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Teleassessment of Gait and Balance After Stroke: Bridging Gaps in Rehabilitation Access

Award Number: R01HD122888
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/09/2026
PERIOD OF PERFORMANCE END DATE: 06/30/2031

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Teleassessment of Gait and Balance After Stroke: Bridging Gaps in Rehabilitation Access - PROJECT ABSTRACT Stroke is a leading cause of long-term disability, and over 75% of survivors experience persistent gait and balance impairments that restrict independence and increase fall risk. Access to effective rehabilitation is often limited, particularly in rural and underserved communities, where geographic, socioeconomic, and logistical barriers exacerbate health disparities. The rapid expansion of telehealth offers new opportunities to improve post-stroke care, yet a critical barrier to progress is the lack of validated, scalable remote assessment tools for gait and balance. This multi-center R01 study will address this gap by establishing and validating simple, safe, and reliable teleassessment protocols for stroke survivors. Building on our pilot data demonstrating the feasibility and validity of remote lower-limb functional tests, we will recruit 200 community-dwelling stroke survivors across two geographically and clinically distinct sites. Participants will complete standardized assessments of gait and balance both remotely and in person, enabling rigorous evaluation of psychometric properties (validity, reliability) and feasibility under real-world home conditions. Complementary surveys and interviews will capture patient and clinician perspectives, guided by implementation science frameworks, to identify barriers and facilitators for adoption in clinical practice. The study has three specific aims: (1) to demonstrate the safety, feasibility, and acceptability of remote assessments for gait and balance in stroke survivors; (2) to establish the validity and reliability of remote assessments compared with in-person testing; and (3) to examine clinician perspectives on the clinical utility and implementation of these tools. By generating robust evidence for remote assessment methods, this project will advance digital health innovation in stroke rehabilitation, expand access to evidence-based rehabilitation for medically and geographically underserved populations, and provide the necessary foundation for future multi-site telehealth interventions and pragmatic clinical trials. Ultimately, this work will help reduce disability, improve independence, and enhance quality of life for stroke survivors nationwide.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2027 ( Subtotal = $0 )
2027	2026	UNIVERSITY OF ILLINOIS	809 S MARSHFIELD AVE M/C 551	CHICAGO	IL	60612	COOK	USA	Child Health and Human Development Extramural Research	000	1	10/14/2026	NEW	$0
														Subtotal = $0

Issue Date FY: 2026 ( Subtotal = $643,933 )
2026	2026	UNIVERSITY OF ILLINOIS	809 S MARSHFIELD AVE M/C 551	CHICAGO	IL	60612	COOK	USA	Child Health and Human Development Extramural Research	000	1	9/8/2026	NEW	$643,933
														Subtotal = $643,933

Grand Total All Awards = $643,933

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Teleassessment of Gait and Balance After Stroke: Bridging Gaps in Rehabilitation Access

Award Number: R01HD122888

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/09/2026

PERIOD OF PERFORMANCE END DATE: 06/30/2031

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