Using Tablets for Upper Extremity Rehabilitation Post Acquired Brain Injury
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Change from baseline in score of the Nine Hole Peg Test
研究概览
简要总结
The purpose of the study is to test the effectiveness of training using novel tablet applications for hand function, compared to traditional hand exercises. In addition, we aim to examine brain plasticity following treatment with the new tablet applications. We hypothesize that training with a tablet would prove to be more effective than traditional exercises. We expect to observe neuroplastic changes in the brain in patients who practiced finger movements using the tablet.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •At least one week post Brain injury or stroke
- •Partial ability to open and close their hand (fingers)
- •Full function of the hands prior to the injury or event
- •Intact or Corrected vision
- •Cognitively intact or mild impairment
排除标准
- •Other neurological conditions besides the brain injury or stroke
- •Orthopedic conditions of the upper extremity
研究组 & 干预措施
Tablet - self exercise
Existing tablet Apps that encourage finger movement in a fun manner while playing a game will be used. The apps will be taught to the participants and then they will be requested to exercise alone (or with family) everyday for one hour in addition to their regular rehabilitation sessions (Occupational, Physical Therapy, speech).
The intervention will include 15-20 sessions of 60 minutes of self-training using a tablet.
干预措施: Tablet - self exercise (Device)
GRASP self exercise
GRASP (Graded Repetitive Arm Supplementary Program)(Harris et al., 2009)is an arm and hand exercise program developed for individuals with stroke with upper extremity impairments GRASP provides a method for patients to undertake a self-directed arm and hand exercise program.
The exercises will be taught to the participants and then they will be requested to exercise alone (or with family) everyday for one hour in addition to their regular rehabilitation sessions (Occupational, Physical Therapy, speech).
The intervention will include 15-20 sessions of 60 minutes of self-training
干预措施: GRASP self exercise (Other)
结局指标
主要结局
Change from baseline in score of the Nine Hole Peg Test
时间窗: An average of one week before intervention and one week after intervention
To assess dexterity of the affected hand. This test is a assesses dexterity and the time to remove and return nine pegs is measured. The Nine Hole Peg Test is a reliable, valid and responsive measure in clients with stroke
次要结局
- The Fugl-Meyer Motor Assessment(An average of one week before intervention and one week after intervention)
- Grip and pinch strength(An average of one week before intervention and one week after intervention)
- Visual Analogue Scale(An average of one week before intervention and one week after intervention)
- The System Usability Scale(An average of one week after intervention)
- Change from baseline in score of the Action Research Arm Test(An average of one week before intervention and one week after intervention)
- Self - report compliance(An average of one week after intervention)
- Satisfaction Questionnaire(An average of one week after intervention)