StrokeNCT04232163
Arm Boot Camp Study: Evaluation of a Program to Increase Upper Limb Recovery After Stroke
A study testing Arm Boot Camp in people with Stroke and Cerebral Infarction, run by University of British Columbia at 7 sites in Canada.
Trial summary
This study will examine the feasibility and effect of a program that combines exercise and feedback from a wearable device on upper limb movement practice and function in individuals with stroke. Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- Stroke, Cerebral Infarction, Brain Diseases
- What is being tested?
- Arm Boot Camp
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 62 participants
- Where
- 7 sitesCanada
- Study dates
- 15 Aug 2020to 31 Dec 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 19 years or older
- < 1 year since the stroke occurred
- Living in the community
- Have unilateral upper limb impairment
- Have some ability to move their arm and hand (> 30° shoulder flexion or abduction and Fugl Meyer finger extension score > 0)
- Are using their affected upper limb in a different way than prior to their stroke (REACH score < 4)
Show all 9Show fewer
- Completed formal physical and occupational therapy rehabilitation for the upper limb
- Have access to a tablet, computer, laptop or phone with internet and email access.
- NOTE: If participant have a caregiver, we would like to invite him/her to assist in this study; however, a caregiver is not a must for participating in this study.
Who cannot join
- musculoskeletal/other neurological conditions that limit movement in their arm
- unable to provide informed consent
- have another medical condition that would affect their ability to participate in the treatment protocol
- have persistent pain in their affected upper limb that affects their ability to use the limb
- Unable to speak, understand, or read English (unless another person, [i.e., family member, care taker or friend] can be present and translate during measurement/treatment sessions, and home activities related to the study
Trial locations and contacts
7 sites in 1 country.
7 sites in 1 country
Canada7 sites
University of Calgary
Calgary, Alberta, T2N 2T9
Dalhousie University
Halifax, Nova Scotia, B3H 3J5
Parkwood Institute
London, Ontario, B3H 3J5
Toronto Rehabilitation Institute - University Health Network
Toronto, Ontario, Evan.Foster@uhn.ca
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
GF Strong Rehab Centre
Vancouver, British Columbia, V5Z 2G9
Riverview Health Centre
Winnipeg, Manitoba, R3L 2P4
About this study
Official title: Evaluation of a Program to Increase Upper Limb Recovery After Stroke
This study will examine the feasibility and effect of a program that combines exercise and feedback from a wearable device on upper limb movement practice and function in individuals with stroke.
Read the detailed description
Participants will be randomized into either the Immediate Treatment Group or the Delayed Treatment group. Both groups will complete the same intervention program. The Immediate treatment group will start the program right away while the Delayed Treatment group will start the program after a 3 week delay. The intervention program is 3 weeks in duration and consists of participants completing at least two hours of exercises (adapted from the Home-GRASP program) daily and wearing an activity monitor on their affected wrist during waking hours for the duration of the intervention. Participants will be asked to meet daily movement count goals based on information from the monitor. Participants will have 6 virtual sessions with a therapist who will teach and monitor exercises thru an online platform (Zoom Video Communications), work with participants to generate and progress daily movement goals and discuss barriers and potential solutions to exercise adherence and/or meeting movement goals.
- Conditions
- Stroke, Cerebral Infarction, Brain Diseases, Central Nervous System Diseases, Cerebrovascular Disorders, Brain Ischemia
- Being tested
- Arm Boot Camp
- Keywords
- Stroke, Upper extremity, Rehabilitation, Wearable device, Exercise, Randomized Controlled Trial
- Medical subject headings
- Stroke, Cerebral Infarction, Brain Diseases, Central Nervous System Diseases, Cerebrovascular Disorders, Brain Ischemia, Brain Infarction, Vascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Arm Boot CampBehavioural
The intervention involves a combination of daily homework based upper limb exercises and feedback from an activity monitor to motivate use of the affected upper limb. Participants will be supported through virtual sessions with a therapist.
| Study group | Role | What they receive |
|---|---|---|
| Immediate Treatment Group | Experimental | Participants will receive the intervention right away Receives: Behavioral: Arm Boot Camp |
| Delayed Treatment Group | No intervention | Participants will receive usual care (no intervention), however, they will receive the intervention after a 3 week delay |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hand counts captured using an activity monitor
Participants wear the activity monitor on stroke affected arm during waking hours for 3 consecutive days
Measured: Post intervention (immediately following 3 weeks of intervention)
Secondary outcomes (5)
ArmCAM (Arm Capacity and Movement Test)
The online upper extremity functional assessment consists of 10 items that measure gross movements, supported reach, functional reach and grasp movements, functional wrist movement, and fine motor skills.
