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Efficacy of Tele-CPASS, a Telerehabilitation Intervention Using Critical Periods After Stroke Study (CPASS) Compared to In-person CPASS for Upper Extremity Motor Recovery

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This study evaluates whether a home-based telerehabilitation program (tele-CPASS) is as effective as an in-person rehabilitation program (CPASS) for improving arm and hand function after stroke. Stroke often leads to long-term difficulty using the affected arm in daily activities, and access to in-person therapy can be limited. This study aims to determine whether therapy delivered remotely can provide similar benefits to standard in-clinic care. Participants who recently experienced a stroke will be randomly assigned to receive 20 hours of upper extremity rehabilitation therapy either in person or through a telehealth platform. Both groups will receive the same type and amount of therapy focused on practicing meaningful, patient-selected daily activities. Participants will complete assessments before treatment, immediately after treatment, and at 6 and 12 months to measure recovery of arm function, real-world arm use, and participation in daily life. The results of this study will help determine whether telerehabilitation can improve access to effective stroke recovery interventions while maintaining clinical effectiveness comparable to in-person therapy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 21
Healthy Volunteers: f
View:

• Age 21 years or older

• Neuroimaging-confirmed stroke within 40 days prior to enrollment

• Persistent hemiparesis resulting in impaired upper extremity function, defined by a score of 0 to 3 on the NIH Stroke Scale motor arm item

• Able to participate in all study-related activities, including 1-year follow-up

• Short Blessed Memory Orientation and Concentration Scale score less than 8

• Able to follow 2-step commands

• Montreal Cognitive Assessment (MoCA) score greater than 25

• No upper extremity injury or condition that limited upper extremity use prior to the stroke

Locations
United States
Texas
Rehabilitation Sciences Complex, University of Texas at El Paso, 3333 N Mesa St, El Paso, TX 79902
RECRUITING
El Paso
Texas Tech University Health Sciences Center El Paso - Neurology Clinic
RECRUITING
El Paso
University Medical Center of El Paso - Rehabilitation Services
RECRUITING
El Paso
Contact Information
Primary
Dr. Shashwati Geed, PT, PhD
sgeed@utep.edu
915-747-7289
Time Frame
Start Date: 2025-09-01
Estimated Completion Date: 2029-08-31
Participants
Target number of participants: 42
Treatments
Experimental: Tele-CPASS
Participants receive 20 hours of therapist-guided upper extremity motor rehabilitation delivered remotely in the home using a telehealth platform. Therapy is individualized based on participant-prioritized activities and focuses on repetitive practice of meaningful daily tasks to improve arm and hand function after stroke.
Active_comparator: In-person CPASS
Participants receive 20 hours of therapist-guided upper extremity motor rehabilitation delivered in person in the clinic. Therapy is individualized based on participant-prioritized activities and focuses on repetitive practice of meaningful daily tasks to improve arm and hand function after stroke.
Related Therapeutic Areas
Sponsors
Collaborators: Texas Tech University Health Sciences Center, El Paso, The Catholic University of America
Leads: University of Texas, El Paso

This content was sourced from clinicaltrials.gov