Efficacy of Tele-CPASS Compared to In-person CPASS Therapy for Upper Extremity Motor Recovery

Part of paid clinical trials in El Paso, Texas.

Sponsor
University of Texas, El Paso
Study ID
NCT07661849
Status
Recruiting
Apply to this trial

Conditions

  • Hemiparesis
  • Stroke
  • Stroke Rehabilitation
  • Upper Extremity Impairments

Eligibility Criteria

Sex
ALL
Age
21 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Tele-CPASS — BEHAVIORAL
    Intervention 1: Tele-CPASS Tele-CPASS is a home-based telerehabilitation intervention consisting of 20 hours of therapist-guided, task-specific upper extremity motor training delivered remotely using a telehealth platform for individuals with stroke. Therapy is individualized based on participant-selected functional goals and focuses on repetitive practice of meaningful daily activities to improve arm and hand function after stroke. Participants complete sessions in their home environment with real-time therapist guidance and may be provided with equipment and technology needed to support remote delivery.
  • In-person CPASS therapy — BEHAVIORAL
    Intervention 2: In-person CPASS therapy In-person CPASS is a clinic-based rehabilitation intervention consisting of 20 hours of therapist-guided, task-specific upper extremity motor training delivered face-to-face. Therapy is individualized based on participant-selected functional goals and focuses on repetitive practice of meaningful daily activities to improve arm and hand function after stroke. Sessions are conducted in a clinical setting under direct supervision of a therapist.

Study Details

This study evaluates whether a home-based telerehabilitation program (tele-CPASS) is as effective as an in-person rehabilitation program (CPASS) for improving arm and hand function after stroke. Stroke often leads to long-term difficulty using the affected arm in daily activities, and access to in-person therapy can be limited. This study aims to determine whether therapy delivered remotely can provide similar benefits to standard in-clinic care. Participants who recently experienced a stroke will be randomly assigned to receive 20 hours of upper extremity rehabilitation therapy either in person or through a telehealth platform. Both groups will receive the same type and amount of therapy focused on practicing meaningful, patient-selected daily activities. Participants will complete assessments before treatment, immediately after treatment, and at 6 and 12 months to measure recovery of arm function, real-world arm use, and participation in daily life. The results of this study will help determine whether telerehabilitation can improve access to effective stroke recovery interventions while maintaining clinical effectiveness comparable to in-person therapy.

Key Dates

Start date
Sep 1, 2025
Status verified
Jun 2026
Primary completion
Aug 31, 2028
Completion
Aug 31, 2029

Study Design

Enrollment
42 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Tele-CPASS
    Participants receive 20 hours of therapist-guided upper extremity motor rehabilitation delivered remotely in the home using a telehealth platform. Therapy is individualized based on participant-prioritized activities and focuses on repetitive practice of meaningful daily tasks to improve arm and hand function after stroke.
  • Active Comparator: In-person CPASS
    Participants receive 20 hours of therapist-guided upper extremity motor rehabilitation delivered in person in the clinic. Therapy is individualized based on participant-prioritized activities and focuses on repetitive practice of meaningful daily tasks to improve arm and hand function after stroke.

Primary Outcome Measure

Upper Extremity Motor Function (Action Research Arm Test [ARAT]) [ Time Frame: Baseline, 3 months, 6 months, and 12 months ]

Central Contacts

Locations (3)

FacilityCityStateZIPSite coordinators
Rehabilitation Sciences Complex, University of Texas at El Paso, 3333 N Mesa St, El Paso, TX 79902El PasoTexas79902
Shashwati Geed, PhD
[email protected]
915-747-7289
Texas Tech University Health Sciences Center El Paso - Neurology ClinicEl PasoTexas79905
Dr. Paisith Piriyawat, Medical Director, Rehabilitation Services, UMC-EP, MD
[email protected]
915-215-5900
Israel Alba, MBA, CCRP
915-215-4616
University Medical Center of El Paso - Rehabilitation ServicesEl PasoTexas79905
Dr. Paisith Piriyawat, Medical Director, Rehabilitation Services, UMC-EP, MD
[email protected]
915-215-5900

Find similar trials in El Paso, TX

By condition
Stroke
By specialty
NeurologyBrain disorders
By research site
Rehabilitation Sciences Complex, University of Texas at El Paso, 3333 N Mesa St, El Paso, TX 79902· El Paso, TXTexas Tech University Health Sciences Center El Paso - Neurology Clinic· El Paso, TXUniversity Medical Center of El Paso - Rehabilitation Services· El Paso, TX

Related Studies