Effect of Incentive Training on Hand Dexterity Skills in Male Stroke Patients: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Hand dexterity assessment using the Purdue Pegboard Test (PPBT)
研究概览
简要总结
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.
详细描述
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).
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 (Care Provider)
入排标准
- 年龄范围
- 45 Years 至 60 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •) Male patients diagnosed with chronic hemorrhagic infarction stroke
- •) Stroke diagnosis confirmed through CT or MRI scans
- •) Referred by a neurologist or neurosurgeon
- •) Right-handed
- •) Aged between 45 and 60 years
- •) Stroke duration ranging from 6 months to 1 year
- •) Mini-Mental State Examination (MMSE) score of 24 or higher
- •) Montreal Cognitive Assessment (MoCA) score above 21, indicating no significant cognitive impairment
- •) Mild spasticity (Grade 1 or 1+ on the Modified Ashworth Scale)
- •) Brunnstrom's Stage 4 or 5 of recovery
排除标准
- •) Unstable medical conditions (e.g., diabetes mellitus or hypertension)
- •) Language deficits that could impair cooperation
- •) Blindness or deafness
- •) Severe cognitive impairments affecting task performance
- •) Presence of brain tumors
结局指标
主要结局
Hand dexterity assessment using the Purdue Pegboard Test (PPBT)
时间窗: 8 Weeks
The Purdue Pegboard Test (PPBT) is a timed neuropsychological assessment used to evaluate fine motor skills, finger dexterity, and bimanual coordination by measuring how quickly a person can place small pegs into holes using one or both hands.
Hand grip dynamometer (JAMAR)
时间窗: 8 weeks
The JAMAR hand dynamometer is a reliable and widely used tool for measuring grip strength, featuring a peak-hold needle and adjustable handle settings to accommodate different hand sizes and ensure consistent, accurate readings.
次要结局
- Rehacom system(8 Weeks)
- The Mindful Attention Awareness Scale (MAAS)( 6 is high 6 , 1 is low)(8 Weeks)
研究者
Omar Mohamed Kamel
researcher
South Valley University