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RecruitingNCT07826832MLAS6Updated Sep 17, 2026

Unimanual Versus Bimanual Motor Skill Learning in Acute and Chronic Stroke

An interventional study of REAplan® and Dextrain® Manipulandum in Acute Stroke, Chronic Stroke Patient and Healthy Individuals (Controls), sponsored by University Hospital of Mont-Godinne. Recruiting at 1 site in Belgium. Open to participants aged 40 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by University Hospital of Mont-Godinne · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled May 2026, registered Sep 2026).
  • Started May 2026; still recruiting 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
40 Years to 90 Years
Sex
All
01

Study summary

To test the capacity of healthy individuals, chronic and acute stroke patients to learn and retain a complex unimanual or bimanual motor skill, trained on the neurorehabiliation robot REAplan® et the Dextrain® device. The goals are (1) to compare head-to-head bimanual versus unimanual motor learning (in the proximal and distal upper limb, UL) during the acute - early subactue stage of stroke with robotics and (2) to identify the neural substrates associated with (and deficits in) unimanual versus bimanual motor control (proximal and distal) after stroke by means of multimodal brain imaging.

Read the detailed description

Over 3 consecutive days, healthy individuals, acute and chronic stroke patients (1) will be evaluated and (2) will train on the neurorehabiliation robot REAplan® and Dextrain® device.

They will practice a task on the robot REAplan® (unimanual or bimanual version), requiring movements with the affected arm (unimanual version) and complex, coordinated movements with both arms (bimanual version). They will practice another task on the Dextrain® device, also in unimanual and bimanual version.

In addition, several standardized clinical scales and tests will be used to evaluate overall motor-sensory-cognitive functions (clinical tests, questionnaires, ...)

02

Conditions studied

  • Acute Stroke
  • Chronic Stroke Patient
  • Healthy Individuals (Controls)
  • Stroke (Subacute)

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Keywords

  • Motor Skill Learning
  • Upper Limb
  • Acute Stroke
  • Chronic Stroke
  • Rehabilitation
  • Subacute stroke
  • Robotics
  • MRI
03

In context

Stroke

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

This study's planned enrollment of 200 is above the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

University Hospital of Mont-Godinne is the lead sponsor of 24 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

STROKE PATIENTS

Inclusion Criteria:

  • acute stroke (between day 2 and day 21 post-stroke) or chronic stroke (>6 mois)
  • aged 40-90 years
  • with a single demonstrated stroke (ischemic or hemorrhagic) lesion on brain imaging

Exclusion Criteria:

  • [for acute paitents] "classical" contre-indication to MRI (non-MR-compatible pacemaker, pregnancy, non-MR-compatible implanted devices, claustrophobia, etc ...)
  • difficulty in understanding or executing commands
  • drug/alcohol abuse
  • severe aphasia/cognitive deficits interfering with study
  • inability to complete the tasks (i.e. full paralysis of the arm)
  • multiple stroke/dementia/psychiatric condition

HEALTHY INDIVIDUALS

Inclusion Criteria:

  • 40-90 years

Exclusion Criteria:

  • "classical" contre-indication to MRI (non-MR-compatible pacemaker, pregnancy, non-MR-compatible implanted devices, claustrophobia, etc ...)
  • medical history with a previous stroke/relevant neurological deficit
  • drug/alcohol abuse
  • psychiatric condition/dementia
  • having already used the robotic devices
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Bimanual tasks

    Training on the REAplan® robot with a serious game based on proximal motor skill learning (MSkL) with the bimanual version of the Circuit task and training on the Dextrain® Manipulandum with a serious game based on the distal MSkL with a bimanual version of the Targeting task.

    Device: REAplan® · Device: Dextrain® Manipulandum

  • Experimental
    Unimanual tasks

    Training on the REAplan® robot with a serious game based on proximal motor skill learning (MSkL) with the unimanual version of the Circuit task and training on the Dextrain® Manipulandum with a serious game based on the distal MSkL with a unimanual version of the Targeting task.

    Device: REAplan® · Device: Dextrain® Manipulandum

Interventions

  • DeviceREAplan®

    motor skill learning with the REAplan® rehabilitation robot, to be performed with one or two arms

  • DeviceDextrain® Manipulandum

    motor skill learning with the Dextrain® Manipulandum dexterity tool to be performed with on or two hands

06

What researchers measure

Primary outcomes

  1. Unimanual/bimanual Speed/Accuracy Trade-off (SAT/bi-SAT) measured by the REAplan® robot

    Unimanual/bimanual Speed/Accuracy Trade-off: mathematical computation of the relationship between speed and accuracy, in arbitrary units (SAT = speed (cm/s)/error (cm²).C, where C=1cm.s)

    Time frame: Change between baseline (Day 1) and after training (Day 3) and transfer from Day 3 to Day 1 on the untrained mode

  2. bimanual Coordination factor (bi-CO) measured by the REAplan® robot

    bimanual Coordination factor, mathematical measure of the phase coherence between speeds of both arms

