COgnitive-somatoSensory-MOtor Training to Improve Arm and Hand Function After Stroke (iCOSMO)
Comparing the Effect of a Graded Repetitive Arm Supplementary Home-based Exercise Programme With COgnitive-somatoSensory-MOtor Training to Improve Arm and Hand Function After Stroke (iCOSMO)
University Health Network, Toronto
40 participants
Aug 1, 2024
INTERVENTIONAL
Conditions
Summary
The iCOSMO study investigates the feasibility and beneficial effects of an intervention combining sensation, motor and cognition to improve arm and hand function after chronic stroke.
Eligibility
Inclusion Criteria4
- Clinical diagnosis of stroke
- Must be more than 6 months post-stroke
- Must be above 18 years old
- Must have some motor and/or somatosensory deficits in the upper limbs
Exclusion Criteria3
- A prior history of central nervous system dysfunction other than stroke
- Upper limb deficits resulting from non-stroke pathology
- Inability to cooperate, follow instructions or provide consent
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Interventions
The home-based exercise programme will be based on the Home Graded Repetitive Arm Supplementary Program focusing on stretching, arm strengthening, hand strengthening, coordination and hand skills. The Home Graded Repetitive Arm Supplementary Program will be delivered 2 hours/session, 3 times/week, for 6 weeks.
The first training approach of iCOSMO will focus on integrated somatosensory-motor variables during reaching and object manipulation (60 minutes). The second training approach will focus on proprioceptive, motor and cognitive tasks using the Kinarm robotic exoskeleton (60 minutes). iCOSMO will be delivered 3 times per week (2 hours per session) for 6 weeks (Total: 36 hours of treatment).
Locations(1)
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NCT06498011