Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients

NCT05490797 | Completed

• 1 other identifier: REC/RCR & AHS/21/0255
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the effects of mobile application dexteria fine motor skills on hand dexterity and grip strength in chronic stroke patients

Conditions

Stroke, Ischemic; Skill, Social; Occlusion

Keywords

Stroke, Ischemic; Skill, Social; Occlusion

Outcome Measures

Primary Outcomes (4)

• The Nine Hole Peg Test (NHPT)

  The Nine Hole Peg Test (NHPT) is designed to quantify finger dexterity with neurological diagnoses patients.

  9 months

• Fugl-Meyer Motor assessment (FMA)

  Fugl-Meyer Motor assessment (FMA) is specific for post stroke performance based on impairment index. This is specific for quantification of balance and motor functioning.

  9 months

• The Box &Block Test (BBT)

  The Box \&Block Test (BBT) is designed for measuring overall manual dexterity.

  9 months

• hand dynamometer.

  Grip strength is assessed using a hand dynamometer.

  9 months

Study Arms (2)

app based training with conventional therapy

EXPERIMENTAL

In experimental group app based training will be performed along with conventional hand fine motor skills and dexterity therapy.

Other: app based training with conventional therapy

conventional therapy

ACTIVE COMPARATOR

The control group will receive conventional hand function rehabilitation therapy including, strengthening exercises which consist of palm down wrist flexion exercise, dexterity( shifting exercise) and fine motor skills(nine peg hole exercise)

Other: conventional therapy

Interventions

app based training with conventional therapy OTHER

The experimental group will receive an additional mobile application therapy including , dexterity fine motor skills, bowling game, scribble game and peglight game in addition to the conventional therapy for hand function.

app based training with conventional therapy

conventional therapy OTHER

conventional hand function rehabilitation therapy including, strengthening exercises which consist of palm down wrist flexion exercise, dexterity( shifting exercise) and fine motor skills(nine peg hole exercise)

conventional therapy

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Six months to 2 years post stroke
• Participants must be able to open and close their fingers (even only 2 cm of movement)
• Before stroke there must be fully functional hand
• Normal or intact vision

You may not qualify if:

• Neurological disorders other than stroke for example multiple sclerosis or Parkinson disease.
• Upper extremities acute orthopaedic conditions.
• Any cardiopulmonary complications
• Medically unstable patients.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Fedral, 44000, Pakistan

Location

Related Publications (4)

• Lanas F, Seron P. Facing the stroke burden worldwide. Lancet Glob Health. 2021 Mar;9(3):e235-e236. doi: 10.1016/S2214-109X(20)30520-9. Epub 2021 Jan 7. No abstract available.

  PMID: 33422188 BACKGROUND

• Doumas I, Everard G, Dehem S, Lejeune T. Serious games for upper limb rehabilitation after stroke: a meta-analysis. J Neuroeng Rehabil. 2021 Jun 15;18(1):100. doi: 10.1186/s12984-021-00889-1.

  PMID: 34130713 BACKGROUND

• Olsen TS. Arm and leg paresis as outcome predictors in stroke rehabilitation. Stroke. 1990 Feb;21(2):247-51. doi: 10.1161/01.str.21.2.247.

  PMID: 2305400 BACKGROUND

• Jensen M, Thomalla G. Causes and Secondary Prevention of Acute Ischemic Stroke in Adults. Hamostaseologie. 2020 Feb;40(1):22-30. doi: 10.1055/s-0039-1700502. Epub 2019 Oct 24.

  PMID: 31648355 BACKGROUND

MeSH Terms

Conditions

Ischemic Stroke; Social Skills; Bites and Stings

Condition Hierarchy (Ancestors)

Stroke; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Social Behavior; Behavior; Poisoning; Chemically-Induced Disorders; Wounds and Injuries

Study Officials

• zeest hashmi, MSNMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: total 22 participants will be enrolled. In experimental group app based training will be performed along with conventional hand fine motor skills and dexterity therapy. Conventional hand therapy will be given to the second group.

Study Record Dates

• First Submitted: August 4, 2022
• First Posted: August 8, 2022
• Study Start: January 1, 2022
• Primary Completion: August 20, 2022
• Study Completion: August 20, 2022
• Last Updated: November 9, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)