Measured: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Stroke Impact Scale - hand and strength scales
Evaluate how stroke has impacted health and life
Measured: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Hand count measured during the intervention sessions
Daily hand count data captured using activity monitor on the stroke affected arm during intervention period
Measured: Daily counts within 3 week intervention
REACH Scale
A self-report measure for individuals with stroke that captures how the affected arm and hand is being used outside of the clinical setting.
Measured: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Hand counts captured using an activity monitor
Participants wear the activity monitor on stroke affected arm during waking hours for 3 consecutive days
Measured: Follow up (two months after completion of intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jan 2020
- Study start15 Aug 2020
- Primary completion31 Dec 2022
- Study completion31 Dec 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for StrokeStudies of the same condition, open and under way.
- More trials run by University of British ColumbiaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 62 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of British Columbia
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Janice Eng, University of British Columbia
- Investigators
- Janice Eng, PhD, Principal investigator, University of British Columbia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04232163
- Sponsor's protocol ID
- H19-02005
- Status last verified
- Feb 2023
- First submitted
- 23 Dec 2019
- Last updated
- 3 Feb 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Simpson LA, Mow A, Menon C, Eng JJ. Preliminary Examination of the Ability of a New Wearable Device to Capture Functional Hand Activity After Stroke. Stroke. 2019 Dec;50(12):3643-3646. doi: 10.1161/STROKEAHA.119.026921. Epub 2019 Oct 30.
PubMed 31662119Simpson LA, Barclay R, Bayley MT, Brasher PMA, Dukelow SP, MacIntosh BJ, MacKay-Lyons M, Menon C, Mortenson WB, Peng TH, Pollock CL, Pooyania S, Silverberg ND, Teasell R, Yao J, Eng JJ. A Randomized Control Trial of a Virtually Delivered Program for Increasing Upper Limb Activity After Stroke. Neurorehabil Neural Repair. 2025 Mar;39(3):179-189. doi: 10.1177/15459683241303702. Epub 2024 Dec 27.
PubMed 39727287Simpson LA, Barclay R, Bayley MT, Dukelow SP, MacIntosh BJ, MacKay-Lyons M, Menon C, Mortenson WB, Peng TH, Pollock CL, Pooyania S, Teasell R, Yang CL, Yao J, Eng JJ. Virtual Arm Boot Camp (V-ABC): study protocol for a mixed-methods study to increase upper limb recovery after stroke with an intensive program coupled with a grasp count device. Trials. 2022 Feb 8;23(1):129. doi: 10.1186/s13063-022-06047-9.
PubMed 35135585
Study at a glance
From the registry record, last updated by the sponsor on 3 Feb 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of a Program to Increase Upper Limb Recovery After Stroke
- ClinicalTrials.gov ID
- NCT04232163
- Acronym / sponsor ID
- H19-02005
- Conditions
- Stroke, Cerebral Infarction, Brain Diseases, Central Nervous System Diseases, Cerebrovascular Disorders, Brain Ischemia
- Keywords
- Stroke, Upper extremity, Rehabilitation, Wearable device, Exercise, Randomized Controlled Trial
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 62 participants (actual)
- Lead sponsor
- University of British ColumbiaUniversity, hospital or other
- Study start
- 15 Aug 2020 (actual)
- Primary completion
- 31 Dec 2022 (actual)
- Study completion
- 31 Dec 2022 (actual)
- First posted
- 18 Jan 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will examine the feasibility and effect of a program that combines exercise and feedback from a wearable device on upper limb movement practice and function in individuals with stroke.
