Clinical trial Recruiting at 1 site Observational Ages 18 to 90

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 typeObservational
Ages18 Years to 90 Years
SexAll
Enrollment75 (estimated)
SponsorProvidence VA Medical Center
Federal
Locations1 site (Providence, Rhode Island)
StatusRecruiting
StartedSeptember 5, 2023
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedJune 6, 2025
Trial IDNCT05993221 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

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.