Efficacy of Tele-rehabilitation Intervention on Hand, Cognitive Functions & Depression of Hemiparetic Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- The Nine Hole Peg Test
Study Overview
Brief Summary
Information and communication technologies (ICT) are used in telerehabilitation to deliver rehabilitation treatments to patients in their homes or other locations.
Detailed Description
Thirty hemiparetic patients with mild hand dysfunction of both sexes participated in the study (Age range was 45- to 55-year-old); 15 patients in the control group (GB) received a selected hand rehabilitation program, whereas 15 patients in the study group (GA) received telerehabilitation intervention. The 9HPT (Nine-hole peg test), FMUE (Fugl Meyer upper extremity), MOCA (Montreal cognitive assessment scale), REHACOM system, and the BECK DEPRESSION INVENTORY QUESTIONNAIRE were used to evaluate the patients in both groups before and after the treatment program began.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 45 Years to 55 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients between the ages of 45 and 55 were included in this study.
- •Both men and women were among the patients. Patients with duration of illness between three to six months.
- •According to the modified Ashworth scale (MAS), the patients' hand spasticity ranged from grade 1 to +
- •The patients had a Fugl Myer upper extremity score of at least nine, indicating mild hand function. On the BECK DEPRESSION INVENTORY questionnaire, the patients' score ranged from 17 to 20 (Borderline clinical depression). Every patient had good vision and hearing.
- •The patients successfully filled out the consent form and completed the assigned activities.
- •In order to enable video communication while at home, patients need to have at least ten years of education to be able to use a smart device that is connected to the internet, such as a laptop, phone, or tablet.
- •In addition to medical care, the patients shouldn't receive any other kind of treatment.
- •The patients should be able to communicate and obey commands with ease. - - The patients' MMSE scores were over 21, indicating good cognitive abilities.
Exclusion Criteria
- •Individuals with unstable medical conditions, such as unstable angina, symptomatic heart failure, or uncontrolled diabetes mellitus or hypertension. - --- Patients who are unable to utilize the video communication device, have moderate to severe impairment of hand functions, or have any other pathology impacting hand function except stroke.
- •Patients who have visual or hearing impairments.
- •Patients who have communication issues or who have trouble understanding or obeying instructions.
- •Individuals who have seizures or psychological disorders.
- •Patients who have not had a stroke but have another illness that impairs cognitive function.
- •Individuals who have a history of stroke or other neurological conditions.
Arms & Interventions
Group A
study group A (n = 15) received the hand rehabilitation program through the Tele-rehabilitation program, a technological device. The rehabilitation was three times a week for a total of twelve weeks (36 sessions) following the conclusion of the rehabilitation program.
Intervention: Tele-rehabilitation (Other)
Group A
study group A (n = 15) received the hand rehabilitation program through the Tele-rehabilitation program, a technological device. The rehabilitation was three times a week for a total of twelve weeks (36 sessions) following the conclusion of the rehabilitation program.
Intervention: Hand rehabilitation program (Other)
Group B
control group B (n = 15) received the same hand rehabilitation program at the physical therapy clinic. The rehabilitation was three times a week for a total of twelve weeks (36 sessions) following the conclusion of the rehabilitation program.
Intervention: Hand rehabilitation program (Other)
Outcomes
Primary Outcomes
The Nine Hole Peg Test
Time Frame: 12 weeks
Used to evaluate hemiparetic patients' finger dexterity
Fugl Myer Upper extremities
Time Frame: 12 weeks
Intended to assess the motor functioning and impairment of stroke patients
Montreal Cognitive Assessment
Time Frame: 12 weeks
Intended to identify moderate cognitive impairment and assess the various cognitive functions of stroke patients
REHACOM system
Time Frame: 12 weeks
a software program made for diagnosing and treating patients with cognitive impairments. Figural memory (FM), attention concentration (AC), reaction behavior (RB), and logical reasoning (LR) are their four categories
Beck's Depression Inventory
Time Frame: 12 weeks
a screening tool for depression and a means of determining the severity of depression
Secondary Outcomes
No secondary outcomes reported
Investigators
Ahmed Alshimy
Assistant professor of Physical Therapy
AlRyada University for Science & Technology