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Related Experiment Video

Updated: Jul 15, 2025

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies

Published on: October 11, 2024

The Critical Period After Stroke Study (CPASS) Upper Extremity Treatment Protocol.

Jessica Barth^1,2,3, Shashwati Geed^2,3, Abigail Mitchell^2,3

¹Veterans Affairs Medical Center, Center of Innovation for Long-Term Supports and Services, Providence, RI.

Archives of Rehabilitation Research and Clinical Translation

|September 25, 2023

Summary

This summary is machine-generated.

This study developed a novel upper extremity (UE) treatment for stroke survivors, finding it feasible and highly adhered to across various settings. The personalized approach improved UE motor therapy delivery post-stroke.

Keywords:

Clinical Trials as topic Occupational therapy Rehabilitation Stroke rehabilitation Upper extremity

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Last Updated: Jul 15, 2025

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies

Published on: October 11, 2024

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Published on: December 29, 2023

Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes

Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes

Published on: September 6, 2024

Area of Science:

Neuroscience
Rehabilitation Medicine
Clinical Trials

Background:

Stroke frequently causes upper extremity (UE) motor impairments, significantly impacting patient independence and quality of life.
Current rehabilitation strategies often lack personalization, potentially limiting functional recovery in the critical periods after stroke.
Standardized treatments may not address the unique, meaningful activities prioritized by individual stroke survivors.

Purpose of the Study:

To introduce a novel, personalized upper extremity (UE) treatment developed for the Critical Periods After Stroke Study (CPASS).
To evaluate the feasibility and delivery of this UE treatment within a phase II randomized controlled trial (RCT).
To explore contextual factors influencing treatment adherence among stroke survivors.

Main Methods:

A secondary analysis of data from the CPASS phase II RCT was conducted.
The intervention involved 20 hours of UE treatment, with goals identified using the Activity Card Sort (ACS) for personalized activity selection.
Treatment activities were standardized into smaller components based on the protocol's essential elements.

Main Results:

The novel UE treatment was delivered in inpatient and outpatient settings within the first year post-stroke.
High adherence was observed, with 49 out of 53 eligible participants (92.5%) fully adhering to the treatment protocol.
Feasibility was assessed by examining treatment duration, location, and practiced UE activities, with contextual factors influencing adherence.

Conclusions:

The CPASS treatment successfully integrated participant-identified meaningful activities via the ACS, enabling customized UE motor therapy.
This approach demonstrated flexibility in tailoring therapy without compromising standardization or data quantification.
The study confirms the feasibility of delivering personalized UE motor therapy within the first year post-stroke, adaptable to diverse settings and participant impairments.