Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study will examine the feasibility and effect of a program that combines exercise and feedback from a wearable device on upper limb movement practice and function in individuals with stroke.
Participants will be randomized into either the Immediate Treatment Group or the Delayed Treatment group. Both groups will complete the same intervention program. The Immediate treatment group will start the program right away while the Delayed Treatment group will start the program after a 3 week delay. The intervention program is 3 weeks in duration and consists of participants completing at least two hours of exercises (adapted from the Home-GRASP program) daily and wearing an activity monitor on their affected wrist during waking hours for the duration of the intervention. Participants will be asked to meet daily movement count goals based on information from the monitor. Participants will have 6 virtual sessions with a therapist who will teach and monitor exercises thru an online platform (Zoom Video Communications), work with participants to generate and progress daily movement goals and discuss barriers and potential solutions to exercise adherence and/or meeting movement goals.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immediate Treatment Group | Experimental | Participants will receive the intervention right away |
|
| Delayed Treatment Group | No Intervention | Participants will receive usual care (no intervention), however, they will receive the intervention after a 3 week delay |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arm Boot Camp | Behavioral | The intervention involves a combination of daily homework based upper limb exercises and feedback from an activity monitor to motivate use of the affected upper limb. Participants will be supported through virtual sessions with a therapist. |
| Measure | Description | Time Frame |
|---|---|---|
| Hand counts captured using an activity monitor | Participants wear the activity monitor on stroke affected arm during waking hours for 3 consecutive days | Post intervention (immediately following 3 weeks of intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| ArmCAM (Arm Capacity and Movement Test) | The online upper extremity functional assessment consists of 10 items that measure gross movements, supported reach, functional reach and grasp movements, functional wrist movement, and fine motor skills. | Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention) |
Not provided
Inclusion Criteria:
NOTE: If participant have a caregiver, we would like to invite him/her to assist in this study; however, a caregiver is not a must for participating in this study.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Janice Eng, PhD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Calgary | Calgary | Alberta | T2N 2T9 | Canada | ||
| GF Strong Rehab Centre |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31662119 | Background | Simpson LA, Mow A, Menon C, Eng JJ. Preliminary Examination of the Ability of a New Wearable Device to Capture Functional Hand Activity After Stroke. Stroke. 2019 Dec;50(12):3643-3646. doi: 10.1161/STROKEAHA.119.026921. Epub 2019 Oct 30. | |
| 39727287 | Derived | Simpson LA, Barclay R, Bayley MT, Brasher PMA, Dukelow SP, MacIntosh BJ, MacKay-Lyons M, Menon C, Mortenson WB, Peng TH, Pollock CL, Pooyania S, Silverberg ND, Teasell R, Yao J, Eng JJ. A Randomized Control Trial of a Virtually Delivered Program for Increasing Upper Limb Activity After Stroke. Neurorehabil Neural Repair. 2025 Mar;39(3):179-189. doi: 10.1177/15459683241303702. Epub 2024 Dec 27. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Stroke Impact Scale - hand and strength scales | Evaluate how stroke has impacted health and life | Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention) |
| Hand count measured during the intervention sessions | Daily hand count data captured using activity monitor on the stroke affected arm during intervention period | Daily counts within 3 week intervention |
| REACH Scale | A self-report measure for individuals with stroke that captures how the affected arm and hand is being used outside of the clinical setting. | Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention) |
| Hand counts captured using an activity monitor | Participants wear the activity monitor on stroke affected arm during waking hours for 3 consecutive days | Follow up (two months after completion of intervention) |
| Vancouver |
| British Columbia |
| V5Z 2G9 |
| Canada |
| Riverview Health Centre | Winnipeg | Manitoba | R3L 2P4 | Canada |
| Dalhousie University | Halifax | Nova Scotia | B3H 3J5 | Canada |
| Parkwood Institute | London | Ontario | B3H 3J5 | Canada |
| Toronto Rehabilitation Institute - University Health Network | Toronto | Ontario | Evan.Foster@uhn.ca | Canada |
| Sunnybrook Health Sciences Centre | Toronto | Ontario | M4N 3M5 | Canada |
| 35135585 | Derived | Simpson LA, Barclay R, Bayley MT, Dukelow SP, MacIntosh BJ, MacKay-Lyons M, Menon C, Mortenson WB, Peng TH, Pollock CL, Pooyania S, Teasell R, Yang CL, Yao J, Eng JJ. Virtual Arm Boot Camp (V-ABC): study protocol for a mixed-methods study to increase upper limb recovery after stroke with an intensive program coupled with a grasp count device. Trials. 2022 Feb 8;23(1):129. doi: 10.1186/s13063-022-06047-9. |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002544 | Cerebral Infarction |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D002561 | Cerebrovascular Disorders |
| D002545 | Brain Ischemia |
| D020520 | Brain Infarction |
| D014652 | Vascular Diseases |
| D007238 | Infarction |
| D009422 | Nervous System Diseases |
| D002318 | Cardiovascular Diseases |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D001519 | Behavior |
Not provided
Not provided