Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Training to improve arm and hand function after stroke

Official title: Comparing the Effect of a Graded Repetitive Arm Supplementary Home-based Exercise Programme With COgnitive-somatoSensory-MOtor Training to Improve Arm and Hand Function After Stroke (iCOSMO)

Run by University Health Network, Toronto · NCT06498011 · Data updated 2026-11-12

This study is testing a special training program to see if it can help people who have had a stroke improve their arm and hand function better than a regular home exercise program.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorUniversity Health Network, Toronto
Academic / other
Locations1 site (Toronto, Ontario)
StatusRecruiting
StartedAugust 1, 2024
Main results expectedJuly 31, 2027
Study endsDecember 31, 2027
Registry record updatedDecember 11, 2024
Trial IDNCT06498011 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 18 years old who are more than 6 months post-stroke and have motor or sensory deficits in their upper limbs.

Probably not a fit

Patients with upper limb deficits due to non-stroke conditions or those unable to cooperate or provide consent will not benefit from this study.

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

What this trial studies

The iCOSMO study evaluates the feasibility and effectiveness of a combined sensory-motor intervention with a cognitive approach to enhance upper limb recovery in individuals who have experienced a chronic stroke. This two-arm randomized controlled trial will recruit 40 participants, dividing them into an experimental group receiving 36 hours of specialized training and a control group undergoing a home-based exercise program. The intervention includes active touch and movement tasks, along with robotic training using the Kinarm Exoskeleton device. Outcomes will be assessed through feasibility metrics and standardized clinical evaluations at various stages of the study.

Why it matters

Potential benefit: If successful, this intervention could significantly improve arm and hand function in stroke survivors, enhancing their quality of life.

How similar studies have gone: Other studies have shown promise with similar sensory-motor training approaches, indicating potential for success in this novel intervention.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Clinical diagnosis of stroke
* Must be more than 6 months post-stroke
* Must be above 18 years old
* Must have some motor and/or somatosensory deficits in the upper limbs

Exclusion Criteria:

* A prior history of central nervous system dysfunction other than stroke
* Upper limb deficits resulting from non-stroke pathology
* Inability to cooperate, follow instructions or provide consent

Where it's running

  • Toronto Rehabilitation Institute
    Toronto, Ontario, Canada
    Recruiting

Study contacts

  • Principal investigator: Mark Bayley, MD — Toronto Rehabilitation Institute
  • Study coordinator: Urvashy Gopaul, PhD
  • Email: urvashy.gopaul@uhn.ca
  • Phone: 416-597-3422

Similar studies

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

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.
Last reviewed 2026-11-14 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.