Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06885502

Personalised Health Motor and Cognitive Assistance System for RehAbilitation (PHRASE): A Randomized Clinical Trial

Led by Eodyne Systems SL · Updated on 2026-01-06

70

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to evaluate the use of digital technology, specifically a smartphone application with virtual reality (VR) and augmented reality (AR) features, for at-home rehabilitation after stroke. The study focuses on combined motor and cognitive training for patients in the late subacute and chronic phases post-stroke. It compares the Rehabilitation Gaming System (RGS) application with conventional therapy to see how well they improve upper limb motor function and cognitive recovery in stroke survivors aged over 18. Participants will be randomly assigned to one of two groups: one group will use the RGSapp daily for 20-30 minutes at home for six weeks alongside their usual therapy, including 4 to 6 exercises per session with weekly updates to keep training engaging. The other group will receive standard care without VR or AR interventions. Some participants may also use a smartwatch to monitor upper arm use. Regular clinician check-ins will support adherence and safety. Throughout the study, participants will be assessed at the start, after three weeks, at the end of six weeks, and at a 14-week follow-up. Assessments will measure motor and cognitive function, depression, activity levels, usability of the RGSapp, and healthcare costs. The main outcome is improvement in upper limb motor function using the Action Research Arm Test (ARAT). Researchers will also evaluate the app's usability and the validity of remote assessments, aiming to validate this digital rehabilitation approach in real-world settings.

CONDITIONS

Brief Title

Personalised Health Motor and Cognitive Assistance System for RehAbilitation (PHRASE)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with ischemic or intracerebral hemorrhagic stroke at least 3 months post-stroke
  • Age over 18 years old
  • Mild to moderate proximal upper limb motor impairment (Medical Research Council Scale over 2)
  • Upper limb function score (ARAT) less than or equal to 50
  • Able to sit on a chair or wheelchair to use the RGS system
  • Minimal experience with smartphone technology as assessed by a clinician
  • Willing to participate and comply with study procedures
  • Signed informed consent form indicating understanding of study purpose and procedures
Not Eligible

You will not qualify if you...

  • Any condition or abnormality that may affect patient safety or data quality as judged by the investigator
  • Severe cognitive impairment preventing study participation (MoCA score less than 19 or clinician opinion)
  • History of upper limb motor disability before the stroke
  • Unable to use the RGS app independently and requiring extensive caregiver support

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - 6 weeks

Participants in the experimental group use the Rehabilitation Gaming System (RGS) app at home with daily 20-30 minute training sessions, alongside their prescribed conventional therapy, for 6 weeks. Participants in the control group continue with their conventional therapy without the RGS intervention.

Daily home training sessions with regular check-ins by clinicians

Follow-up

Duration - 8 weeks after intervention ends

Participants are assessed to evaluate motor and cognitive recovery, mood changes, activity participation, and usability of the RGS app at 14 weeks after starting the intervention.

1 visit (in-person) at Week 14 follow-up

Trial Site Locations

Total: 2 locations

1

RoNeuro Institute for Neurological Research and Diagnostics

Cluj-Napoca, Romania, 400354

Actively Recruiting

2

Hospital Universitari Joan XXIII de Tarragona

Tarragona, Spain, 43005

Actively Recruiting

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Research Team

S

Santiago Brandi

A

Anna Mura

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke.

Mónica S Cameirão, Sergi Bermúdez i Badia, Esther Duarte...

https://pubmed.ncbi.nlm.nih.gov/22871683

Counteracting learned non-use in chronic stroke patients with reinforcement-induced movement therapy.

Belén Rubio Ballester, Martina Maier, Rosa María San Segundo Mozo...

https://pubmed.ncbi.nlm.nih.gov/27506203

Adaptive conjunctive cognitive training (ACCT) in virtual reality for chronic stroke patients: a randomized controlled pilot trial.

Martina Maier, Belén Rubio Ballester, Nuria Leiva Bañuelos...

https://pubmed.ncbi.nlm.nih.gov/32143674