Telerehabilitation for Stroke
Recruiting in Palo Alto (17 mi)
+1 other location
Overseen byPreeti Raghavan, MD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Johns Hopkins University
Disqualifiers: Visual deficit, Neurological conditions, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The purpose of this study is to advance upper limb robot-mediated tele-rehabilitation for patients recovering from stroke by empowering them through active science participation. By varying the tasks' features and affordances of a platform that combines a low-cost haptic device on one hand, and an online citizen science platform on the other, investigators will evaluate different strategies for social telerehabilitation. the two fundamental modes of social interaction - competition and cooperation - in addition to a control condition. Specifically, citizen science activities will be performed by competing, cooperating, or isolated users, and their rehabilitation effectiveness examined. Such effectiveness will be measured by (i) participants' rehabilitation performance (inferred from sensorimotor data acquired through the platform and directly quantified by a supervising therapist); (ii) participants' motivations to contribute (measured through surveys administered online); and (iii) participants' emotional well-being and sense of self-esteem (measured through online surveys).
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It might be best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of the treatment Telerehabilitation for Stroke?
Research shows that telerehabilitation can improve physical function and reduce disability in stroke patients, and it has been effective in enhancing upper limb function and balance in individuals recovering from a stroke.
12345Is telerehabilitation safe for stroke patients?
Telerehabilitation for stroke patients has been generally safe, with no significant adverse events reported in studies. However, some participants without disabilities experienced dizziness and nausea, and stroke patients needed assistance for balance and fall prevention during certain activities.
13467How is telerehabilitation for stroke different from other treatments?
Telerehabilitation for stroke is unique because it allows patients to receive rehabilitation exercises and therapy remotely, often from their own homes, using technology like video calls and virtual reality. This approach can be more convenient and accessible compared to traditional in-person therapy sessions, and it enables continuous rehabilitation even after patients leave acute care.
23489Eligibility Criteria
This trial is for stroke survivors with hemiparesis for over 3 months, who can sit or stand on their own, have basic cognitive skills and technical interest. They should have limited arm movement but full passive range of motion. The control group requires no learning disabilities and an interest in using internet platforms.Inclusion Criteria
I had a stroke over 3 months ago, can sit or stand by myself, understand and do exercises, have limited arm movement but can use the internet.
For control group: no history of learning disabilities, technical savvy and interest to use an internet platform
Exclusion Criteria
I have vision problems or other health issues that might affect my participation.
I have a visual problem or a condition that limits my movement for exercises.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Treatment
Participants engage in upper limb robot-mediated tele-rehabilitation using a haptic device and an online citizen science platform, focusing on competition, cooperation, or isolation strategies.
4 weeks
Online sessions
Follow-up
Participants are monitored for rehabilitation performance, motivation, and emotional well-being through online surveys and sensorimotor data.
4 weeks
Participant Groups
The study tests upper limb tele-rehabilitation through a haptic device and online platform by comparing competition, cooperation, and isolation strategies in social interaction. It measures rehabilitation performance, motivation to contribute to science tasks, and emotional well-being.
2Treatment groups
Experimental Treatment
Active Control
Group I: Stroke PatientsExperimental Treatment2 Interventions
Group II: Healthy ControlsActive Control2 Interventions
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Johns Hopkins UniversityBaltimore, MD
Matthew BirdBaltimore, MD
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Who Is Running the Clinical Trial?
Johns Hopkins UniversityLead Sponsor
National Science FoundationCollaborator
References
Effects of telerehabilitation on physical function and disability for stroke patients: a randomized, controlled trial. [2022]To determine the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on physical function, and secondarily on disability, in veterans poststroke.
Telerehabilitation for balance rehabilitation in the subacute stage of stroke: A pilot controlled trial. [2022]Telerehabilitation has been proposed as an effective strategy to deliver post-stroke specific exercise.
Home-based telerehabilitation shows improved upper limb function in adults with chronic stroke: a pilot study. [2021]This pilot study investigates the use of telerehabilitation to improve upper limb performance in chronic stages of stroke recovery.
A feasibility study to assess the effectiveness of Muvity: A telerehabilitation system for chronic post-stroke subjects. [2022]To assess the feasibility of a telerehabilitation system for chronic post-stroke subjects compared to a conventional treatment.
Scoping review of outcome measures used in telerehabilitation and virtual reality for post-stroke rehabilitation. [2019]Introduction Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature that reports outcome measures used in TR or VR for stroke rehabilitation. Our specific objectives included: 1) to identify the outcome measures used in TR and VR studies; and 2) to describe which parts of the International Classification of Functioning are measured in the studies. Methods We conducted a comprehensive search of relevant electronic databases (e.g. PubMed, the Cumulative Index to Nursing and Allied Health Literature, Embase, PSYCOINFO, The Cochrane Central Register of Controlled Trial and the Physiotherapy Evidence Database). The scoping review included all study designs. Two reviewers conducted pilot testing of the data extraction forms and independently screened all the studies and extracted the data. Disagreements about inclusion or exclusion were resolved by consensus or by consulting a third reviewer. Results In total, 28 studies were included in this scoping review. The results were synthesized and reported considering the implications of the findings within the clinical practice and policy context. Discussion This scoping review identified a wide range of outcome measures used in VR and TR studies and helped identify gaps in current use of outcome measures in the literature. The review also informs researchers and end users (i.e. clinicians, policymakers and researchers) regarding the most appropriate outcome measures for TR or VR.
Safety and Feasibility of a First-Person View, Full-Body Interaction Game for Telerehabilitation Post-Stroke. [2020]This study explored the feasibility and safety of pairing the Microsoft Kinect® sensor with the Oculus Rift® Head Mounted Display (HMD) as a telerehabilitation technology platform for persons post-stroke. To test initial safety, fourteen participants without disabilities (age 30 ± 8.8 years) engaged in a game-based task using the Microsoft Kinect® with a first-person view using the Oculus Rift®. These tasks were repeated for five participants post-stroke (age 56 ± 3.0 years). No significant adverse events occurred in either study population. When using the Oculus Rift® HMD, three participants without disabilities reported dizziness and nausea. All of the participants post-stroke required hands-on assistance for balance and fall prevention. The intensive nature of physical support necessary for this type of interaction limits the application as a telerehabilitation intervention. Given the increasing availability of HMDs for commercial use, it is crucial that the safety of immersive games and technologies for telerehabilitation is fully explored.
Feasibility of incorporating functionally relevant virtual rehabilitation in sub-acute stroke care: perception of patients and clinicians. [2020]To determine user satisfaction and safety of incorporating a low-cost virtual rehabilitation intervention as an adjunctive therapeutic option for cognitive-motor upper limb rehabilitation in individuals with sub-acute stroke.
Exercises for paretic upper limb after stroke: a combined virtual-reality and telemedicine approach. [2022]Telerehabilitation enables a remotely controlled programme to be used to treat motor deficits in post-stroke patients. The effects of this telerehabilitation approach were compared with traditional motor rehabilitation methods.
Complex versus simple ankle movement training in stroke using telerehabilitation: a randomized controlled trial. [2021]Telerehabilitation allows rehabilitative training to continue remotely after discharge from acute care and can include complex tasks known to create rich conditions for neural change.