• Principal investigator: Timea Hodics, MD — The Methodist Hospital Research Institute
• Study coordinator: Darrel W Cleere, MPH
• Email: dwcleere@houstonmethodist.org
• Phone: (713)-441-3770

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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• Wrist-worn device to encourage use of the weaker arm after a recent stroke

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• Trans-spinal magnetic stimulation for improving mobility in chronic stroke patients

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• Rehabilitation for upper limb impairment after stroke using action observation and muscle stimulation

  This study is testing if a new rehabilitation method that combines watching movements with electrical stimulation can help adults recover better from upper arm weakness after a stroke compared to just watching movements alone.

  Recruiting Fondazione Don Carlo Gnocchi ETS · Milan, Italia · NCT06055569

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.