Incentive Training Role in Treatment of Hand Dexterity in Patients With Stroke

NCT07027787 | Completed DMC

• 1 other identifier: Hand dexterity
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Attention and hand dexterity are interdependent, with deficits in one often worsening the other. Post-stroke, reduced attention impairs hand dexterity, hindering daily activities, while poor hand function further limits attentional focus. Despite progress in rehabilitation, strategies addressing both remain limited. Purpose: This study explored the impact of incentive-based attention training on hand dexterity in stroke patients.

Conditions

Stroke

Keywords

Incentive training; Attention; Hand dexterity; stroke

Outcome Measures

Primary Outcomes (2)

• Hand dexterity assessment using the Purdue Pegboard Test (PPBT)

  The Purdue Pegboard Test (PPBT) is a timed neuropsychological assessment used to evaluate fine motor skills, finger dexterity, and bimanual coordination by measuring how quickly a person can place small pegs into holes using one or both hands.

  8 Weeks

• Hand grip dynamometer (JAMAR)

  The JAMAR hand dynamometer is a reliable and widely used tool for measuring grip strength, featuring a peak-hold needle and adjustable handle settings to accommodate different hand sizes and ensure consistent, accurate readings.

  8 weeks

Secondary Outcomes (2)

• Rehacom system

  8 Weeks

• The Mindful Attention Awareness Scale (MAAS)( 6 is high 6 , 1 is low)

  8 Weeks

Study Arms (2)

Standard Physical Therapy for Hand Dexterity in Stroke Patients

ACTIVE COMPARATOR

Standard physical therapy program for stroke patients targeting hand dexterity. Conducted 3 times/week for 8 weeks (60 min/session), exercises included wrist and forearm movements, object manipulation, ball gripping, and putty-based hand strengthening.

Behavioral: Standard Physical Therapy for Hand Dexterity in Stroke Patients

Rehacom Attention Training + Physical Therapy

ACTIVE COMPARATOR

Combined intervention: 30 minutes of computerized attention training using the Rehacom system, followed by 30 minutes of standard hand dexterity physical therapy. Conducted 3 times/week for 8 weeks. Rehacom provided task-based cognitive training with visual, auditory, and performance feedback in a controlled lab setting.

Behavioral: Rehacom Attention Training + Physical Therapy

Interventions

Standard Physical Therapy for Hand Dexterity in Stroke Patients BEHAVIORAL

Standard physical therapy program for stroke patients targeting hand dexterity. Conducted 3 times/week for 8 weeks (60 min/session), exercises included wrist and forearm movements, object manipulation, ball gripping, and putty-based hand strengthening.

Standard Physical Therapy for Hand Dexterity in Stroke Patients

Rehacom Attention Training + Physical Therapy BEHAVIORAL

Combined intervention: 30 minutes of computerized attention training using the Rehacom system, followed by 30 minutes of standard hand dexterity physical therapy. Conducted 3 times/week for 8 weeks. Rehacom provided task-based cognitive training with visual, auditory, and performance feedback in a controlled lab setting.

Rehacom Attention Training + Physical Therapy

Eligibility Criteria

• Age: 45 Years - 60 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• ) Male patients diagnosed with chronic hemorrhagic infarction stroke
• ) Stroke diagnosis confirmed through CT or MRI scans
• ) Referred by a neurologist or neurosurgeon
• ) Right-handed
• ) Aged between 45 and 60 years
• ) Stroke duration ranging from 6 months to 1 year
• ) Mini-Mental State Examination (MMSE) score of 24 or higher
• ) Montreal Cognitive Assessment (MoCA) score above 21, indicating no significant cognitive impairment
• ) Mild spasticity (Grade 1 or 1+ on the Modified Ashworth Scale)
• ) Brunnstrom's Stage 4 or 5 of recovery

You may not qualify if:

• ) Unstable medical conditions (e.g., diabetes mellitus or hypertension)
• ) Language deficits that could impair cooperation
• ) Blindness or deafness
• ) Severe cognitive impairments affecting task performance
• ) Presence of brain tumors

Sponsors & Collaborators

• South Valley University: lead
• Princess Nourah Bint Abdulrahman University: collaborator
• Keele University: collaborator
• Cairo University: collaborator
• Queen Margaret University: collaborator
• Delta University for Science and Technology: collaborator
• Misr University for Science and Technology: collaborator

Study Sites (1)

Cairo University Faculty of Physical Therapy

Cairo, Cairo Governorate, 11262, Egypt

Location

MeSH Terms

Conditions

Stroke

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Reem M Alwhaibi, master

  College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: researcher

Study Record Dates

• First Submitted: June 16, 2025
• First Posted: June 19, 2025
• Study Start: May 1, 2023
• Primary Completion: March 31, 2024
• Study Completion: March 31, 2024
• Last Updated: June 19, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: after 1 month for 12 months
• Access Criteria: will upload it to the journal of publication

Locations

EG (1)