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StrokeNCT04620707

RGS@Home: Personalized 24/7 Home Care Post-stroke

A study testing RGS based training and monitoring and Therapy as usual in people with Stroke and Hemiparesis, run by Institute for Bioengineering of Catalonia at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Stroke represents one of the main causes of adult disability and will be one of the main contributors to the burden of disease in 2030. However, the healthcare systems are not able to respond to the current demand let alone its future increase. Read more about this study

Who is it for?
Ages 20 to 85 years
Conditions the study is for
Stroke, Hemiparesis, Subacute Stroke
What is being tested?
RGS based training and monitoring and Therapy as usual
Could I receive a placebo?
No, everyone receives an active treatment
How many people
52 participants
Where
1 siteSpain
Study dates
9 Nov 2020to 4 Aug 2023
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 20 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients presenting a first-ever ischemic or intracerebral hemorrhagic stroke.
  • A CT SCAN and/or MRI had exclude other pathologies.
  • Lesion localization by clinical symptoms/signs.
  • Moderate to mild proximal upper limb motor impairment (MRC≥2).
  • Age 20-85 years old.
  • Able to sit on a chair or a wheelchair interacting with the RGS during a full session, and be capable and willing to participate in RGS therapy.

Who cannot join

  • Presence of a condition or abnormality that in the opinion of the investigator would compromise the safety of the patient or the quality of the data.
  • Severe cognitive capabilities that prevent the execution of the experiment (MoCA < 19). This cut-off score is based on pilot study (Maier, M. et al, 2019).
  • Arteriovenous malformation or lesions not related with a stroke.
  • Severe associated impairment such as spasticity, communication disabilities (sensorial, Wernicke aphasia or apraxia), major pain or other neuromuscular impairments or orthopedic devices that would interfere with the correct execution of the experiment (Modified Ashworth Scale < 3).
  • Unable to use the RGS independently according to the therapist's observations and lacking support from a caregiver to use the RGS.
  • Refusal to sign the consent form.
  • Pre-stroke history of upper limb motor disability.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • University Miguel Hernandez - Specs Lab

    Elche, Alicante, 03202

Other trials in Spain

About this study

Official title: RGS@Home Project: Scaling ICT Based Neurorehabilitation to Personalized 24/7 Home Care Post-stroke

Stroke represents one of the main causes of adult disability and will be one of the main contributors to the burden of disease in 2030. However, the healthcare systems are not able to respond to the current demand let alone its future increase. There is a need to deploy new approaches that advance current rehabilitation methods and enhance their efficiency.

One of the latest approaches used for the rehabilitation of a wide range of deficits of the nervous system is based on virtual reality (VR) applications, which combine training scenarios with dedicated interface devices such as the Rehabilitation Gaming System (RGS), a science-based ICT solution for neurorehabilitation combining brain theory, AI, cloud computing and virtual reality and targeting motor and cognitive recovery after stroke. RGS provides a continuum of evaluations and therapeutic solutions that accompany the patient from the clinic to the therapy centre. RGS has been clinically validated. However, in order to achieve significant benefits in the patients' QoL, it is essential that this technological solution becomes an at home solution providing training and 24/7 monitoring and care. For this reason, this project aims at investigating not only its clinical validity but also the RGS acceptability and adoption model. The findings derived from this study will contribute to establish a novel neurorehabilitation paradigm that can accelerate the recovery of hemiparetic stroke patients. Besides the clinical impact, such achievement could have relevant socioeconomic impact.

Being tested
RGS based training and monitoring, Therapy as usual
Keywords
Stroke, Fatigue, Rehabilitation, Personalization, eHealth
Medical subject headings
Stroke, Paresis, Fatigue

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RGS based training and monitoringDevice

    The RGS treatment will consist in a variable number of sessions per week of RGS-based training. Each session consists of cognitive and motor training involving reaching, grasping, placing virtual objects. The duration of the training period will be variable. Patients will use the RGS@Clinic from admission to discharge, and will have the RGS@Home during the first 3 months of the outpatient stage after recruitment. After this period of time, the patient will be evaluated by clinicians and the RGS@Home system will be collected. The RGS-Wear will be kept by the patient also during the follow-up period, up to 1 year post-recruitment.

  • Therapy as usualBehavioural

    The patients will follow treatment as usual, including conventional rehabilitation and physical therapy when corresponding. The exact treatment that the patients will receive will depend on the local medical guidelines.

Study groups in NCT04620707
Study groupRoleWhat they receive
RGS based therapyExperimentalNot described
Receives: Device: RGS based training and monitoring
Treatment as usualActive comparatorNot described
Receives: Behavioral: Therapy as usual

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.

    Changes from baseline to end of treatment (12 weeks)

    Measured: 12 weeks

  2. Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.

    Changes from baseline to follow up (6 months)

    Measured: 6 months

  3. Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.

    Changes from baseline to follow up (12 months)

    Measured: 12 months

Secondary outcomes (20)
  1. Fugl-Meyer Upper Extremities (FM-UE) [min=0, max=66]. Higher scores indicate better functioning.

    Change in score from baseline to end of treatment (12 weeks)

    Measured: 12 weeks

  2. Fugl-Meyer Upper Extremities (FM-UE) [min=0, max=66]. Higher scores indicate better functioning.

    Change in score from baseline to follow-up (6 months)

    Measured: 6 months

  3. Fugl-Meyer Upper Extremities (FM-UE) [min=0, max=66]. Higher scores indicate better functioning.

    Change in score from baseline to follow-up (12 months)

    Measured: 12 months

  4. CAHAI [min=13, max=91]. Higher scores indicate better functioning.

    Change in score from baseline to the end of treatment and follow-up

    Measured: 12 weeks

  5. CAHAI [min=13, max=91]. Higher scores indicate better functioning.

    Change in score from baseline to the end of treatment and follow-up

    Measured: 12 months

  6. Hamilton Depression Scale [min=0, max=52]. Lower scores indicate less impairment.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 weeks

  7. Hamilton Depression Scale [min=0, max=52]. Lower scores indicate less impairment.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 months

  8. Fatigue Severity Scale (FSS) [min=9, max=63]. Higher scores indicate more fatigue.

    Change in score from baseline to end of treatment and follow up.

    Measured: 12 weeks

  9. Fatigue Severity Scale (FSS) [min=9, max=63]. Higher scores indicate more fatigue.

    Change in score from baseline to end of treatment and follow up.

    Measured: 12 months

  10. Visual Analogue Score (VAS) [min=0, max=10]. Lower scores indicate less impairment.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 weeks

  11. Visual Analogue Score (VAS) [min=0, max=10]. Lower scores indicate less impairment.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 months

  12. Modified Ashworth Scale (MAS) [min=0, max=4]. Lower scores indicate less impairment.

    Change in score from baseline to end of treatment and follow-up

    Measured: 12 weeks

  13. Modified Ashworth Scale (MAS) [min=0, max=4]. Lower scores indicate less impairment.

    Change in score from baseline to end of treatment and follow-up

    Measured: 12 months

  14. Stroke Impact Scale (SIS) [min=0, max=42]. Higher scores indicate better functioning.

    Change in score from baseline to end of treatment and follow-up

    Measured: 12 weeks

  15. Stroke Impact Scale (SIS) [min=0, max=42]. Higher scores indicate better functioning.

    Change in score from baseline to end of treatment and follow-up

    Measured: 12 months

  16. Stroke Specific Quality Of Life scale (SS-QOL) [min=49, max=245]. Higher scores indicate better functioning.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 weeks

  17. Stroke Specific Quality Of Life scale (SS-QOL) [min=49, max=245]. Higher scores indicate better functioning.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 months

  18. Wellbeing questionnaire (SF-36) [min=0, max=100]. Higher scores indicate more wellbeing.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 weeks

  19. Wellbeing questionnaire (SF-36) [min=0, max=100]. Higher scores indicate more wellbeing.

    Change in score from baseline to end of treatment and follow up

    Measured: 12 months

  20. Number of participants readmitted to the hospital after being discharged to at-home status.

    Number of patients from baseline to 12 months post-baseline.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Nov 2020
  2. Study start9 Nov 2020
  3. Primary completion4 Aug 2023
  4. Study completion4 Aug 2023

Resources

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
None (open label)
Enrolment
52 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04620707
Sponsor's protocol ID
RGS@Home2020
Status last verified
Nov 2021
First submitted
3 Nov 2020
Last updated
3 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Mura A, Maier M, Ballester BR, De la Torre Costa J, Lopez-Luque J, Gelineau A, Mandigout S, Ghatan PH, Fiorillo R, Antenucci F, Coolen T, Chivite I, Callen A, Landais H, Gomez OI, Melero C, Brandi S, Domenech M, Daviet JC, Zucca R, Verschure PFMJ. Bringing rehabilitation home with an e-health platform to treat stroke patients: study protocol of a randomized clinical trial (RGS@home). Trials. 2022 Jun 20;23(1):518. doi: 10.1186/s13063-022-06444-0.

    PubMed 35725616

Questions about this trial

What is this clinical trial studying?

A study testing RGS based training and monitoring and Therapy as usual in people with Stroke and Hemiparesis, run by Institute for Bioengineering of Catalonia at 1 site in Spain.

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 6 inclusion and 7 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 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. 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?

Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning. (time frame: 12 weeks). The study lists 3 primary outcomes in all. 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 NCT04620707, which also lists 1 linked publication.

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 Sep 2026.

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