200 Participants NeededMy employer runs this trial

Telerehabilitation for Stroke

JM
YO
Overseen ByYoshino Okuma, BScRN, MSc
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Alberta
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new method to help stroke survivors regain arm and hand movement through telerehabilitation with Tenzr. This approach delivers therapy to their homes using fun, game-like exercises with wearable sensors. The trial aims to determine if this method can improve mobility and is enjoyable and easy to use for participants. It will involve 200 people in Alberta who did not receive regular rehab after their stroke, divided into two groups: one starting telerehabilitation immediately and the other after an observation period. Suitable candidates have had a stroke, experience difficulty with arm and hand movement, live at home, and can access the internet for virtual sessions. The ultimate goal is to make rehabilitation more accessible, especially in rural areas.

As an unphased trial, this study offers participants the opportunity to contribute to innovative research that could transform stroke rehabilitation.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this telerehabilitation method is safe for stroke survivors?

Research has shown that telerehabilitation is generally safe for stroke patients. Studies indicate it is as safe as in-person therapy, causing no additional harm or side effects. One study found that most patients manage telerehabilitation without major issues. Although exercises might cause minor discomfort, serious problems are rare. Overall, telerehabilitation is considered a safe option for stroke recovery.12345

Why are researchers excited about this trial?

Researchers are excited about telerehabilitation with Tenzr for stroke recovery because it offers a home-based, tech-driven approach to rehabilitation. Unlike traditional in-person physical therapy, Tenzr leverages digital platforms, making therapy more accessible and flexible for patients. This method allows stroke survivors to engage in rehabilitation exercises from the comfort of their own homes, potentially increasing adherence and improving outcomes. Additionally, using telerehabilitation could reduce healthcare costs and resource burdens by minimizing the need for frequent hospital visits.

What evidence suggests that telerehabilitation with Tenzr is effective for stroke recovery?

Research has shown that telerehabilitation can be as effective as clinic-based therapy after a stroke. Studies have found that it aids in everyday tasks like dressing and eating, which often become challenging post-stroke. In this trial, participants will use the Tenzr system, featuring engaging exercises with sensors to monitor progress. Research suggests that telerehabilitation is particularly beneficial for those living far from clinics, as it delivers essential care without requiring travel. Additionally, it is noted to be more cost-effective while providing similar outcomes to in-person therapy.678910

Who Is on the Research Team?

JM

Jessica M D'Amico, PhD

Principal Investigator

University of Alberta and Alberta Health Services

Are You a Good Fit for This Trial?

This trial is for adults (18+) who have had a stroke, live at home in Alberta, have moderate-to-severe arm or hand problems, and aren't already getting outpatient rehab. Participants need internet access and a device for virtual check-ins. People with severe thinking or medical issues can't join.

Inclusion Criteria

I am 18 years old or older.
Have access to internet and appropriate devices to have a virtual assessment with clinicians
Not currently referred to, or participating in, upper extremity outpatient rehabilitation
See 3 more

Exclusion Criteria

I am currently in or have been referred to arm or hand outpatient rehab.
Severe cognitive, communication, or medical comorbidities that would preclude safe home-based exercise
Don't have access to internet and appropriate devices to have a virtual assessment with clinicians
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants undergo baseline clinical assessments before randomization

1 week
1 visit (in-person or virtual)

Observation (Delayed Group)

Delayed group receives 8 weeks of observation (usual care) following baseline assessment

8 weeks

Telerehabilitation (Immediate Group)

Immediate group receives 8 weeks of home-based telerehabilitation using the Tenzr platform

8 weeks

Telerehabilitation (Delayed Group)

Delayed group receives 8 weeks of home-based telerehabilitation using the Tenzr platform after observation phase

8 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment, including interviews and feedback collection

8 weeks
1 visit (in-person or virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Telerehabilitation with Tenzr

Trial Overview

The study compares home-based telerehabilitation using the Tenzr system—fun exercises with wearable sensors guided by remote therapists—to usual care. Participants are randomly assigned to start telerehab right away or after an initial observation period.

How Is the Trial Designed?

2

Treatment groups

Active Control

Group I: Delayed GroupActive Control2 Interventions
Group II: Immediate GroupActive Control2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Alberta

Lead Sponsor

Trials
957
Recruited
437,000+

Glenrose Hospital Foundation

Collaborator

Alberta Innovates Health Solutions

Collaborator

Trials
54
Recruited
94,100+

Citations

Efficacy of Telerehabilitation for Improving Daily Activity ...

This systematic review found moderate-certainty evidence that telerehabilitation provides outcomes for ADLs that are broadly comparable with ...

2.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/23216861/

Telerehabilitation to improve outcomes for people with stroke

The study aims to determine if the Augmented Community Telerehabilitation Intervention (ACTIV) results in better physical function for people with stroke than ...

3.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/32326849/

Impact of Telerehabilitation for Stroke-Related Deficits

Conclusions:TR is less costly and equally as effective as clinic-based rehabilitation at improving functional outcomes in stroke patients.

Effectiveness of telerehabilitation on quality of life in stroke ...

Conclusion: We found that telerehabilitation may have modest effects on balance and mobility, and slightly inferior results in Activities of ...

Telerehabilitation and Its Impact Following Stroke

This approach enabled us to perform an in-depth data synthesis to determine the most effective outcomes for telerehabilitation interventions.

Telerehabilitation and Its Impact Following Stroke - PMC - NIH

Conclusions: Various telerehabilitation interventions have shown either a significant effect or no significant difference compared to other ...

Stroke telerehabilitation emerges as promising primer for ...

The team's next steps include plans to analyze and publish preliminary outcome data from this first trial. Aghamoosa and Woodbury will then ...

Effects of Exercise-Based Telerehabilitation Programs on ...

This systematic review examined the effects of telerehabilitation on functional capacity, mobility, balance, and quality of life in stroke survivors. Methods: A ...

The effect of telerehabilitation on balance in stroke patients

This meta-analysis aimed to investigate the effects of telerehabilitation on the balance ability of stroke patients.

The Safety of Telerehabilitation: Systematic Review

This review demonstrates that telerehabilitation exhibits a generally safe profile as an alternative to in-person rehabilitation.