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Stroke clinical trials

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NCT ID: NCT06068036 Recruiting - Stroke Clinical Trials

Telehealth Intervention Involving HEARTS Technical Package and Activity Monitor to Promote Physical Activity Post-stroke

Start date: September 27, 2023
Phase: N/A
Study type: Interventional

Objectives: The aim of this feasibility randomized controlled trial (RCT) study is to investigate whether the theoretically informed telehealth intervention involving the HEARTS Technical Package and the use of an activity monitor to increase physical activity level post-stroke is feasible and to estimate the parameters for conducting a fully powered RCT. Design: A Phase 1 feasibility RCT study with blinded assessment will assign eligible participants to experimental or control group. Participants in both groups will undergo a theoretically informed telehealth intervention based on the HEARTS technical package (a face-to-face session and telephone call follow-up). The experimental group will have additional use of the Mi Band 7® Smartwatch activity monitor. For both groups, the intervention will last for 12 weeks. The feasibility outcomes will be identified considering the different phases of conducting the study. A trained researcher, blinded to the group allocation, will collect the sociodemographic, anthropometric, and clinical outcomes, in a university laboratory setting. Study Outcomes: Feasibility of recruitment, intervention, and measurement, and clinical outcomes. Conclusions: Results from this feasibility RCT study will inform on the design and sample required for a fully powered RCT with a similar aim.

NCT ID: NCT06067724 Recruiting - Stroke Clinical Trials

Effect of Pelvic Control Exercises in Stroke

Start date: May 20, 2023
Phase: N/A
Study type: Interventional

The purpose of the study is to investigate the combined effect of pelvic and trunk control exercises on muscle performance of affected upper extremity in stroke patients.

NCT ID: NCT06066788 Recruiting - Stroke Clinical Trials

Cognitive Strategies for Improving Health Outcomes And Managing Risk Post-Stroke

CHAMPS
Start date: February 15, 2024
Phase: N/A
Study type: Interventional

The proposed research will further develop the CHAMPS intervention which is self-management intervention to learn new skills, despite current health status of experience a stroke. The study seeks to determine feasibility and compare pre- to post-intervention change including cardiovascular risk, quality of life, self-efficacy, recurrent stroke, hospital readmission, and perceived decline in health and function.

NCT ID: NCT06066593 Recruiting - Stroke, Ischemic Clinical Trials

Prediction Model for Chronic Intracranial Arterial Occlusion With Radiomic Features

Start date: August 1, 2023
Phase:
Study type: Observational

Chronic intracranial arterial occlusion is associated with a "bidirectional stroke risk," with a significantly increased risk of both ischemic stroke and cerebral hemorrhage. Currently, Western CTAP products, in combination with clinical expertise, offer some predictive value for assessing the risk of ischemic events by evaluating compensatory pathways and overall perfusion in chronic intracranial arterial occlusion. However, there is limited support for assessing the risk of hemorrhagic events. Our proposed project aims to address a significant scientific challenge: the precise assessment of long-term stroke risk in asymptomatic patients with chronic intracranial arterial occlusion using a machine learning-based approach. The rapidly advancing field of machine learning provides a rich set of solutions for tackling this problem. In this project, we intend to develop a deep learning-based segmentation model for key brain regions using multimodal CT scans. Subsequently, we will automate the extraction of radiomic features and CT perfusion parameters, followed by the application of machine learning techniques to construct a stroke risk prediction model tailored for patients with chronic intracranial arterial occlusion.

