Maximum vs Minimum Therapist Supervision in Home Telerehab for Arm Trouble After Stroke

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

In this single-blinded randomized trial, adults aged 40–70 with mild–moderate upper limb impairment after stroke are assigned to either maximum or minimum supervision during 8 weeks of home telerehabilitation. Sessions are delivered via videoconference and tailored to baseline motor function, using a standardized pool of therapeutic exercises. The study looks at changes in upper limb motor function, task performance, coordination, and proprioception, with assessments at baseline and after the intervention. It is conducted at Foundation University Islamabad and participants’ homes over a one-year period.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Stroke either ischemic or hemorrhagic clinically diagnosed or confirmed by MRI or CT.
* Stroke duration between 3 and 24 months.
* Age between 40 and 70 years.
* FMA score of 23-56 out of 66 points on the hemiplegic side.
* Mini mental state examination score greater than 24 out of 30.
* Ability to maintain stable sitting with or without support for at least 30-45 minutes
* No serious auditory, memory or visual impairment.
* Ability to read,understand and follow instructions in urdu.
* Access to a device with internet and video capabilities and basic ability to operate it.
* Availability of a caregiver or a family member to assist during sessions if required.

Exclusion Criteria:

* \- Presence of aphasia or apraxia or unilateral neglect.
* Unable to understand or remember or follow commands.
* Modified ashworth scale score greater than 3 for spasticity.
* History of other brain diseases or brain surgery.
* Other causes of severe upper limb dysfunction.
* Unstable medical condition or vital organ failure including malignancy.
* Inability to cooperate with telerehabilitation procedures.

Where it's running

• Foundation University College of Physical Therapy
  Islamabad, Pakistan Recruiting

Study contacts

• Study coordinator: Tehreem Fatima, DPT
• Email: peelupaul4@gmail.com
• Phone: +923160515404

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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.