TELE-REHABILITATION VERSUS CLINIC-BASED MODIFIED CONSTRAINT-INDUCED MOVEMENT THERAPY FOR UPPER LIMB FUNCTION IN CHRONIC STROKE PATIENTS

Recruiting now · Not applicable

Conditions studied: Chronic Stroke Patient

In brief

Stroke commonly results in persistent upper limb impairment that limits functional independence and participation in daily activities. Modified Constraint-Induced Movement Therapy (mCIMT) is an evidence-based intervention for improving upper limb function after stroke. Tele-rehabilitation has emerged as an alternative method of delivering rehabilitation services, potentially improving accessibility while maintaining treatment effectiveness. This randomized controlled trial will compare the effectiveness of tele-rehabilitation-based mCIMT with clinic-based mCIMT in individuals with chronic stroke. Sixty-eight eligible participants will be randomly allocated into two groups. The tele-rehabilitation group will receive supervised mCIMT through virtual sessions combined with a structured home exercise program, while the clinic-based group will receive the same intervention in a clinical setting. Both groups will receive treatment three times per week for 6 weeks. Upper limb function, spasticity, motor performance, and intrinsic motivation will be assessed at baseline and after the 6-week intervention using the Upper Extremity Fugl-Meyer Assessment (UEFMA), Modified Ashworth Scale (MAS), Wolf Motor Function Test (WMFT), and Intrinsic Motivation Inventory (IMI). The study aims to determine whether tele-rehabilitation is as effective as clinic-based mCIMT for improving upper limb function in individuals with chronic stroke.

Key facts

Study ID

NCT07720609

Run by

Kainat Tariq

People needed

68

Starts

2026-07-18

Expected to finish

2026-09-06

Last updated by the study team

2026-07-22

Who can join

Age: 35 and older, up to 75. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Participant with age from 35 to 75 years
• Both gender
• Patients after 6 month of stroke.
• Participant with flexion and abduction at shoulder minimum 10-15 degree and 5-10 degree at wrist and thumb/digit.
• Participants with access to a smartphone or laptop with internet connectivity and the ability to use it for tele-rehabilitation sessions.
• Participant with modified ashworth scale score of 2 or higher.
• Participants who have internet access and can also engage in video conferences.

You may not qualify if…

• Patient with any neurological issues apart from stroke that might impact motor function.
• Patient who is not able to follow the commands or are unable to cooperate.
• Patient with any autoimmune disorder like rheumatoid arthritis that might impact arm function.
• Patient with history of epilepsy. Participant who are involved in any fitness program that can improve upper extremity function.

Where it is running

• Shadman Medical Center, Lahore — Lahore, Punjab Province, Pakistan (enrolling)

Full record on ClinicalTrials.gov

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