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Home-based Arm and Hand Exercise Program for Stroke: A Multisite Trial

Chang Gung Medical Foundation logo

Chang Gung Medical Foundation

Status

Enrolling

Conditions

Stroke

Treatments

Other: Conventional occupational therapy home program
Other: Home-based GRASP program

Study type

Interventional

Funder types

Other

Identifiers

NCT06204744
202200321B0

Details and patient eligibility

About

The goal of this multisite clinal trial is to evaluate the implementation of the home-based Graded Repetitive Arm Supplementary Program (GRASP) at rehabilitation clinics across several hospitals. The main questions it aims to answer is:

• the efficacy of the home-based GRASP program relative to the conventional occupational therapy intervention on improving health outcomes, including UE motor function, daily function, quality of life, and motor control strategies.

Stroke participants will be randomly assigned to either the Home-based GRASP group or the conventional occupational therapy home program group. Each group will undergo an 4 to 6-week intervention (3 sessions/week) with evaluations conducted before, immediately after, and 3 months post-trial, assessing clinical and kinematic measures. Interviews and surveys will be conducted to gain insights into the perspectives of patients regarding the implementation of the home-based GRASP program.

Enrollment

143 estimated patients

Sex

All

Ages

20+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • are aged 20 years or older
  • have upper extremity hemiparesis due to the first-ever stroke
  • have some voluntary movement in the affected UE
  • are able to follow 2-step instructions

Exclusion criteria

  • orthopedic conditions affecting the arm/hand or other neurological conditions
  • severe pain that prevents movement in the affected arm and hand
  • unstable medical status

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

143 participants in 2 patient groups

Home-based GRASP program
Experimental group
Treatment:
Other: Home-based GRASP program
Conventional occupational therapy home program
Active Comparator group
Treatment:
Other: Conventional occupational therapy home program

Trial contacts and locations

1

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Central trial contact

Chieh-ling Yang

Data sourced from clinicaltrials.gov

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