Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients
Primary Purpose
Stroke, Ischemic, Skill, Social, Occlusion
Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
app based training with conventional therapy
conventional therapy
Sponsored by
About this trial
This is an interventional treatment trial for Stroke, Ischemic focused on measuring Stroke, Ischemic, Skill, Social, Occlusion
Eligibility Criteria
Inclusion Criteria:
- 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
Exclusion Criteria:
- Neurological disorders other than stroke for example multiple sclerosis or Parkinson disease.
- Upper extremities acute orthopaedic conditions.
- Any cardiopulmonary complications
- Medically unstable patients.
Sites / Locations
- Riphah International University
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
app based training with conventional therapy
conventional therapy
Arm Description
In experimental group app based training will be performed along with conventional hand fine motor skills and dexterity therapy.
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)
Outcomes
Primary Outcome Measures
The Nine Hole Peg Test (NHPT)
The Nine Hole Peg Test (NHPT) is designed to quantify finger dexterity with neurological diagnoses patients.
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.
The Box &Block Test (BBT)
The Box &Block Test (BBT) is designed for measuring overall manual dexterity.
hand dynamometer.
Grip strength is assessed using a hand dynamometer.
Secondary Outcome Measures
Full Information
NCT ID
NCT05490797
First Posted
August 4, 2022
Last Updated
November 8, 2022
Sponsor
Riphah International University
1. Study Identification
Unique Protocol Identification Number
NCT05490797
Brief Title
Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients
Official Title
Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients
Study Type
Interventional
2. Study Status
Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
January 1, 2022 (Actual)
Primary Completion Date
August 20, 2022 (Actual)
Study Completion Date
August 20, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
To determine the effects of mobile application dexteria fine motor skills on hand dexterity and grip strength in chronic stroke patients
Detailed Description
This study will be conducted to investigate the effects of mobile applications of dexterity fine motor skills on hand dexterity and grip strength in chronic stroke patients. Data will be collected from Jinnah hospital Lahore and Riphah Rehabilitation center Lahore. All 22 patients will be taken using random sampling. Both study groups will be given common treatment of conventional hand function. The subjects will randomly assign to the experiment group with mobile apps training and the control group without mobile app training. Mobile applications like Dexteria, ScribbleKid, PegLight and Bowling game will be used for the purpose of training and success rate will be considered as outcome measure. Test and tools include the Nine Hole Peg Test (NHPT), the Fugl-Meyer Motor assessment (FMA), The Box & Block Test (BBT), and Grip strength will be assessed using a hand dynamometer. SPSS 25 version will be used for data entry and analysis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stroke, Ischemic, Skill, Social, Occlusion
Keywords
Stroke, Ischemic, Skill, Social, Occlusion
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
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.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
22 (Actual)
8. Arms, Groups, and Interventions
Arm Title
app based training with conventional therapy
Arm Type
Experimental
Arm Description
In experimental group app based training will be performed along with conventional hand fine motor skills and dexterity therapy.
Arm Title
conventional therapy
Arm Type
Active Comparator
Arm Description
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)
Intervention Type
Other
Intervention Name(s)
app based training with conventional therapy
Intervention Description
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.
Intervention Type
Other
Intervention Name(s)
conventional therapy
Intervention Description
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)
Primary Outcome Measure Information:
Title
The Nine Hole Peg Test (NHPT)
Description
The Nine Hole Peg Test (NHPT) is designed to quantify finger dexterity with neurological diagnoses patients.
Time Frame
9 months
Title
Fugl-Meyer Motor assessment (FMA)
Description
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.
Time Frame
9 months
Title
The Box &Block Test (BBT)
Description
The Box &Block Test (BBT) is designed for measuring overall manual dexterity.
Time Frame
9 months
Title
hand dynamometer.
Description
Grip strength is assessed using a hand dynamometer.
Time Frame
9 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
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
Exclusion Criteria:
Neurological disorders other than stroke for example multiple sclerosis or Parkinson disease.
Upper extremities acute orthopaedic conditions.
Any cardiopulmonary complications
Medically unstable patients.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
zeest hashmi, MSNMPT
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Riphah International University
City
Islamabad
State/Province
Fedral
ZIP/Postal Code
44000
Country
Pakistan
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
33422188
Citation
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.
Results Reference
background
PubMed Identifier
34130713
Citation
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.
Results Reference
background
PubMed Identifier
2305400
Citation
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.
Results Reference
background
PubMed Identifier
31648355
Citation
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.
Results Reference
background
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Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients
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