Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients

Stroke, Ischemic Clinical Trial

Official title:

Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05490797
• Other study ID #: REC/RCR & AHS/21/0255
• Status: Completed
• Phase: N/A
• Start date: January 1, 2022
• Est. completion date: August 20, 2022

Study information

• Verified date: November 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To determine the effects of mobile application dexteria fine motor skills on hand dexterity and grip strength in chronic stroke patients

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 22
• Est. completion date: August 20, 2022
• Est. primary completion date: August 20, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

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.

Related Conditions & MeSH terms

• Ischemic Stroke
• Occlusion
• Stroke
• Stroke, Ischemic

Intervention

Other:
• app based training with conventional therapy
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.
• conventional therapy
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)

Locations

Country	Name	City	State
Pakistan	Riphah International University	Islamabad	Fedral

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (4)

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. Review. — View 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. Review. — View 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. — View Citation

Olsen TS. Arm and leg paresis as outcome predictors in stroke rehabilitation. Stroke. 1990 Feb;21(2):247-51. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The Nine Hole Peg Test (NHPT)	The Nine Hole Peg Test (NHPT) is designed to quantify finger dexterity with neurological diagnoses patients.	9 months
Primary	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.	9 months
Primary	The Box &Block Test (BBT)	The Box &Block Test (BBT) is designed for measuring overall manual dexterity.	9 months
Primary	hand dynamometer.	Grip strength is assessed using a hand dynamometer.	9 months