About this trial
The goal of this clinical trial is to understand whether a program of using a hand robot at home, supported by telerehabilitation, is feasible for people living with stroke. The study aims to answer the following questions:
* What is the extent that people living with stroke complete the prescribed therapy program? (adherence) * Do people living with stroke continue to participate in the therapy program until follow-up? (retention) * How acceptable and helpful is the hand robot to be use at the outpatient rehabilitation clinic and home via telerehabilitation for people living with stroke? * How reliable and safe is the hand robot when used in clinical and home settings? * What are the costs of delivering the hand robot program compared to providing the same amount of standard therapy without the hand robot? Researchers will also compare rehabilitation using the hand robot program to a dose-matched therapy program that does not use the robot.
* Intervention group: Participants will use the hand robot for 12 weeks, with follow-up intervention and assessments at 6 months. * Control (comparator) group: Participants will receive the same amount of therapy over 12 weeks, but without the hand robot, followed by 6-month follow-up.
For both groups, researchers will record information about each participant's clinical recovery, their experience with the therapy process and the cost of care.
Eligibility criteria
Qualifiers
Be able to attend one rehabilitation site (Toronto or Edmonton),
Be 18 years of age or older,
Be able to provide informed consent,
Has English language proficiency,
Disqualifiers
Have no limitations in fully extending fingers or making a fist,
Are experiencing pain or cognitive impairments that prevent active participation in therapy,
Be unable to communicate with therapists independently,
Have had any musculoskeletal or other neurological conditions that would impact their participation in a hand rehabilitation program, or
Trial design
Treatments tested in this trial
- Wearable Assistive and Rehabilitation robot facilitating Intensive Telerehabilitation Program
- Dose-Matched Therapy Program
Treatment groups
Sponsors and collaborators
Dr. Rosalie Wang
Lead sponsor
Sunnybrook Health Sciences Centre
Sponsor institution
Sunnybrook Research Institute (Toronto, Ontario)
Collaborator
University of Toronto
Collaborator
University of Ontario Institute of Technology
Collaborator
University of Alberta
Collaborator
Glenrose Foundation
Collaborator
University of Waterloo
Collaborator