About this trial
To determine whether the home telerehabilitation therapy is feasible and lessens caregiver burden in chronic stroke patients with and without vascular dementia (VaD)
Eligibility criteria
Qualifiers
Symptomatic ischemic or hemorrhagic stroke verified by computerized axial tomography or magnetic resonance imaging
at least 6 months post stroke
At least some active movement in the affected upper extremity (MRS 1 or more in shoulder elbow or wrist)
Ability to provide informed consent, or LAR able to provide consent
Disqualifiers
Patients with history of severe alcohol or drug abuse, psychiatric illnesses like severe depression, poor motivational capacity, or severe language disturbances, particularly of receptive nature or with serious cognitive deficits (defined as unable to follow study instructions even with help from caregiver).
Patients with bilateral paresis, or weakness or sensory damage due to peripheral causes (e.g. peripheral nerve injury, muscle or orthopedic injury etc.)
Patients with severe uncontrolled medical problems that would render intensive rehabilitation unfeasible or unsafe (e.g. cardiovascular disease, unstable cardiac arrhythmia, severe rheumatoid arthritis, active joint deformity of arthritic origin, active cancer or renal disease, any kind of end-stage pulmonary or cardiovascular disease, or a deteriorated condition due to age, epilepsy or others).
Concurrent participation in other experimental upper extremity rehabilitation trials that would interfere with results.
Trial design
Treatments tested in this trial
- Home telerehabilitation therapy