Detailed description
Participants will be randomized into either the Immediate Treatment Group or the Delayed Treatment group. Both groups will complete the same intervention program. The Immediate treatment group will start the program right away while the Delayed Treatment group will start the program after a 3 week delay. The intervention program is 3 weeks in duration and consists of participants completing at least two hours of exercises (adapted from the Home-GRASP program) daily and wearing an activity monitor on their affected wrist during waking hours for the duration of the intervention. Participants will be asked to meet daily movement count goals based on information from the monitor. Participants will have 6 virtual sessions with a therapist who will teach and monitor exercises thru an online platform (Zoom Video Communications), work with participants to generate and progress daily movement goals and discuss barriers and potential solutions to exercise adherence and/or meeting movement goals.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Immediate Treatment Group | Experimental | Behavioral: Arm Boot CampParticipants will receive the intervention right away |
| Delayed Treatment Group | No intervention | –Participants will receive usual care (no intervention), however, they will receive the intervention after a 3 week delay |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- 19 years or older
- < 1 year since the stroke occurred
- Living in the community
- Have unilateral upper limb impairment
- Have some ability to move their arm and hand (> 30° shoulder flexion or abduction and Fugl Meyer finger extension score > 0)
Key exclusion criteria (5 listed)
- musculoskeletal/other neurological conditions that limit movement in their arm
- unable to provide informed consent
- have another medical condition that would affect their ability to participate in the treatment protocol
- have persistent pain in their affected upper limb that affects their ability to use the limb
- Unable to speak, understand, or read English (unless another person, [i.e., family member, care taker or friend] can be present and translate during measurement/treatment sessions, and home activities related to the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Arm Boot CampThe intervention involves a combination of daily homework based upper limb exercises and feedback from an activity monitor to motivate use of the affected upper limb. Participants will be supported through virtual sessions with a therapist. | Behavioural | Immediate Treatment Group |
Primary outcome
Hand counts captured using an activity monitor
Time frame: Post intervention (immediately following 3 weeks of intervention)
Participants wear the activity monitor on stroke affected arm during waking hours for 3 consecutive days
5 secondary outcomes
ArmCAM (Arm Capacity and Movement Test)
Time frame: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Stroke Impact Scale - hand and strength scales
Time frame: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Hand count measured during the intervention sessions
Time frame: Daily counts within 3 week intervention
REACH Scale
Time frame: Post intervention (immediately following 3 weeks of intervention), follow up (2 months after completion of intervention)
Hand counts captured using an activity monitor
Time frame: Follow up (two months after completion of intervention)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Feb 2023.
- Background: PubMed 31662119Simpson LA, Mow A, Menon C, Eng JJ. Preliminary Examination of the Ability of a New Wearable Device to Capture Functional Hand Activity After Stroke. Stroke. 2019 Dec;50(12):3643-3646. doi: 10.1161/STROKEAHA.119.026921. Epub 2019 Oct 30.
- Derived from this study: PubMed 39727287Simpson LA, Barclay R, Bayley MT, Brasher PMA, Dukelow SP, MacIntosh BJ, MacKay-Lyons M, Menon C, Mortenson WB, Peng TH, Pollock CL, Pooyania S, Silverberg ND, Teasell R, Yao J, Eng JJ. A Randomized Control Trial of a Virtually Delivered Program for Increasing Upper Limb Activity After Stroke. Neurorehabil Neural Repair. 2025 Mar;39(3):179-189. doi: 10.1177/15459683241303702. Epub 2024 Dec 27.
- Derived from this study: PubMed 35135585Simpson LA, Barclay R, Bayley MT, Dukelow SP, MacIntosh BJ, MacKay-Lyons M, Menon C, Mortenson WB, Peng TH, Pollock CL, Pooyania S, Teasell R, Yang CL, Yao J, Eng JJ. Virtual Arm Boot Camp (V-ABC): study protocol for a mixed-methods study to increase upper limb recovery after stroke with an intensive program coupled with a grasp count device. Trials. 2022 Feb 8;23(1):129. doi: 10.1186/s13063-022-06047-9.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janice Eng, PhD principal investigator
University of British Columbia
7 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Arm Boot Camp in people with Stroke and Cerebral Infarction, run by University of British Columbia at 7 sites in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hand counts captured using an activity monitor (time frame: Post intervention (immediately following 3 weeks of intervention)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04232163, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Feb 2023.