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Self-Administered Gaming and Exercise at Home (SAGEH)

RecruitingNAAges 21 Years - anyAllJohns Hopkins University
NCT05929027 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This study aims at comparing manual function outcomes between the standard of care and additional self-administered hand therapy after stroke. Strokes are common neurological injuries, and although rates of survival have increased in recent decades, survivors often continue to experience deficiencies in hand dexterity and bimanual function. Most motor recovery takes place within the first 3 months after a stroke. This initial period is necessary for stabilizing the patient but also provides different opportunities to foster motor recovery. Functional gains, including instances after the post-acute period, have been observed after regular and frequent (high dosage) therapy, suggesting that recovery is likely influenced by practice-driven sensorimotor learning. These findings motivate the implementation of daily therapeutic regimes beyond post-stroke hospitalization and basic motor functio

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. Age 21 years and over 2. Stroke confirmed by CT or MRI within the previous 6 weeks. 3. Arm and/or hand impairment induced by the stroke. 4. Meet JSTTEP criteria and are enrolled in JSTTEP. 5. Admitted to the Johns Hopkins Hospital (JHH) inpatient stroke service. 6. Proficient in speaking and reading English. 7. Willing and capable to contacted remotely for all necessary telemedicine contacts. 8. No history of prior ischemic or hemorrhagic stroke with associated motor deficits (prior stroke with no upper limb motor symptoms is allowed) 9. Ability to give informed consent. Exclusion Criteria: 1. Arm impairment that is too severe (FM-UE \< 40) on day of baseline testing prior to beginning of the study. 2. Recent Botox injection to upper limb (since stroke onset). 3. History of physical or neurological condition that interferes with study procedures or assessment of motor function (e.g. severe arthritis, severe neuropathy, Parkinson's disease). 4. Terminal illness with life expectancy \< 6 months. 5. Inability to sit in a chair and perform hand exercises for 20 minutes at the time. 6. Cognitive impairment, with score on Montreal Cognitive Assessment (MoCA) ≤ 20. 7. Social and/or personal circumstances that prevent telemedicine follow-up.
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What it tests

  • NoNo
  • occupational therapy - self directed
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Where

1 site
Johns Hopkin
Baltimore, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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