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Completed

NCT Number: NCT07772284

Repetitive Action Simulation Circuit Training to Reduce Arm Weakness After a Stroke

This study aims to examine the effect of an action simulation circuit training for individuals who have experienced upper extremity weakness following a stroke. The study will also examine the feasibility of the intervention as an occupational therapy rehabilitation approach.

Participants will:

* Engage in four workstations within the circuit training format: mental practice, action observation, virtual reality, and repetitive task-specific practice. * Participate in training 2x/week for 6 weeks (12 sessions).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Institute for Well-Being, Towson, Maryland, United States

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About this study

Action simulation therapies are particularly advantageous for individuals with upper extremity hemiparesis, by providing opportunities for repetitive practice of functional tasks, that might otherwise be impossible to perform. This research will examine the use of upper extremity action simulation in a circuit training group, to address the unique therapeutic needs and therapy structure deficiencies for upper extremity hemiparesis following a stroke.

Project Objectives:

  • Explore the effect of a six-week action simulation upper extremity circuit training group on upper extremity impairments and quality of life for individuals with upper extremity hemiparesis after a stroke.

Upper extremity impairments and quality of life will be assessed before the circuit training and after completion. Additionally, participants will provide information about their overall perceptions of each the intervention through a survey.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosis of stroke
  • Hemiparesis of one upper extremity

Exclusion criteria

  • Severe spasticity
  • Severe aphasia
  • Low English proficiency
  • Severe hearing impairment
  • History of severe upper extremity comorbidities (neurological and/or orthopedic)

Treatment and study plan

Upper Extremity Action Simulation Circuit Training

Other

Participants rotate between four workstations:

  • Mental Practice: participants listen to an audio-guided recording that promotes the cognitive rehearsal of performing a task with their affected upper extremity.
  • Virtual Reality: participants perform virtual reality activities or games involving the use of their upper extremities.
  • Action Observation: participants watch video clips of individuals performing upper extremity tasks.
  • Repetitive-Task Specific Practice: participants physically rehearse various upper extremity tasks with the assistance of an occupational therapist.

Primary outcomes

  1. The Acceptability of Intervention Measure

    Time frame: Following the 6-week circuit training group.

    The Acceptability of Intervention Measure is a survey that measures the participants' perceived acceptability of the intervention. Participants rate their perceptions on a 5-point Likert scale, from completely disagree to completely agree.

  2. Feasibility of Intervention Measure

    Time frame: Following the 6-week circuit training group.

    The Feasibility of Intervention Measure assesses the participants' perceptions of how feasible the intervention is for stroke rehabilitation. Participants rate their perceptions on a 5-point Likert scale, from completely disagree to completely agree.

  3. Intervention Appropriateness Measure

    Time frame: Following the 6-week circuit training group.

    The Intervention Appropriateness Measure assesses the participants' perception of how appropriate the intervention is to address upper extremity hemiparesis after a stroke. Participants rate their perceptions on a 5-point Likert scale, from completely disagree to completely agree.

Secondary outcomes

  1. Fugl-Meyer Assessment

    Time frame: Before the circuit training group and following the circuit training group.

    The Fugl-Meyer Assessment is a standardized quantitative measure of upper extremity impairment that includes 33 items. Upper extremity movements are rated on a three-point ordinal scale. Cumulative scores range from 0-66 where a higher score indicates lower impairment.

  2. Stroke Impact Scale

    Time frame: Before the circuit training group and following the circuit training group.

    The Stroke Impact Scale is a self-report questionnaire of health-related quality of life following a stroke. It includes 59 items assessing strength, hand function, activities of daily living, mobility, communication, emotion, memory, and participation.

Sponsors and collaborators

Lead sponsor

Towson University

Other

Registry information

Official study title

A Repetitive Action Simulation Program to Reduce Upper Extremity Hemiparesis: A Feasibility Study

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Aug 19, 2026
Registry last updated
Aug 19, 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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