    Time frame: change between baseline (Day 1) and after training (Day 3)

  3. bi-Force, bimanual force measured by the REAplan® robot

    bimanual forces, forces exerted in the wrong direction by each arm (Newtons)

    Time frame: change between baseline (Day 1) and after training (Day 3)

  4. Root Mean Square Error (RMSE), bimanual root mean square error measured by the Dextrain® Manipulandum

    tracking error between the optimal trajectory between 2 targets and the actual trajectory

    Time frame: change between baseline (Day 1) and after training (Day 3) and transfer between Day 3 and Day 1 on the untrained mode

  5. bimanual Coordination factor (bi-CO) measured by the Dextrain(R) Manipulandum

    bimanual Coordination factor, mathematical measure of the phase coherence between speeds of both hands

    Time frame: change between baseline (Day 1) and after training (Day 3)

  6. Hold time measured by the Dextrain® Manipulandum

    The amount of time the cursor remains inside the target zone

    Time frame: change between baseline (Day 1) and after training (Day 3) and transfer between Day 3 and Day 1 on the untrained mode

Secondary outcomes

  1. Coactivation measured by the Dextrain Manipulandum

    binary measure of unasked fingers activated above the force threshold

    Time frame: change between baseline (Day 1) and after training (Day 3) and transfer between Day 3 and Day 1 on the untrained mode

  2. Voxel-based Lesion Symptom Mapping (VLSM)

    Diffusion Weighted Imaging (DWI)

    Time frame: Baseline

  3. Diffusion Tensor Imaging (DTI)

    Fractional Anisotrophy, Mean/Axial/Radial Diffusivity

    Time frame: Baseline

  4. Fugl Meyer Upper Extremity (FMA-UE)

    Tests impairments of the upper limb after stroke. Range: 0-66. A higher score means less impairment

    Time frame: Day1

  5. Box and Block test

    Measures unilateral gross dexterity by moving as many small wooden blocks as possible from one side to the other side of the box within 60 seconds. The task is performed seperately with each hand. Score range: 0-150 for each hand. The score corresponds to the number of blocks successfully transferred in one minute. A higher score indicates better gross manual dexterity and upper-limb function.

    Time frame: Day1

  6. Purdue Pegboard Test

    Measures the fingertip dexterity and gross movement of the hand, fingers and arm. 4 different subtasks

    Time frame: Day1

  7. Oxford Cognitive Screen

    A first-line, stroke-specific and domain-specific cognitive screening tool, inclusive for patients with aphasia and neglect. Domains assessed: Language, Praxis, Number, Memory, Spatial and Controlled Attention. It provides a cognitive profile showing both preserved and impaired abilities

    Time frame: Day2

  8. Key WAIS IV

    A paper-pen test to asses processing speed and working memory.

    Time frame: Day2

  9. Fatigue Visual Analog Scale

    A psychometric response scale which can be used in questionnaires. It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. When responding to a VAS item, respondents specify their level of agreement to a statement by indicating a position along a continuous line between two end-points. Range : 0- 10. A higher score means a higher level of fatigue.

    Time frame: Every days, mean of the three days

  10. Shoulder Abduction Finger Extension (SAFE) test

    A prognostic determinant of the function of the hemiparetic upper limb (UL) after a stroke. For each of the 2 subitems, the range is 0-5. A score of 5 means normal power. A score of 0 means no contraction possible.

    Time frame: Day 1

  11. Modified Ashworth Scale (mAS)

    clinical measure of spasticity. For each of the 8 subitems, the range is 0-4. A higher score means a higher level of spasticity

    Time frame: Day 1

  12. Intrinsic Motivation Inventory

    The Intrinsic Motivation Inventory (IMI) is a multidimensional measurement device intended to assess participants' subjective experience related to a target activity in laboratory experiments

    Time frame: Day 3

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Data Management Plan REDCap

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: The data will become available during the beginning of the study and for 10 years.

Access criteria: Login user of the Hospital of CHU UCL Namur - Site Godinne

No publications or documents are linked to this record.

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

Started May 2026 (actual). Primary completion is estimated for Dec 2028, 31 months after the start.

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 planned 31 months is above 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
Sep 8, 2026
First posted
Sep 17, 2026
StartActual
May 18, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2031
Last update
Sep 17, 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 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07826832
Lead sponsor
University Hospital of Mont-Godinne
Responsible party
Pr Yves Vandermeeren, MD, PhD (MD, PhD, Neurologist, Principal Investigator, Clinical Professor, University Hospital of Mont-Godinne) — Principal investigator
First posted
Sep 17, 2026
Start date
May 18, 2026
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2031 (estimated)
Last update
Sep 17, 2026

Study contacts

Yves Vandermeeren, MD, PhD
Contact
yves.vandermereen@uclouvain.be
+32 (0)81 42 33 21
Laura Santelé, MSc
Contact
laura.santele@uclouvain.be
+32 (0)81 42 34 91
Yves Vandermeeren, MD, PhD
principal investigator · UCLouvain IoNS

Oversight

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

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