Community Rollout of Technology Enriched Rehabilitation After Stroke: An Implementation Study

NCT06928285 | Not Yet Recruiting

• 1 other identifier: UoS_CROFTERS_Kerr2025
• Study Type: interventional
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

The minimum guideline recommendations for rehabilitation after stroke are not being met. This compromises individual recovery and increasing the global burden of disability. A multi-technology solution, co-created with people living with stroke, has been shown to be feasible in both sub-acute and chronic populations but has not been implemented as an integrated rehabilitation service. The aim of this implementation study is to assess the ability of a technology enriched model of rehabilitation to deliver guideline recommendations in a range of NHS and local authority settings that provide rehabilitation services to stroke survivors at different stages of their recovery. The findings will be used to co-create a scalable, adaptable, and sustainable model that meets rehabilitation guidelines.

Conditions

Stroke

Keywords

rehabilitation; technology; implementation

Outcome Measures

Primary Outcomes (2)

• 10-meter walk test (10mWT)

  Time to walk 10 metres

  Three time points; 1) Two weeks before intervention starts at the initial induction meeting,2) immediately before the intervention, and 4) immediately after intervention ends

• Five times sit to stand movement

  Time to complete five sit to stand movements safely.

  Three time points; 1) Two weeks before intervention starts, at the induction meeting,2) immediately before the intervention and 3) immediately after intervention ends

Secondary Outcomes (2)

• Stroke Impact Scale

  Two time points; 1) Two weeks before intervention starts and 2) immediately after intervention ends

• Action Research Arm Test (ARAT)

  Two time points; 1) Two weeks before intervention starts and 2) immediately after intervention ends

Other Outcomes (1)

• Communication Outcome after Stroke (COAST) scale

  Two time points; 1) Two weeks before intervention starts and 2) immediately after intervention ends

Study Arms (1)

Technology enriched rehabilitation: Intervention

EXPERIMENTAL

People well enough to exercise lightly but living with motor impairment following a stroke will attend a personalised circuit based programme in a technology enriched rehabilitation gym with exercise and activities structured around their motor, communication and cognitive impairments.

Other: Technology Enriched Rehabilitation

Interventions

Technology Enriched Rehabilitation OTHER

The intervention is an 8-week long rehabilitation programme delivered entirely through technology, including virtual reality (immersed and non-immersed), treadmills, weight suspension and movement resistance, and power assistance equipment located in a gym-like space on a university campus. Individual programs are designed, supervised, and reviewed by a physiotherapist using principles of intensity, feedback, cognitive engagement, and aerobic activity to address the goals identified by the participant and scores from outcome measures at baseline. Participants should attend a minimum of two times per week and can more frequently for the two hour group based circuit class.

Technology enriched rehabilitation: Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of stroke
• Currently well
• Suitable for rehabilitation (motor/ciommunication and or/cognitive impairment(
• Able to attend the programme for two hours at least twice a week
• Able to follow instructions in English and follow provide verbal and/or written feedback

You may not qualify if:

• Absolute contradictions to physical activity
• Recent (6 weeks) deterioration in health
• Change in medication
• Currently unwell

Sponsors & Collaborators

• University of Strathclyde: lead
• NHS Lothian: collaborator
• NHS Lanarkshire: collaborator
• Dundee Leisure and Culture: collaborator

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Andrew B Kerr, PhD

  University of Strathclyde

  STUDY DIRECTOR

Central Study Contacts

Andrew B Kerr, PhD

CONTACT

+441415482855; a.kerr@strath.ac.uk

Milena Sklachetka Research Physiotherapist, M.Sc.

CONTACT

441415483032; milena.slachetka@strath.ac.uk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: No masking is used
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Implementation study assessing; 1. ability to sustainably deliver NICE (National Institute for Clinical Effectiveness, UK) recommendations for rehabilitation after stroke (intensity and dose) 2. Response from participants including changes to mobility, communication and impact on life. This will include a data linkage control group with dat aopn health and care use

Study Record Dates

• First Submitted: April 7, 2025
• First Posted: April 15, 2025
• Study Start: August 1, 2025
• Primary Completion (Estimated): August 1, 2027
• Study Completion (Estimated): March 1, 2028
• Last Updated: April 15, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, CSR
• Time Frame: August 2027 for 5 years
• Access Criteria: This will be publicly available from the University of Strathclyde repository (PURE)