Stroke Motor Recovery for the Hand and Fingers (NCT06604143)
🩺 Plain-English Summary (8th-Grade Level)
The goal of this clinical trial is to compare two rehabilitation methods to improve finger movements in people who have had a stroke. The main question it aims to answer is which of these two training methods leads to the most improvement: 1. Teaching people to reach their movement goals using any strategies they like. 2. Teaching people to improve their movement technique and avoid compensatory strategies. There is no one-size-fits-all approach. The second goal is to find out who might benefit more from each method. Some people with stroke may rely on compensatory strategies due to severe impairment, while others with milder strokes might benefit more from techniques that enhance movement quality. The third goal is to take pictures of the brain to see how it changes with each method. This will help researchers understand how the brain adapts after a stroke and could lead to treatments that target the brain directly. Participants will: 1. Visit the lab for clinical and research assessments on weeks 1, 4, 5, and 15. 2. Complete 10 days of piano training. 3. Undergo magnetic resonance imaging (MRI) scans twice, once in week 1 and once in week 4.
Who can join: To join this study, participants generally need to meet the listed inclusion criteria (4 items) and avoid the listed exclusions (9 items).
Location: University of Toronto — Toronto, Ontario
📋 "Do I Qualify?" — 1-Minute Self Screener
Instant ChecklistCheck every box below. If you can check all of them, you may meet the study's basic screening requirements (final eligibility is confirmed by the site team).
Usually NOT eligible if any of the following apply:
- Exclusion Criteria:
- History of developmental, neurological, or major psychiatric disorders
- Cognitive deficits (\< 23/30 Montreal Cognitive Assessment)
- Apraxia (\<2SD mean Waterloo Apraxia test)
- Neglect (\> 40/100, Sunnybrook Neglect Assessment Procedure)
- Cerebellar stroke
- Musculoskeletal injury affecting motor performance
- Inability to sit in a chair and perform exercises for sustained periods
- Contraindications to MRI
🔍 Extracted verbatim from the official NIH eligibility criteria. Always confirm with the study coordinator.
📍 All Participating Trial Locations (5 Sites)
- University of Toronto — Toronto, Ontario
- Jewish Rehabilitation Hospital — Laval, Quebec
- University Institute for Physical Impairment Rehabilitation of Montreal (IURDPM) — Montreal, Quebec
- Lethbridge-Layton-Mackay Rehabilitation Center — Montreal, Quebec
- Jewish General Hopsital — Montreal, Quebec
💰 Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.