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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | University Health Network, Toronto Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Status | Recruiting |
| Started | August 1, 2024 |
| Main results expected | July 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | December 11, 2024 |
| Trial ID | NCT06498011 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
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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.
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Transcutaneous vagus nerve stimulation with modified constraint-induced movement therapy for chronic stroke
This study will try noninvasive vagus nerve stimulation together with modified constraint-induced movement therapy to improve arm movement, thinking, and quality of life in people with chronic left-sided stroke and moderate-to-severe arm weakness.
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Deep phenotyping to explore recovery in young adults after stroke
This project will test whether a detailed health and sample-collection approach (deep phenotyping) is practical and acceptable for people aged 18–55 who have had a stroke.
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Stem cell therapy for chronic stroke recovery
This study is testing whether using a patient's own stem cells can help people with long-term stroke recovery feel better and improve their daily functioning.
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Cardiac rehabilitation program for stroke survivors
This study tests whether a special heart rehab program can help stroke survivors recover better and stay healthier.
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AI-based tools to help diagnose, treat and predict stroke outcomes across multiple hospitals
This study tests AI-powered tools on real-world stroke patients to see if they can improve pre-hospital triage, diagnosis, and outcome prediction while data stay securely within each hospital.
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Web-based therapy using action observation and mirror therapy for arm weakness after stroke
This trial tests whether a mobile telerehabilitation app delivering action observation therapy (AOT) alone or combined AOT with mirror therapy (AOT-MT) can improve upper limb function in people with subacute stroke.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.