ClinicalTrials.gg
CompletedNCT07760090Updated Sep 1, 2026

Motor Imagery Added to Robot-Assisted Hand Rehabilitation After Stroke

An interventional study of Robot-assisted hand rehabilitation and Motor imagery training in Stroke, Hemiparesis and Activities of Daily Living, sponsored by Uskudar University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by Uskudar University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 484 studies in Stroke with a site in Turkey — 95 open to participants now, 107 under way, 3 of them phase 3. Stroke · Turkey.

Enrollment
150th of 320
40 · median 40
Started
2026
with 60 others
No phase
291 of 484
57 open now
Registered
470th of 484
by date

Among the 484 studies in Stroke with a site in Turkey, this one is the 150th largest by enrollment of the 320 interventional ones that give a count, is one of 61 that started in 2026, is one of 291 with no phase, and was the 470th registered.

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's enrollment of 40 is below the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Open to participants now

95 of the 484 studies in Stroke with a site in Turkey are open now, in 12 countries. Each count lists the studies.

All 95 open studies →

Who these studies take

Of the 1,415 Stroke studies recruiting now, 697 (49%) set no upper age limit and 280 (20%) stop at 75 or younger; 77 take children under 18; 196 take healthy volunteers.

This study: 18 Years to 60 Years · all sexes · no healthy volunteers.

The full table on the hub →
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02

Study summary

Loss of upper extremity and particularly hand function after stroke reduces independence in daily activities such as eating, dressing, and personal care. Robot-assisted hand rehabilitation provides repetitive, intensive, and task-oriented practice that supports motor learning, dexterity, and functional hand use. Motor imagery, the mental rehearsal of a movement without physically performing it, is thought to activate motor-related brain networks and to support motor learning and neuroplasticity. Evidence on the added value of combining motor imagery with robot-assisted hand rehabilitation for activities of daily living is limited. This randomized controlled trial will investigate whether motor imagery training added to robot-assisted hand rehabilitation produces greater improvement in activities of daily living than robot-assisted hand rehabilitation alone in individuals with stroke. Forty participants will be randomly allocated to an experimental group (robot-assisted hand rehabilitation plus motor imagery, n=20) or a control group (robot-assisted hand rehabilitation alone, n=20). Both groups will receive the same dose of robot-assisted hand rehabilitation with a soft robotic hand rehabilitation glove, three days per week for six weeks. Outcomes will be assessed at baseline and after the six-week program.

Read the detailed description

Design and setting This is a two-arm, parallel-group randomized controlled trial conducted at NRL Physical Therapy Medical Center. Institutional permission for the study site has been obtained.

Participants Forty individuals aged 18 years or older with a diagnosis of stroke and impairment of upper extremity and hand function will be enrolled. Written informed consent will be obtained from all participants before any study procedure. Randomization Participants will be allocated 1:1 to the experimental or the control group using a sealed envelope method, resulting in 20 participants per group. Interventions Both groups will receive robot-assisted hand rehabilitation delivered with a soft robotic hand rehabilitation glove (Syrebo). Sessions will be individual, supervised by a physiotherapist, delivered three days per week for six weeks, and will last approximately 40 to 60 minutes each. In addition to robot-assisted hand rehabilitation, participants in the experimental group will perform motor imagery training, in which they will be asked to mentally rehearse hand opening and closing, grasping, object holding, and hand movements used in daily life before physically performing them. Verbal guidance will be provided during motor imagery when needed. The control group will not receive motor imagery training. Attendance will be monitored by the investigator using a session log. Sessions will be terminated in case of pain, excessive fatigue, discomfort, or if the participant does not wish to continue. Outcome assessment Assessments will be performed before the start of the intervention program and repeated after the six-week program is completed. A sociodemographic and clinical information form will record age, sex, education, marital status, occupation, time since stroke, affected side, hand dominance, comorbidities, medications, and previous rehabilitation. Independence in activities of daily living will be assessed with the Barthel Index, hand function related activity limitation with the Duruoz Hand Index, gross manual dexterity with the Box and Block Test, and spasticity of the wrist and finger flexors with the Modified Ashworth Scale. Variables The independent variable is the rehabilitation program (robot-assisted hand rehabilitation alone versus robot-assisted hand rehabilitation plus motor imagery). The dependent variables are the Barthel Index score, the Duruoz Hand Index score, the Box and Block Test score, and the Modified Ashworth Scale grade. Statistical analysis Data will be analysed with SPSS version 23.0. Descriptive statistics will be presented as mean, standard deviation, frequency, and percentage. A p value below 0.05 will be considered statistically significant. Sample size and effect size calculations were performed with G*Power. Ethics and data protection Personal information will be kept confidential, data will be recorded in coded form, and will be used for scientific purposes only. Participants may withdraw at any time. No blood sampling, drug administration, or surgical procedure will be performed.

