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

NCT ID: NCT07027787

Last Updated: 2025-06-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-01
• Study Completion Date: 2024-03-31

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.

Detailed Description

Forty male patients with hemorrhagic infarction stroke, aged 45-60 years, were randomized into two equal groups. The control group (Group A, n=20) underwent hand dexterity exercises for 60 minutes per session, while the intervention group (Group B, n=20) received a combination of 30 minutes of hand dexterity exercises and 30 minutes of attention training using the Rehacom system. Both groups completed three training sessions per week for eight weeks (24 sessions). Outcomes were assessed pre- and post-training using the Mindful Attention Awareness Scale (MAAS), Hand Grip Dynamometer, Rehacom system, and Purdue Pegboard Test (PPBT).

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Standard Physical Therapy for Hand Dexterity in Stroke Patients

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.

Group Type: ACTIVE_COMPARATOR

Standard Physical Therapy for Hand Dexterity in Stroke Patients

Intervention Type: 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.

Rehacom Attention Training + Physical Therapy

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.

Group Type: ACTIVE_COMPARATOR

Rehacom Attention Training + Physical Therapy

Intervention Type: 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.

Interventions

Standard Physical Therapy for Hand Dexterity in Stroke Patients

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.

Intervention Type: BEHAVIORAL

Rehacom Attention Training + Physical Therapy

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.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. ) Male patients diagnosed with chronic hemorrhagic infarction stroke

2. ) Stroke diagnosis confirmed through CT or MRI scans

3. ) Referred by a neurologist or neurosurgeon

4. ) Right-handed

5. ) Aged between 45 and 60 years

6. ) Stroke duration ranging from 6 months to 1 year

7. ) Mini-Mental State Examination (MMSE) score of 24 or higher

8. ) Montreal Cognitive Assessment (MoCA) score above 21, indicating no significant cognitive impairment

9. ) Mild spasticity (Grade 1 or 1+ on the Modified Ashworth Scale)

10. ) Brunnstrom's Stage 4 or 5 of recovery

Exclusion Criteria

1. ) Unstable medical conditions (e.g., diabetes mellitus or hypertension)

2. ) Language deficits that could impair cooperation

3. ) Blindness or deafness

4. ) Severe cognitive impairments affecting task performance

5. ) Presence of brain tumors

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: No

Sponsors

Princess Nourah Bint Abdulrahman University

OTHER

Sponsor Role: collaborator

Keele University

OTHER

Sponsor Role: collaborator

Cairo University

OTHER

Sponsor Role: collaborator

Queen Margaret University

OTHER

Sponsor Role: collaborator

Delta University for Science and Technology

OTHER

Sponsor Role: collaborator

Misr University for Science and Technology

OTHER

Sponsor Role: collaborator

South Valley University

OTHER

Sponsor Role: lead

Responsible Party

Omar Mohamed Kamel

researcher

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Reem M Alwhaibi, master

Role: STUDY_CHAIR

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

Locations

Cairo University Faculty of Physical Therapy

Cairo, Cairo Governorate, Egypt

Countries

Egypt

Other Identifiers

Hand dexterity

Identifier Type: -

Identifier Source: org_study_id