Rehabilitation of the Stroke Hand at Home

Status:	Completed
Conditions:	Neurology
Therapuetic Areas:	Neurology
Healthy:	No
Age Range:	21 - Any
Updated:	5/27/2013
Start Date:	June 2010
End Date:	September 2013
Contact:	James B Koeneman, Ph.D.
Email:	jkoeneman@kineticmuscles.com
Phone:	480-557-0448

An Innovative Home Stroke Rehabilitation and Monitoring System

The purpose of this research is to evaluate a therapy delivery system for stroke patients
that provide accessible, affordable stroke care. User-friendly home therapy robots and a
telerehabilitation system are combined to monitor and provide therapy that is accessible for
patients in rural and underserved locations. The robotic-based home therapy intervention
will produce significantly greater improvement in upper extremity motor function than Usual
and Customary Care enhanced with a (non-robotic) home therapy upper extremity rehabilitation
program at the end of 8 weeks of home therapy.

The primary purpose of this proposal is to evaluate a combined clinic/home robotic-based
stroke therapy delivery and monitoring system in rural and underserved locations that
provides accessible, effective and affordable care for stroke survivors with residual limb
impairment. The study is a prospective, single-blind, multi-site Randomized Controlled
Trial. A total of 96 patients within 6 months post-stroke will be enrolled and randomly
assigned to one of two groups: robotic based home therapy or a self administered
(non-robotic) home therapy program.

Inclusion Criteria:

- Unilateral ischemic or hemorrhagic stroke

- within 6 months of admission to in-patient rehabilitation

- Persistent hemiparesis

- Proximal Upper Extremity voluntary activity

- Preserved cognitive function

- Difficult access to an organized stroke rehabilitation program

Exclusion Criteria:

- Not independent before stroke

- Hemispatial neglect

- Significant other illnesses

We found this trial at

sites

Cleveland Clinic Foujndation

Cleveland, Ohio 44195

from

Cleveland, OH