Standard vs Dual-Task Hand-Arm Bimanual Training in Post-Stroke Patients

NCT07578792 | Not Yet Recruiting

• 1 other identifier: Muhammad Umar Butt
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to compare the effects of standard and dual-task-oriented hand-arm bimanual intensive training on cognitive performance, upper limb function, and coordination in post-stroke patients. Stroke often leads to impairments in motor and cognitive functions, limiting independence in daily activities. This randomized controlled trial will include adult stroke patients who will be assigned to two groups: one receiving standard training and the other receiving dual-task-oriented training. The interventions will be provided over eight weeks. Outcomes will be assessed using standardized tools for motor function, coordination, and cognition. The study seeks to determine whether combining cognitive and motor tasks leads to better rehabilitation outcomes compared to standard therapy alone.

Conditions

Stroke

Keywords

Dual TO-HABIT,; Stroke; Bimanual activities; Coordination; Standard HABIT; Upper Extremity

Outcome Measures

Primary Outcomes (1)

• Upper Limb Motor Function

  Upper limb motor function will be assessed using the Fugl-Meyer Assessment for Upper Extremity (FMA-UL), a validated scale evaluating motor recovery, movement control, and coordination in post-stroke patients.

  Baseline, Week 4, and Week 8

Study Arms (2)

Standard HABIT

ACTIVE COMPARATOR

Participants will receive standard hand-arm bimanual intensive training for 8 weeks, with three sessions per week.

Behavioral: Standard HABIT

Dual-Task-Oriented HABIT

EXPERIMENTAL

Participants will receive standard hand-arm bimanual intensive training for the first 4 weeks, followed by dual-task-oriented hand-arm bimanual intensive training for the remaining 4 weeks, with three sessions per week.

Other: Dual-Task-Oriented HABIT

Interventions

Dual-Task-Oriented HABIT OTHER

Participants will receive standard hand-arm bimanual intensive training for the first 4 weeks, followed by dual-task-oriented hand-arm bimanual intensive training for the remaining 4 weeks, with three sessions per week.

Dual-Task-Oriented HABIT

Standard HABIT BEHAVIORAL

Participants will receive standard hand-arm bimanual intensive training for 8 weeks, with three sessions per week.

Standard HABIT

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both male and female' genders.
• Adults aged between 40 and 70 years.
• Clinically diagnosed ischemic or hemorrhagic stroke confirmed by neuroimaging (CT or MRI).
• Modified Ashworth Scale 1, 1+ and 2 will be included.
• Presence of mild to moderate upper limb motor impairment (as defined by Fugl Meyer Assessment score range 23-55 or clinical evaluation).
• Ability to comprehend and follow simple verbal instructions.

You may not qualify if:

• Severe cognitive impairment or expressive/receptive aphasia limiting effective communication. (10)
• Other neurological disorders (e.g., Parkinson's disease) or psychiatric illnesses that could confound results.(11)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sahara Hospital

Narowal, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Ambreen iqbal, phD

  Riphah International University

  STUDY CHAIR

Central Study Contacts

ambreen iqbal, phD

CONTACT

+923227616154; iqbalambreen8@gmail.com

Wajeeha zia, phD

CONTACT

+92323450078; wajeeha.zia@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome assessors will be blinded to group allocation. Due to the nature of the interventions, participants and care providers cannot be masked.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: participants will be assigned to one of two parallel groups: standard hand-arm bimanual intensive training or dual-task-oriented hand-arm bimanual intensive training.

Study Record Dates

• First Submitted: May 5, 2026
• First Posted: May 11, 2026
• Study Start (Estimated): June 1, 2026
• Primary Completion (Estimated): August 6, 2026
• Study Completion (Estimated): August 6, 2026
• Last Updated: May 11, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)