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Home telerehabilitation for chronic stroke patients, with or without vascular dementia

Tests home telerehabilitation in chronic stroke patients, with or without vascular dementia.

Key facts

Who runs it
The Methodist Hospital Research Institute
Where
Houston, United StatesSee the site
Trial code
Registry title
Home Tele Rehabilitation Therapy for Vascular Dementia
Status
Recruiting
People taking part
120 people, planned
Started
14 Dec 2024
Expected to end
1 Apr 2028
Type of study
Interventional
Treatments tested
  • Home telerehabilitation therapy
Record updated
2 March 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults who had a stroke at least 6 months ago and can still move the affected arm a little. A caregiver must also take part.

Age
18 to 110 years
Sex
All sexes can join.
Disease stage
Stroke (ischemic or hemorrhagic) shown on a CT or MRI scan, at least 6 months ago, with some active movement in the affected arm, with or without vascular dementia.

Main reasons for not taking part

  • Severe alcohol or drug abuse, severe psychiatric illness, or serious language or thinking problems that prevent following study instructions
  • Weakness on both sides, or weakness or sensory damage from nerve, muscle or bone injury
  • Severe uncontrolled medical problems that make intensive rehabilitation unsafe
  • Taking part in another experimental arm rehabilitation trial
  • Pregnancy, or being a prisoner

The registry criteria, word for word

Show all 18 criteriaShow less

Who can take part

  • Symptomatic ischemic or hemorrhagic stroke verified by computerized axial tomography or magnetic resonance imaging
  • at least 6 months post stroke
  • At least some active movement in the affected upper extremity (MRS 1 or more in shoulder elbow or wrist)
  • Ability to provide informed consent, or LAR able to provide consent
  • Expressed willingness to comply with all study procedures and attend all study-related visits for both the patient and at least one caregiver
  • Age ≥ 18
  • Ability to follow one-step commands
  • Community-dwelling with transportation to evaluation sessions
  • Ability to operate the therapy system with minimal assistance, including sufficient corrected vision to perceive objects from a distance of 5 feet
  • Modified Ashworth Scale Score 3 or less in the involved upper extremity
  • Passive range of motion within functional ranges at the shoulder, elbow, wrist and hand

Who cannot take part

  • Concurrent participation in other experimental upper extremity rehabilitation trials that would interfere with results
  • Patients with history of severe alcohol or drug abuse, psychiatric illnesses like severe depression, poor motivational capacity, or severe language disturbances, particularly of receptive nature or with serious cognitive deficits (defined as unable to follow study instructions even with help from caregiver)
  • Patients with severe uncontrolled medical problems that would render intensive rehabilitation unfeasible or unsafe (e.g. cardiovascular disease, unstable cardiac arrhythmia, severe rheumatoid arthritis, active joint deformity of arthritic origin, active cancer or renal disease, any kind of end-stage pulmonary or cardiovascular disease, or a deteriorated condition due to age, epilepsy or others)
  • Patients with bilateral paresis, or weakness or sensory damage due to peripheral causes (e.g. peripheral nerve injury, muscle or orthopedic injury etc.)
  • Non-English-speaking individuals will only be eligible if they can provide the appropriate translator for all the sessions of the study as no funding is available to pay for such services. However, we plan to include them once funding has been secured in the subsequent larger trial
  • Pregnancy
  • Prisoners

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 110 years old?

Where in United States

  • Houston Methodist HospitalHouston, United StatesContact: Timea Hodics, MDTaking people

About the trial

What the trial wants to find out

To determine whether the home telerehabilitation therapy is feasible and lessens caregiver burden in chronic stroke patients with and without vascular dementia (VaD)

The group in the trial

  • Tele RehabilitationTreatment being tested

    Telerehabilitation therapy Occupational therapist prescribed hand/arm exercises will continue for 90 minutes per day with adequate rest periods for 4 weeks, followed by telerehabilitation with the application for 4 weeks, when subjects will perform the tasks at home with the guidance of the treatment app. Detailed records of each subject's motor tasks, number of repetition and level of performance will be kept. Treatment will be performed Monday-Friday for approximately 4 weeks. Treatment times can be broken up into multiple treatment periods to accommodate patient and caregiver preferences.

    Treatment: Home telerehabilitation therapy

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Home Tele Rehabilitation Therapy for Vascular Dementia
Plain-language title
Home telerehabilitation for chronic stroke patients, with or without vascular dementiaGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Fit questions
Built from NCT06289569, who can take part
Record updated
2 March 2026