03

Conditions studied

  • Stroke
  • Hemiparesis
  • Activities of Daily Living

Browse trials for

Keywords

  • motor imagery
  • mental practice
  • robot-assisted rehabilitation
04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged 18 years or older
  • Diagnosis of stroke
  • Impairment of upper extremity function, particularly hand function
  • Modified Ashworth Scale grade of 2 or below in the wrist and finger flexors
  • Hand and finger range of motion sufficient for safe application of the robotic hand rehabilitation glove
  • Attention and cooperation sufficient to participate in motor imagery training

Exclusion criteria

Exclusion Criteria:

  • Severe cognitive, visual, or hearing impairment
  • Additional neurological or orthopaedic disease affecting the upper extremity
  • Modified Ashworth Scale grade above 2 in the wrist and finger flexors
  • Marked contracture, advanced joint restriction, or pain preventing the intervention
  • Skin problems, open wounds, or infection preventing the use of the robotic hand rehabilitation glove
  • Inability to attend the intervention program regularly
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Robot-assisted hand rehabilitation plus motor imagery

    Participants receive robot-assisted hand rehabilitation with a soft robotic hand rehabilitation glove, three days per week for six weeks, 40 to 60 minutes per session, plus motor imagery training in which they mentally rehearse hand opening and closing, grasping, object holding, and hand movements used in daily life before physically performing them. Verbal guidance is provided when needed.

    Other: Robot-assisted hand rehabilitation · Behavioral: Motor imagery training

  • Active comparator
    Robot-assisted hand rehabilitation alone

    Participants receive robot-assisted hand rehabilitation with a soft robotic hand rehabilitation glove at the same frequency, duration, and session length as the experimental group, three days per week for six weeks, 40 to 60 minutes per session, without motor imagery training.

    Other: Robot-assisted hand rehabilitation

Interventions

  • OtherRobot-assisted hand rehabilitation

    Individual, physiotherapist-supervised robot-assisted hand rehabilitation delivered with a soft robotic hand rehabilitation glove (Syrebo), providing repetitive task-oriented hand opening, closing, and grasping practice. Three sessions per week for six weeks, approximately 40 to 60 minutes per session.

  • BehavioralMotor imagery training

    Mental rehearsal of hand opening and closing, grasping, object holding, and hand movements used in daily life, performed before the corresponding physical movement, with verbal guidance when needed. Delivered in the same sessions as robot-assisted hand rehabilitation, three days per week for six weeks.

06

What researchers measure

Primary outcomes

  1. Change in independence in activities of daily living (Barthel Index)

    The Barthel Index assesses independence in basic activities of daily living including feeding, bathing, grooming, dressing, toilet use, transfers, walking, stair climbing, and bladder and bowel control. Total score ranges from 0 to 100. Higher scores indicate greater independence.

    Time frame: Baseline and after the six-week intervention program (week 6)

07

Study locations

1 site
  • NRL Medical Center
    Istanbul, Turkey (Türkiye)
08

References and documents

Publications

  • Lambert KJ, Hoar C, Houle J, Motley C, Ball N, Leung AW. Motor imagery as an intervention to improve activities of daily living post-stroke: A systematic review of randomized controlled trials. Br J Occup Ther. 2023 May;86(5):335-348. doi: 10.1177/03080226221145441. Epub 2023 Feb 7. PubMed 40336516 ↗
  • Mehrholz J, Pohl M, Platz T, Kugler J, Elsner B. Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. Cochrane Database Syst Rev. 2018 Sep 3;9(9):CD006876. doi: 10.1002/14651858.CD006876.pub5. PubMed 30175845 ↗
  • Ietswaart M, Johnston M, Dijkerman HC, Joice S, Scott CL, MacWalter RS, Hamilton SJ. Mental practice with motor imagery in stroke recovery: randomized controlled trial of efficacy. Brain. 2011 May;134(Pt 5):1373-86. doi: 10.1093/brain/awr077. Epub 2011 Apr 22. PubMed 21515905 ↗

Individual participant data

Plan to share: No — Individual participant data will not be made publicly available. De-identified data supporting the findings may be made available from the corresponding author on reasonable request, subject to institutional approval.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2026 to primary completion in Aug 2026, 1 month.

Of 3,108 non-industry interventional studies with no phase under Stroke, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's 1 month is below that.

Counting every sponsor, half of 3,252 studies reached it within 23 months; a quarter within 10 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 7, 2026
First posted
Aug 12, 2026
StartActual
Jun 30, 2026
Primary completionActual
Aug 15, 2026
CompletionActual
Aug 31, 2026
Last update
Sep 1, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07760090
Lead sponsor
Uskudar University
Responsible party
Doç.Dr.Ömer Şevgin (Associate Professor, Uskudar University) — Principal investigator
First posted
Aug 12, 2026
Start date
Jun 30, 2026
Primary completion
Aug 15, 2026
Completion
Aug 31, 2026
Last update
Sep 1, 2026

Study contacts

Seda Kabak
study chair · Üsküdar University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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