Checking whether a hand test reflects everyday two-handed use after stroke
Compares a two-handed test with wrist sensor data in adults after stroke.
Plain-language title generated from the registry record
Registry title: Beyond Observation: Validating the Ecological Relevance of the Ad-AHA Stroke Using Sensor-Based Measures
Key facts
- Where
- Leuven, BelgiumSee the site
Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 18 and 80 years old?
Source: NCT07366697, who can take part
Where in Belgium
- Department of Rehabilitation Sciences KU LeuvenLeuven, BelgiumTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- KU Leuven
- Trial code
- NCT07366697
- Record updated
- 21 October 2026
- Original description
After a stroke, many people experience difficulty using both hands together in daily life. Most rehabilitation assessments, however, only measure how the affected arm performs in one-handed tasks. This makes it difficult to understand how well people actually use their hands in real-world activities, which are usually bimanual.Read full original descriptionShow less
Beyond Observation: Validating the Ecological Relevance of the Ad-AHA Stroke Using Sensor-Based Measures
After a stroke, many people experience difficulty using both hands together in daily life. Most rehabilitation assessments, however, only measure how the affected arm performs in one-handed tasks. This makes it difficult to understand how well people actually use their hands in real-world activities, which are usually bimanual.
The Adult Assisting Hand Assessment - Stroke version (Ad-AHA Stroke) is a new clinical test that evaluates how the affected hand performs during two-handed tasks. While promising, it is still unknown whether the score on this test truly reflects how stroke survivors use their hands in daily life.
This study aims to investigate this question by comparing Ad-AHA Stroke scores with real-life data on hand use, recorded over three days using wrist-worn sensors on both arms. By combining clinical and sensor-based measures, this study will help determine whether the Ad-AHA Stroke can accurately represent everyday bimanual performance after stroke.
Inclusion: Written informed consent obtained prior to any study procedures; Age between 18 and 80 years (inclusive); Unilateral supratentorial stroke involving cortical or subcortical structures; At least 6 months post-stroke at the time of inclusion; Community-dwelling (discharged from hospital and currently living at home); Able and willing to wear bilateral wrist-worn sensors (triaxial accelerometers) for three consecutive days; Presence of clinically observable bimanual impairment.
Exclusion: Severe upper limb impairment, defined as a Fugl-Meyer Assessment of Upper Extremity (FMA-UE) score ≤ 15; Severe cognitive or language comprehension impairment interfering with understanding of study instructions or task performance, as judged during screening; Presence of other neurological or orthopedic conditions affecting upper limb function (e.g., Parkinson's disease, multiple sclerosis, severe osteoarthritis, brachial plexus injury).