IMPACT OF COMPUTERIZED GLOVE ON FACILITATING HAND FUNCTION RECOVERY AND NEURAL PLASTICITY IN STROKE

NCT ID: NCT06520748

Last Updated: 2024-07-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-10-05
• Study Completion Date: 2024-04-03

Brief Summary

Hand impairment post-stroke is a common condition that contributes to disability around the world. An effective intervention is required to optimize functional outcomes in the rehabilitation of hand-in-stroke patients.

Detailed Description

Thirty male/female stroke patients in the sub-acute phase were randomly assigned in to the two groups (study and control) in sets of three. The study group (A) (n = 15) underwent a hand rehabilitation program using the computerized glove combined with the selected hand program. The control group (B) (n = 15) received only the selected hand program. The treatment schedules for 18 consecutive treatment sessions, three times per week.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Study Group

underwent a hand rehabilitation program using the computerized glove combined with the selected hand program

Group Type: EXPERIMENTAL

Hand rehabilitation program using the computerized glove

Intervention Type: OTHER

The patient extended finger to reach from grey to green to red colour and heard the beep providing knowledge of result (KR), whereas the increase of range of finger extension reached every session provides knowledge of performance (KP). As the patient's performance improved, the range of their finger's movement will also be increased due to the augmented feedback provided to the patient and the therapist through the glove software

Selected hand program

Intervention Type: OTHER

Distal key point of Bobath, approximation of affected arm, to control spasticity of wrist/ finger flexor (5 minutes). Dynamic splint to facilitate wrist and finger extension (10 repeat\*5 sets). Passive range of motion exercise (10 repeat\*5 sets) for each joint. Mud exercise (spherical, clyndrical , hook). Thera band exercises.

Control Group

received only the selected hand program

Group Type: EXPERIMENTAL

Selected hand program

Intervention Type: OTHER

Distal key point of Bobath, approximation of affected arm, to control spasticity of wrist/ finger flexor (5 minutes). Dynamic splint to facilitate wrist and finger extension (10 repeat\*5 sets). Passive range of motion exercise (10 repeat\*5 sets) for each joint. Mud exercise (spherical, clyndrical , hook). Thera band exercises.

Interventions

Hand rehabilitation program using the computerized glove

The patient extended finger to reach from grey to green to red colour and heard the beep providing knowledge of result (KR), whereas the increase of range of finger extension reached every session provides knowledge of performance (KP). As the patient's performance improved, the range of their finger's movement will also be increased due to the augmented feedback provided to the patient and the therapist through the glove software

Intervention Type: OTHER

Selected hand program

Distal key point of Bobath, approximation of affected arm, to control spasticity of wrist/ finger flexor (5 minutes). Dynamic splint to facilitate wrist and finger extension (10 repeat\*5 sets). Passive range of motion exercise (10 repeat\*5 sets) for each joint. Mud exercise (spherical, clyndrical , hook). Thera band exercises.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. The patient's age ranges from 45 to 65 years old with a minimum score of 24 points on the Mini Mental Test.

2. Duration of illness ranges from (6weeks to 6 months) after stroke onset.

3. first stroke.

4. Upper limb spasticity ranged from 1+ to 2 according to the Modified Ashworth Scale.

5. With a minimum 10° extension and/or flexion of the wrist or fingers, an ability to flex and extend the wrist joint five times continuously without losing active range of motion.

Exclusion Criteria

1. apraxia or hemianopsia.

2. diabetic polyneuropathy.

3. Aphasia , cognitive deficits.

4. a previous disability in the upper limbs, tactile agnosia (stereognosis).

5. LT hemiplegia, Post Botox injection, recurrent stroke, and Posterior parietal lesion.

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ahmed Alshimy

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Alshimy

Lecturer of Physical Therapy for Neurology and it's Surgery

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/004602

Identifier Type: -

Identifier Source: org_study_id