Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

MiGo Tracker: Seamless Remote Therapeutic Monitoring of Exercise Adherence After Stroke

Award Number: R44AG090216
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/25/2024
PERIOD OF PERFORMANCE END DATE: 08/31/2027

Group Awards By:

View Award Description

MiGo Tracker: Seamless Remote Therapeutic Monitoring of Exercise Adherence After Stroke - One in four people will experience a stroke, with 50-70% experiencing chronic movement impairment. While intensive rehabilitation exercise reduces movement impairment, most individuals do not receive enough therapy during in-clinic visits to recover to their full potential and therapists routinely prescribe home exercise programs to supplement in-clinic therapy. However, individuals struggle to adhere to these prescribed programs. Thus, deploying strategies that promote adherence with prescribed home exercise is critical for maximizing recovery in individuals post stroke, especially during the heightened period of neuroplasticity early after stroke. In 2022, Medicare released 5 new reimbursement codes for Remote Therapeutic Monitoring or RTM. These RTM codes can be billed by physical and occupational therapists for remotely monitoring adherence to a home exercise program. These RTM codes thus represent a key opportunity for therapists to interface with their patients at home and encourage improved adherence to home exercises in a cost-effective way. However, there has been relatively low uptake of these new codes due to a lack of enabling technologies that address real-world implementation barriers. Recognizing this critical gap, we began developing MiGo Tracker, the first FDA-listed, wrist-worn exercise sensor that can be used to seamlessly implement RTM in routine post-stroke care. MiGo Tracker monitors adherence for any at-home exercise modality therapists already use (e.g. digital home exercise programs, printed handouts, or videos recorded on patients’ phones; users simply don the MiGo Tracker before exercising and remove it when they are done). Then, MiGo Tracker uploads the data via a proprietary Bluetooth- cellular Gateway without any interaction with a user (i.e. no smartphone app or internet access is required). Therapists can review MiGo Tracker data and document their interactions with patients on a custom, easy-to-use RTM dashboard, which will include tools for electronic health record (EHR) integration and billing documentation to receive reimbursement. We believe that an RTM program that uses MiGo Tracker will readily integrate with current rehabilitation workflows, enabling useful, data-driven remote interactions between therapists and patients that will lead to improved recovery outcomes. Our primary objectives for this Direct to Phase II project are: Aim 1) Complete MiGo Tracker firmware development based on end-user feedback; Aim 2) Complete online HIPAA-compliant RTM dashboard; Aim 3) Determine the safety and effectiveness of a MiGo Tracker RTM program in a randomized controlled trial with individuals with subacute stroke (N=50). We hypothesize that the participants in the MiGo Tracker RTM group will have significantly higher FM Scores by a clinically meaningful amount at three-months post stroke than the usual care group. If successful, MiGo Tracker will lead to increased home exercise adherence and improved health outcomes for thousands of individuals following stroke.


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: 2026 ( Subtotal = $0 )
2026	2025	FLINT REHABILITATION DEVICES, LLC	18023 SKY PARK CIR STE H2	IRVINE	CA	92614	ORANGE	USA	Aging Research	000	2	6/3/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $1,071,097 )
2025	2025	FLINT REHABILITATION DEVICES, LLC	18023 SKY PARK CIR STE H2	IRVINE	CA	92614	ORANGE	USA	Aging Research	001	2	8/11/2025	NON-COMPETING CONTINUATION	$1,071,097
2025	2024	FLINT REHABILITATION DEVICES, LLC	18023 SKY PARK CIR STE H2	IRVINE	CA	92614	ORANGE	USA	Aging Research	000	1	4/18/2025	NEW	$0
														Subtotal = $1,071,097

Issue Date FY: 2024 ( Subtotal = $950,785 )
2024	2024	FLINT REHABILITATION DEVICES, LLC	18023 SKY PARK CIR STE H2	IRVINE	CA	92614	ORANGE	USA	Aging Research	000	1	9/24/2024	NEW	$950,785
														Subtotal = $950,785

Grand Total All Awards = $2,021,882

Top

All Categories

About

Search

Reports

Data Submission

Award Information

MiGo Tracker: Seamless Remote Therapeutic Monitoring of Exercise Adherence After Stroke

Award Number: R44AG090216

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 09/25/2024

PERIOD OF PERFORMANCE END DATE: 08/31/2027

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer