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.
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
- Type of treatment
- Medical device, Lifestyle or therapy programme
- 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.
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.
- Conditions
- Stroke, Hemiparesis, Subacute Stroke, Chronic Stroke
- 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 group | Role | What they receive |
|---|---|---|
| RGS based therapy | Experimental | Not described Receives: Device: RGS based training and monitoring |
| Treatment as usual | Active comparator | Not described Receives: Behavioral: Therapy as usual |
What is being measured
The primary outcome is the main question the study is designed to answer.
Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.
Changes from baseline to end of treatment (12 weeks)
Measured: 12 weeks
Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.
Changes from baseline to follow up (6 months)
Measured: 6 months
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
- First posted9 Nov 2020
- Study start9 Nov 2020
- Primary completion4 Aug 2023
- Study completion4 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for StrokeStudies of the same condition, open and under way.
- 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
- None (open label)
- Enrolment
- 52 participants (actual)
Sponsor and investigators
- Lead sponsor
- Institute for Bioengineering of Catalonia
- Sponsor type
- University, hospital or other
- Collaborators
- Universidad Miguel Hernández de Elche.
- Responsible party
- Principal investigator, Anna Mura, Institute for Bioengineering of Catalonia
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
Study at a glance
From the registry record, last updated by the sponsor on 3 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- RGS@Home Project: Scaling ICT Based Neurorehabilitation to Personalized 24/7 Home Care Post-stroke
- ClinicalTrials.gov ID
- NCT04620707
- Acronym / sponsor ID
- RGS@Home2020
- Conditions
- Stroke, Hemiparesis, Subacute Stroke, Chronic Stroke
- Keywords
- Stroke, Fatigue, Rehabilitation, Personalization, eHealth
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 52 participants (actual)
- Lead sponsor
- Institute for Bioengineering of CataloniaUniversity, hospital or other
- Collaborators
- Universidad Miguel Hernández de Elche.
- Study start
- 9 Nov 2020 (actual)
- Primary completion
- 4 Aug 2023 (actual)
- Study completion
- 4 Aug 2023 (actual)
- First posted
- 9 Nov 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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| RGS based therapy | Experimental | Device: RGS based training and monitoring |
| Treatment as usual | Active comparator | Behavioral: Therapy as usual |
Who may qualify
- Ages
- 20 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 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.
Key exclusion criteria (7 listed)
- 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.
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 |
|---|---|---|
| RGS based training and monitoringThe 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. | Device | RGS based therapy |
| Therapy as usualThe 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. | Behavioural | Treatment as usual |
Primary outcome
Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.
Time frame: 12 weeks
Changes from baseline to end of treatment (12 weeks)
Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.
Time frame: 6 months
Changes from baseline to follow up (6 months)
Barthel Index (BI) [min=0, max =100]. Higher scores indicate better functioning.
Time frame: 12 months
Changes from baseline to follow up (12 months)
20 secondary outcomes
Fugl-Meyer Upper Extremities (FM-UE) [min=0, max=66]. Higher scores indicate better functioning.
Time frame: 12 weeks
Fugl-Meyer Upper Extremities (FM-UE) [min=0, max=66]. Higher scores indicate better functioning.
Time frame: 6 months
Fugl-Meyer Upper Extremities (FM-UE) [min=0, max=66]. Higher scores indicate better functioning.
Time frame: 12 months
CAHAI [min=13, max=91]. Higher scores indicate better functioning.
Time frame: 12 weeks
CAHAI [min=13, max=91]. Higher scores indicate better functioning.
Time frame: 12 months
Hamilton Depression Scale [min=0, max=52]. Lower scores indicate less impairment.
Time frame: 12 weeks
Hamilton Depression Scale [min=0, max=52]. Lower scores indicate less impairment.
Time frame: 12 months
Fatigue Severity Scale (FSS) [min=9, max=63]. Higher scores indicate more fatigue.
Time frame: 12 weeks
Fatigue Severity Scale (FSS) [min=9, max=63]. Higher scores indicate more fatigue.
Time frame: 12 months
Visual Analogue Score (VAS) [min=0, max=10]. Lower scores indicate less impairment.
Time frame: 12 weeks
Visual Analogue Score (VAS) [min=0, max=10]. Lower scores indicate less impairment.
Time frame: 12 months
Modified Ashworth Scale (MAS) [min=0, max=4]. Lower scores indicate less impairment.
Time frame: 12 weeks
Modified Ashworth Scale (MAS) [min=0, max=4]. Lower scores indicate less impairment.
Time frame: 12 months
Stroke Impact Scale (SIS) [min=0, max=42]. Higher scores indicate better functioning.
Time frame: 12 weeks
Stroke Impact Scale (SIS) [min=0, max=42]. Higher scores indicate better functioning.
Time frame: 12 months
Stroke Specific Quality Of Life scale (SS-QOL) [min=49, max=245]. Higher scores indicate better functioning.
Time frame: 12 weeks
Stroke Specific Quality Of Life scale (SS-QOL) [min=49, max=245]. Higher scores indicate better functioning.
Time frame: 12 months
Wellbeing questionnaire (SF-36) [min=0, max=100]. Higher scores indicate more wellbeing.
Time frame: 12 weeks
Wellbeing questionnaire (SF-36) [min=0, max=100]. Higher scores indicate more wellbeing.
Time frame: 12 months
Number of participants readmitted to the hospital after being discharged to at-home status.
Time frame: 12 months
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 Sep 2026.
- Derived from this study: PubMed 35725616Mura 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.
Related trials for Stroke
Not yet recruiting
Temporal Interference Stimulation for Upper-Limb Motor Recovery in Early Subacute Stroke
Acute Ischemic Stroke
RecruitingObservational study
ELATE Study: Evaluating Large-vessel Acute Thrombectomy in Extended Time Window
Acute Ichemic Stroke
Recruiting
Web-Based Tele-Rehabilitation Using Action Observation and Mirror Therapy for Subacute Stroke: A Randomized Controlled Trial
Stroke, Upper Extremity Paresis
Recruiting
Early Motor-Cognitive Integrative Training on Cognitive and Motor Performance in Patients With Aneurysmal Subarachnoid Hemorrhage
Subarachnoid Aneurysm Hemorrhage
Not yet recruiting
Selective Intra-Arterial Hypothermia After Endovascular Treatment for Acute Basilar Artery Occlusion
Acute Ischemic Stroke, Basilar Artery Occlusion
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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
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.