NCT ID: NCT06065397 Recruiting - Stroke Clinical Trials

Goal-setting in Stroke: From Guideline Towards Implementation: a Realist Evaluation

Start date: January 17, 2023
Phase: N/A
Study type: Interventional

Overall objective: The aim of the project is to integrate the quality improvement programme on goal setting into the current care of people with stroke and to test and refine this programme. Target group: 1. People after a stroke (treatment in the participating centres); total number 155 people 2. Informal carers (only if the person has had a stroke and has limited opportunities to participate) 3. Professional carer; total number 155 people What? The goal-setting programme becomes standard care, it is checked whether the programme has been applied in care by health professionals (review of the patient's medical record), what the effects are on patients (questionnaires) and health professionals (questionnaires) and whether the quality improvement programme needs to be adjusted or refined (interviews with health professionals and the patient group) When to evaluate? 1. Health professionals: start of the study and end of the study via questionnaires. Interviews/focus group (every 3 months) 2. Review of patient records and observations (every 3 weeks) 3. Patient assessment: Admission and 1 week before discharge or end of study, Interviews/focus group (3 months)

NCT ID: NCT06064747 Not yet recruiting - Clinical trials for Stroke, Acute Ischemic

Low-Frequency REpetitive TRanscranial Magnetic Stimulation Combined With Endovascular Treatment in ACute Ischemic StrokE

RETRACE-II
Start date: October 8, 2023
Phase: N/A
Study type: Interventional

This is a multicenter, randomized, double-blind, sham-controlled, investigator-initiated clinical study, to evaluate the clinical efficacy and safety of LF-rTMS in rescuing the ischemic penumbra, reducing disability rate and improving functional outcome in patients with acute ischemic stroke receiving early endovascular recanalization (bridging or direct endovascular therapy)

NCT ID: NCT06064734 Not yet recruiting - Stroke, Acute Clinical Trials

Low-Frequency REpetitive TRanscranial Magnetic Stimulation in ACute Ischemic StrokE Within 48 Hours

RETRACE-I
Start date: October 28, 2023
Phase: N/A
Study type: Interventional

This is a multicenter, open-label, evaluator-blinded, investigator-initiated, randomized clinical trial, to evaluate the clinical efficacy and safety of LF-rTMS in reducing infarct size, reducing disability rate and improving functional outcome in patients with acute ischemic stroke within 48 hours after stroke onset.

NCT ID: NCT06064604 Not yet recruiting - Stroke Clinical Trials

Clinical Efficacy of Exoskeleton Assistance for Individuals Post-Stroke

Start date: January 1, 2027
Phase: N/A
Study type: Interventional

An exoskeleton device is a robotic system designed to improve an individual's ability to move and perform tasks encountered in everyday situations. These devices consist of external rigid limb segments that assists humans through different body movements with the use of actuators. These devices are controlled by an onboard computer that determines the timing and magnitude of assistance deployed to the user. Exoskeleton controller performance is key to providing beneficial assistance that does not inhibit the user's movement. Preceding work will compare the benefit of personalized hip versus ankle joint exoskeleton assistance for improvement of post-stroke gait. It will combine exoskeleton technology with the user's movement feedback to improve wearable robotic assistance to an individual stroke survivor's gait pattern. For the clinical trial research covered under this protocol, the investigator will test various exoskeleton technologies with stroke survivors in real-world contexts, indoors and outdoors, and measure clinically meaningful outcomes and user perceptions regarding technology usability and adoption. The long-term goal is to deploy self-adaptive, adoptable exoskeletons for personalized assistance during community ambulation.

NCT ID: NCT06062693 Recruiting - Stroke Clinical Trials

New Interactive Sensor-home-based Hand Training to Improve Dexterity

Start date: June 1, 2023
Phase: N/A
Study type: Interventional

Primary objective of this study is to explore the impact of a 3-week upper limb hand function training in patients with PD, MS or stroke. The benefits on hand function of this training program will be evaluated. The hypothesize is that the 3-week upper limb hand function training improves finger dexterity.

NCT ID: NCT06062407 Recruiting - Stroke Clinical Trials

Screening Diagnosis of Fall Risk After Stroke and Initial Intervention: A fNIRs Study

Start date: August 10, 2023
Phase:
Study type: Observational

This is a functional near infrared spectroscopy (fNIRs) study designed to screen for risk of falls after diagnosis of stroke and initial intervention.