Evaluating a Self-Guided Therapy Program to Improve Arm and Hand Function in Adults Recovering from Stroke

What this Trial Is About

Researchers are evaluating a partially self-supervised constraint-induced movement therapy sCIMT program for adults who have arm and hand weakness after a stroke. This study aims to find out if the sCIMT program helps improve the use of the affected arm and hand, whether participants find the program useful and easy to follow, and if it improves quality of life and daily well-being. The trial is focused on treatment for adult stroke survivors with moderate upper extremity hemiparesis. Participants will undergo up to 30 hours of rehabilitation over 2 weeks, consisting of 3-hour sessions held up to 5 times per week. Each session combines one-third therapist-guided training with two-thirds self-supervised task practice. During therapy, participants will wear a mitt on the stronger hand to encourage use of the weaker arm. The exercises focus on task-oriented functional and non-functional activities designed to promote motor recovery and use of the affected arm. Throughout the study, participants will complete surveys and tests before and after the therapy program to measure changes in arm and hand use, experiences with the program, and quality of life. Assessments include the Action Research Arm Test, Fugl-Meyer Assessment, 9-Hole Peg Test, Motor Activity Log, Box and Block Test, grip and pinch strength, sensory testing, and interviews. Researchers will also monitor recruitment, retention, adherence, clinician time, protocol deviations, and adverse events. The total study duration around the intervention is approximately 2 to 4 weeks.

Self-Supervised Constraint-Induced Movement Therapy for Stroke Recovery