Study of StrokeWear Wrist Sensor to Improve Arm Movement in Adults Recovering from Subacute Stroke

What this Trial Is About

Researchers are evaluating the StrokeWear system to see how it affects clinical outcomes in people who have recently experienced a stroke. This study is a two-arm randomized clinical trial focusing on subacute stroke survivors with hemiparetic upper extremity weakness. The goal is to understand whether using the StrokeWear system combined with a motor and behavioral home intervention improves arm use compared to usual care involving a home exercise plan. Participants in the intervention group will use the StrokeWear system along with behavioral strategies designed to encourage arm use through feedback, goal setting, and daily activity planning over 6 months. They will receive weekly coaching sessions in the first month, bi-weekly in months two and three, and monthly sessions in months four to six, which can be in-person or remote. The control group will receive usual care, including standard rehabilitation and a home exercise plan, with monthly visits to update their exercises. Study participants will attend four evaluation visits screening and enrollment, baseline, 3 months, and at the studys 6-month completion. Researchers will assess upper-extremity motor function using multiple scales such as the Motor Activity Log and Fugl-Meyer Assessment. Additional tests include the Wolf Motor Function Test and Stroke Impact Scale. Monitoring includes assessing changes in arm use, motor function, and self-efficacy. The total participation lasts for six months, with assessments at regular intervals to track progress and outcomes.

A Novel Wrist Wearable Sensor System to Promote Hemiparetic Upper Extremity Use in Subacute Stroke Survivors