Telerehabilitation robotics for upper limb rehabilitation after stroke (TRUST): a multi-site pragmatic trial protocol - Summary - MDSpire

Telerehabilitation robotics for upper limb rehabilitation after stroke (TRUST): a multi-site pragmatic trial protocol

  • By

  • Ravi Shankar

  • Silvana Xinyi Choo

  • Zhenzhen Chen

  • Christopher Wee Keong Kuah

  • Tegan Kate Plunkett

  • Chwee Yin Ng

  • Sijie Lin

  • Kim Huat Goh

  • Emily Yee

  • Xiaojia Ge

  • Doris Zhang

  • Wei Binh Chong

  • Jaclyn Ai Mei Low

  • Megan Si En Lau

  • Xin Yi Lim

  • Saung Yupar Naing

  • Lian Ting Wong

  • Bernardo Noronha

  • Gabriel Aguirre-Ollinger

  • Asif Hussain

  • Poo Lee Ong

  • Karen Sui Geok Chua

  • May 21, 2026

  • 0 min

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Objective:

To evaluate the feasibility, acceptability, clinical effectiveness, and cost-effectiveness of home-based minimally supervised RAT using a portable planar robot in patients with moderate upper limb impairment following stroke, specifically targeting adults aged 40-80.

Key Findings:
  • Recruitment commenced October 2024 across three Singapore rehabilitation hospitals, with an initial target of 54 participants.
  • Preliminary feasibility testing demonstrates acceptable device usability (85% satisfaction rate) and caregiver support requirements.
Interpretation:

TRUST addresses critical gaps in post-stroke rehabilitation by evaluating a scalable model combining technology-enabled home therapy with remote clinical oversight.

Limitations:
  • The study is limited to a specific demographic in Singapore, which may affect generalizability to other populations.
  • The reliance on caregiver supervision may introduce variability in intervention delivery, potentially impacting outcomes.
Conclusion:

Results will inform implementation strategies for integrating home-RAT into standard care pathways.

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