Arm Basis Training for Post-Stroke Arm Rehabilitation

This study is looking into how a specific type of therapy, called Arm Basis Training, can help people regain arm movement after a stroke. Many people have difficulty moving their arm after a stroke, and while therapy is common, we don't fully understand how it changes the brain. This research aims to learn more about the brain pathways involved in arm movement and how they change with this rehabilitation. We hope this knowledge will lead to better treatments for stroke-related disability. You might be able to join if you had your first stroke 3-6 months ago, have some arm weakness, and can participate in a 6-week intensive arm therapy program in English. We will measure changes in your arm movement and brain pathways to see if the therapy is successful. The current recruitment status is unclear.

Study design
This is an interventional study planning to enroll 50 participants. It is not specified if participants will be randomly assigned to different groups.
What's involved
You would participate in a 6-week intensive upper extremity intervention. Measurements of your arm movement and brain activity would be taken before and after this 6-week period.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for changes measured at pre- and post- 6 weeks of therapy.

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NCT06998485

Substrates for Post-Stroke Arm Rehabilitation

Recruiting
NAAges 18+InterventionalBasic science
Massachusetts General Hospital
~50 participants
Updated 2026-03-11 on ClinicalTrials.gov
What's tested:Arm Basis Training

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Kinematic Measure of Upper Extremity Motor Control
Measured over Pre- and post- 6 weeks of therapy
+2 more outcomes measured
Stroke Rehabilitation
Stroke
Neurorecovery

NCT06998485

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Laboratory for Translational Neurorecovery, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital

    Boston, Massachusettsstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • David J Lin, MD · PRINCIPAL_INVESTIGATOR · Massachusetts General Hospital

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Eligibility criteria

Inclusion

first time unilateral ischemic or hemorrhagic stroke occurring within the 3-6 months
upper extremity motor impairment as measured by the Upper Extremity Fugl-Meyer Assessment (UE-FMA) Score \<= 44
ability to participate in a 6-week intensive upper extremity intervention in English as determined by a licensed occupational therapist.

Exclusion

bilateral stroke
unstable medical status affecting functional status
pre-stroke upper extremity injury or conditions that limited use
visual or auditory impairment limiting ability to participate in study procedures
significant aphasia (NIHSS sub-item 9 \> 1) or cognitive (NIHSS 1a or 1b or
known or expected inability to maintain follow-up through the study intervention and post- assessment
contraindications to MRI
contraindications to TMS
known history of uncontrolled seizure disorder.
  • Change in Kinematic Measure of Upper Extremity Motor ControlPre- and post- 6 weeks of therapy

    Kinematic measures of Upper Extremity Motor Control include joint individuation index (a measure of how well joints can move independently of other joints) and shoulder-elbow coordination (a measure of how normal a point-to-point planar reaching movement is)

  • Change in Corticospinal Tract Axon Density on MRIPre- and post- 6 weeks of therapy

    High-resolution diffusion MR neuroimaging will be performed, from which corticospinal tract axon density will be calculated

  • Change in Corticospinal Tract NeurophysiologyPre- and post- six weeks of therapy

    The primary neurophysiologic measure of interest will be MEP presence or absence at proximal upper extremity muscles. If MEP positive, secondary measures of corticospinal excitability will be the MEP recruitment curve slope as well as MEP amplitude (at 100% MSO).