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Stroke Motor Recovery for the Hand and Fingers
Sponsor: University of Toronto
Summary
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.
Official title: Discovering the Potential for Motor Recovery in People Living With Stroke
Key Details
Gender
All
Age Range
19 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2024-12
Completion Date
2027-12
Last Updated
2024-11-12
Healthy Volunteers
No
Conditions
Interventions
Quality Training
Participants will engage in piano playing tasks using their affected hand and fingers. The training focuses on specific aspects of finger movement, and participants will receive feedback related to their playing. They will wear a wrist brace for support, and their hand and arm positions will be monitored to ensure proper technique.
Goal Training
Participants will engage in piano playing tasks using their affected hand and fingers. The training emphasizes learning to play and producing music. Feedback will be provided on various aspects of performance such as speed and accuracy, but specific details about finger movement or technique will not be given. The use of a wrist brace and monitoring of hand and arm positions will be consistent with standard practice.
Locations (5)
University of Toronto
Toronto, Ontario, Canada
Jewish Rehabilitation Hospital
Laval, Quebec, Canada
University Institute for Physical Impairment Rehabilitation of Montreal (IURDPM)
Montreal, Quebec, Canada
Lethbridge-Layton-Mackay Rehabilitation Center
Montreal, Quebec, Canada
Jewish General Hopsital
Montreal, Quebec, Canada