Rehabilitation Methods for Stroke Recovery
What You Need to Know Before You Apply
What is the purpose of this trial?
The goal of this clinical trial is to compare two rehabilitation methods to improve finger movements in people who have had a stroke. The main question it aims to answer is which of these two training methods leads to the most improvement:1. Teaching people to reach their movement goals using any strategies they like.2. Teaching people to improve their movement technique and avoid compensatory strategies.There is no one-size-fits-all approach. The second goal is to find out who might benefit more from each method. Some people with stroke may rely on compensatory strategies due to severe impairment, while others with milder strokes might benefit more from techniques that enhance movement quality.The third goal is to take pictures of the brain to see how it changes with each method. This will help researchers understand how the brain adapts after a stroke and could lead to treatments that target the brain directly.Participants will:1. Visit the lab for clinical and research assessments on weeks 1, 4, 5, and 15.2. Complete 10 days of piano training.3. Undergo magnetic resonance imaging (MRI) scans twice, once in week 1 and once in week 4.
Will I have to stop taking my current medications?
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.
Is the rehabilitation method for stroke recovery safe for humans?
How does the Goal Training, Quality Training treatment for stroke recovery differ from other treatments?
The Goal Training, Quality Training treatment is unique because it emphasizes patient-centered goal setting and action planning, which involves the patient actively in their rehabilitation process. This approach is guided by the G-AP framework, which has been found to be feasible and clinically useful, focusing on personalized goals and improving the quality of rehabilitation outcomes.678910
What data supports the effectiveness of the treatment Goal Training, Quality Training for stroke recovery?
Research shows that setting specific goals in stroke rehabilitation can improve the intensity of practice and help patients achieve better outcomes. Additionally, using goal attainment scaling (GAS) in intensive rehabilitation has been found useful during the subacute stage of stroke recovery.69111213
Who Is on the Research Team?
Joyce L Chen, PhD
Principal Investigator
University of Toronto: Faculty of Kinesiology & Physical Education
Are You a Good Fit for This Trial?
This trial is for individuals who have experienced a stroke and are working on improving hand and finger movements. Participants will need to commit to multiple lab visits, piano training sessions, and MRI scans. Specific details about inclusion or exclusion criteria were not provided.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Assessment
Participants undergo initial clinical and research assessments, including MRI scans
Piano Training
Participants complete 10 days of piano training, focusing on either quality of movement or achieving movement goals
Post-training Assessment
Participants undergo post-training assessments, including MRI scans and clinical evaluations
Follow-up
Participants are monitored for safety and effectiveness after training, with assessments at 3 months
What Are the Treatments Tested in This Trial?
Interventions
- Goal Training
- Quality Training
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Toronto
Lead Sponsor
Heart and Stroke Foundation of Canada
Collaborator
McGill University
Collaborator