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Self-Directed Upper Extremity Gaming in Inpatients With Stroke

Sponsored by Milap Sandhu

About this study

STRIVE uses a camera mounted on the in-room TV and a connected laptop to track arm and hand movements during gameplay via markerless motion capture. No controllers or wearable sensors are required, and patients initiate a session with a single button on the TV remote. Games target clinically relevant movements such as reaching and grasping, with difficulty adapting to the user.

This is a prospective, single-arm feasibility study using a four-phase co-design protocol adapted from Clanchy et al. Phase 1 (n=20): inpatient stroke survivors complete one supervised session; think-aloud methods capture usability barriers. Phase 2: a multidisciplinary translation team rates issues on clinical significance and technical feasibility. Phase 3: prioritized issues are translated into design changes, producing STRIVEv2, with each change traceable to a user-identified barrier. Phase 4 (n=20): a separate group uses STRIVEv2 over three or more consecutive daily sessions under naturalistic conditions to evaluate usability readiness. An occupational therapist sets up equipment, calibrates, and runs a supervised practice session so participants can start, pause, and stop safely. Se…

Where this study is enrolling

Who can participate

Inclusion criteria

  • ✓admitted for IP stroke rehabilitation ARAT \>5 and \<40 at enrollment
  • ✓sufficient cognition and vision to follow simple instructions
  • ✓medically stable for independent seated or supine UE activity

Exclusion criteria

  • ✕severe neglect that prevents task engagement
  • ✕significant aphasia that prevents understanding of instructions
  • ✕medical contraindications to unsupervised UE activity as determined by the treating team

Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.

Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.

Trial data sourced from ClinicalTrials.gov.