Understanding Upper Limb Issues After Stroke
Official title: Deconstructing Post Stroke Hemiparesis for Precision Neurorehabilitation
Run by Providence VA Medical Center · NCT05993221 · Data updated 2026-11-12
This study looks at how stroke affects arm movement in veterans and tries to connect these issues to changes in their brain.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 75 (estimated) |
| Sponsor | Providence VA Medical Center Federal |
| Locations | 1 site (Providence, Rhode Island) |
| Status | Recruiting |
| Started | September 5, 2023 |
| Main results expected | September 2027 |
| Study ends | September 2027 |
| Registry record updated | June 6, 2025 |
| Trial ID | NCT05993221 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are veterans who have experienced a unilateral ischemic stroke more than six months ago and have upper extremity motor impairment.
✕Probably not a fit
Patients with pre-existing severe upper extremity difficulties or significant visual or auditory disorders may 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
This observational study aims to analyze the specific deficits in upper extremity function experienced by stroke survivors and link these deficits to brain anatomy and physiology. Veterans will participate in research visits at the Providence VA Center for Neurorestoration and Neurotechnology, where they will undergo motor assessments, MRI scans, and transcranial magnetic stimulation over two to three days. The study seeks to provide a detailed understanding of how post-stroke impairments are related to brain structure and function.
Why it matters
Potential benefit: If successful, this study could lead to more targeted and effective rehabilitation strategies for stroke survivors.
How similar studies have gone: While this approach is innovative, similar studies have shown promise in linking motor deficits to brain function, suggesting potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of a unilateral ischemic stroke occurring \>6 months prior as documented in medical chart * Upper extremity motor impairment as measured by Fugl-Meyer Upper Extremity Assessment ≤60 * Ability to follow simple instructions in English Exclusion Criteria: * Greater than moderate difficulty using the arm and hand pre-dating the stroke as assessed by the questions adapted from the QuickDASH outcome measure score on any question \>= 3, which measures physical function and symptoms in people with difficulty using the arm and hand. * Visual or auditory disorders resulting in the inability to see or hear, respectively, the stimuli presented as part of research sessions * Inability to maintain a seated position for at least one hour * Standard MRI exclusion (e.g., significant claustrophobia or inability to tolerate loud noises, cardiac pacemaker (unless MRI-safe), implanted device (deep brain stimulation) or metal in the brain, cervical spinal cord, or upper thoracic spinal cord) * Standard (single-pulse) TMS exclusion which include (in addition to those listed for MRI) pregnancy/lactation/planning to become pregnant during the study, seizure disorder, and primary or secondary CNS tumors
Where it's running
-
Providence VA Medical Center
Providence, Rhode Island, United States Recruiting
Study contacts
- Study coordinator: Jennifer Hebert, BS
- Email: jennifer.hebert@va.gov
- Phone: 401-273-7100
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
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.
-
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.
-
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.
-
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.
-
Remote Ischaemic Conditioning for Fatigue After Stroke 2
Aat least 12 weeks after stroke, adults with post-stroke fatigue will try a simple hand-arm cuff treatment at home to see if it helps reduce fatigue.
-
Dual-task balance training plus computer-based cognitive training after stroke
In adults who recently had a stroke, the study tests whether adding computerized cognitive exercises to balance training improves balance and other recovery outcomes.
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.