About this trial
The goal of this clinical trial is to learn if a program that combines language and arm treatment can improve language and movement problems in people with chronic stroke. The mains questions it aims to answer are:
* To determine the extent to which this combined treatment can improve language. * To determine the extent to which the combined treatment can improve arm movements.
Researchers will compare the effects of this combined treatment with treatment that targets arm movements alone.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female patients between 18-90 years of age.
Right-handed prior to stroke
English-speaking (monolingual)
History of single left-hemisphere stroke at least 6 months prior to enrollment
Disqualifiers
Diagnosis or history of speech impairment prior to stroke
Severely limited speech output (score below 2 on spontaneous speech portion of WAB-R)
Inability to perform screening tasks due to severe language and/or cognitive impairment
Condition limiting passive movement in the range of motion required for robotic therapy (e.g. fixed contracture)
Trial design
Parallel
Treatments tested in this trial
CARAT: combined aphasia and robot-assisted arm therapy
BehavioralParticipants will receive 18 sessions of robot-assisted arm therapy combined with a standardized picture-word verification therapy task with the goal of improving language and arm movements.
Robot-assisted arm therapy
BehavioralParticipants will receive 18 sessions of robot-assisted arm therapy with the goal of improving arm movements.
Treatment groups
Trial outcomes
Primary outcomes
Philadelphia Naming Test
Fugl-Meyer Upper Extremity Motor Assessment
Secondary outcomes
Western Aphasia Battery-Revised Aphasia Quotient
Box and Blocks Test
Apraxia Battery for Adults
Stroke and Aphasia Quality of Life Scale-39
Other outcomes
Arm kinematics
Arm vs. Non-Arm Naming
Sponsors and contacts
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New York Medical College
Lead sponsor
National Institute on Deafness and Other Communication Disorders (NIDCD)
Collaborator
New York University
Collaborator
This trial is not recruiting at the moment. You can still explore other options: