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NCT Number: NCT07467785

Reaching the Unreached: Home-Based Telerehabilitation for Stroke Survivors

After a stroke, many people have trouble using their arms and hands. This can make daily tasks-like eating, dressing, or writing-very hard. In Alberta, especially in small towns and rural areas, many stroke survivors go home from the hospital without being referred to rehabilitation. As a result, they miss out on therapy that could help them get better.

This project will test a new way to bring rehabilitation directly into people's homes using telerehabilitation. We will work with 200 stroke survivors across Alberta who did not get regular outpatient rehab. Participants will use the clinically validated Tenzr system-a set of fun, game-like exercises with wearable sensors. Therapists will check in and guide them remotely.

When participants are enrolled in the study, they will be randomized (1:1) into two groups. The Immediate group will receive 8 weeks of home-based telerehabilitation using the Tenzr platform immediately after baseline, while the Delayed group will receive 8 weeks of observation (usual care) followed by 8 weeks of the same telerehabilitation intervention. Everyone in the study will be tested at the baseline, 8 weeks, and 16 weeks. At 16 weeks, we will also interview them to gather their feedback on the telerehabilitation. We want to learn if this program helps people improve arm and hand movement, if it's easy to use, and if people like it. We also want to see if it could be offered more widely across Alberta in the future.

The goal is to give more people access to stroke rehabilitation, no matter where they live.

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Key information

Conditions

Stroke Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Vascular Diseases

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Glenrose Rehabilitation Hospital

Edmonton, Alberta, T5G 0B7, Canada

Location status: Recruiting

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Not currently referred to, or participating in, upper extremity outpatient rehabilitation.
  • A confirmed stroke diagnosis (ischemic or hemorrhagic)
  • Have moderate-to-severe upper limb impairment
  • Live at home
  • Have access to internet and appropriate devices to have a virtual assessment with clinicians.
  • ≥ 18 years of age

Exclusion criteria

  • Referred to or currently participating in upper extremity outpatient rehabilitation.
  • Severe cognitive, communication, or medical comorbidities that would preclude safe home-based exercise
  • Don't have access to internet and appropriate devices to have a virtual assessment with clinicians.
  • < 18 years of age

Treatment and study plan

Standard of Care (SOC)

Other

8 weeks of standard of care for patients discharged from hospital without referrals to outpatient rehabilitation.

Telerehabilitation with Tenzr

Other

8 weeks of telerehabilitation at home supported by a remote therapist utilizing the Tenzr application.

Primary outcomes

  1. Change in Upper Extremity Fugl-Meyer Assessment for Upper Extremity (FM-UE)

    Time frame: Baseline, 8 weeks and 16 weeks.

    The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia. We will be obtaining and reporting the Upper Extremity subscore. It is a score without units.

Secondary outcomes

  1. Change in Nine-hole Peg Test (NHPT) (sec)

    Time frame: Baseline, 8 weeks, 16 weeks

    The NHPT requires participants to repeatedly place and then remove nine pegs into nine holes, one at a time, as quickly as possible.

  2. Change in Box and Blocks Test (number of blocks)

    Time frame: Baseline, 8 weeks, 16 weeks

    The Box and Block Test (BBT) measures unilateral gross manual dexterity. It is a quick, simple and inexpensive test. It can be used with a wide range of populations, including clients with stroke.

  3. Change in Stroke Impact Scale Score

    Time frame: Baseline, 8 weeks, 16 weeks

    The Stroke Impact Scale (SIS) is a patient-reported outcome measure that evaluates the biopsychosocial aspects of life after stroke. No units.

  4. Change in PROMIS Upper Extremity Short Form

    Time frame: Baseline, 8 weeks, 16 weeks

    PROMIS® stands for Patient Reported Outcomes Measurement Information System, which is a system of highly reliable, precise measures of patient-reported health status for physical, mental, and social well-being. PROMIS® tools measure what patients are able to do and how they feel by asking a number of questions. The PROMIS v1. 2 UE item bank is a useful clinical assessment tool with good psychometric properties that can be implemented in clinical settings and is focused on upper extremity items.

Other outcomes

  1. System Usability Scale (Tech eval)

    Time frame: At completion of Tenzr-supported rehab phase (either 8 or 16 weeks dependent on randomization).

    The system usability scale (SUS) is a simple, ten-item attitude Likert scale giving a global view of subjective assessments of usability.

  2. Client Satisfaction Questionnaire (CSQ-8)

    Time frame: At completion of trial (16 weeks)

    The Client Satisfaction Questionnaire (CSQ-8) is one of a limited number of standardised satisfaction measures that have been used widely.

  3. Participant adherence (%, rate of planned sessions completed)

    Time frame: Collected continuously using the Tenzr application during the telerehabilitation phase of the trial (either baseline-8week block or 8week-16week block dependent on randomization).

    Using the Tenzr application we will report the rate of completed sessions by recording the # rehab sessions completed by the participants using the application versus the planned # rehab sessions and expressed as a percentage.

Interested in participating?

Recruiting

Interested in participating?

Request Info

Sponsors and collaborators

Lead sponsor

University of Alberta

Other

Collaborators

  • Alberta Innovates Health Solutions
  • Glenrose Hospital Foundation

Registry information

Official study title

Reaching the Unreached: Randomized Trial of Home-Based Telerehabilitation for Stroke Without Outpatient Care

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Mar 12, 2026
Registry last updated
Jun 3, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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