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Robotic-Assisted Training on Hand Function in Stroke

8 luglio 2026 aggiornato da: Adly A Adam

Robotic-Assisted Training on Hand Function in Stroke Patient

Stroke is a neurological deficit attributed to an acute focal injury of the central nervous system. A key component of stroke rehabilitation is improving upper limb function to reduce impairments and disabilities. A task-specific approach retraining for upper extremity control seeks to minimize impairments while maximizing the patient's functional performance. Technology-supported training is emerging to help therapists, patients, and the health system. Robotic devices allow to facilitate and control the complexity of a motor task. The benefits of robotic rehabilitation affect both therapists and patients: robot-assisted therapy can increase treatment compliance by way of introducing games or interactive upper limb tasks and patients can train independently with less supervision from therapists. Therefore, this study was conducted in line to determine the effect of robotic-assisted training on hand function in patients following a stroke.

Panoramica dello studio

Stato

Completato

Condizioni

Intervento / Trattamento

Descrizione dettagliata

Stroke is the leading cause of complex adult disability with arm function impairment affecting approximately 69% of stroke survivors. Enhancing arm function is a priority for stroke survivors, caregivers, and healthcare professionals, as current rehabilitation approaches often neglect arm recovery. In Motion robotic gym system represents an effective treatment option for improving upper limb function in patients' post-stroke, owing to its ease of application, cost-effectiveness, and tolerability. Rehabilitation robotics is an emerging research domain aimed at leveraging cutting-edge robotic technology and virtual reality systems for the rehabilitation of neurological patients. While clinical trials in post-stroke patients with upper limb impairments have yielded positive results regarding motor recovery, they have shown limited efficacy concerning functional outcomes. Thus, there remains a pressing need to develop a new generation of rehabilitation robots and clinical protocols that can more effectively assist patients in regaining their abilities in activities of daily living. Therefore, this study was conducted in line to determine the effect of robotic-assisted training 'course of 12 weeks' on hand function 'assessing strength, via dynamometer, function via Fugle-Meyer test, and overall function via Jobson hand function' in patients following a stroke.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

Fase

Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

Egitto
- Cairo Governorate
  - Cairo, Cairo Governorate, Egitto, 11432
    - Cairo University

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Adulto

Accetta volontari sani

Descrizione

Inclusion Criteria:

Age ranged from 40 to 60 years old.
Clinical diagnosis of ischemic stroke and diagnosis confirmed by CT or MRI with hand impairments.
Stroke started since six months (at chronic stage)
Mild to moderate upper limb functional limitation according to (Fugl-Meyer score: 85-99).
Ability to understand and follow instructions and to provide informed consent.

Exclusion Criteria:

More than one stroke.
Other current significant impairment of the upper limb affected by stroke, e.g. fixed contracture, frozen shoulder, severe arthritis, recent fracture.
Diagnosis likely to interfere with rehabilitation or outcome assessments, e.g. registered blind.
Previous use of the InMotion robotic gym system or other arm rehabilitation robot.
Current participation in a rehabilitation trial evaluating upper limb rehabilitation after stroke

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

Scopo principale: Trattamento
Assegnazione: Randomizzato
Modello interventistico: Assegnazione parallela
Mascheramento: Doppio

Numero di armi

Armi e interventi

Gruppo di partecipanti / Arm	Intervento / Trattamento
Sperimentale: Study Group (A) Received Robot-assisted training of a selected physical therapy program using Multifunctional intelligent instrument system for 45 minutes, three times per week, for 12 week.	Dispositivo: Robot-assisted training using the In motion robotic gym system The Hand Wrist Assistive Rehabilitation Device or HWARD: 'exoskeleton with 3 degrees of freedom (flexion-extension of the fingers, thumb and wrist) that assists (through pneumatic actuators) the hand in the" grasp and release "movement. The patient is seated in front of a monitor, the hand is secured to the robot by three soft Velcro strips, The palm of the hand is left free allowing the grasping of real objects, as well as virtual ones. Its a 45 minutes session , three times per week, for 12 weeks.
Comparatore attivo: Control Group (B) Received Conventional physical therapy program for 1 hour per session, three times per week, for12 weeks. Passive, active assisted, and active range of motion exercises for affected upper extremity for 30 minutes, Facilitation and inhibition techniques, plus neuromuscular electrical stimulation for wrist extensors for 30 minutes.	Altro: Conventional Physical Therapy Program Passive, active-assisted, and active range of motion, and facilitation/inhibition techniques for 30 minutes, also Neuromuscular electrical stimulation for wrist extensors, and task-oriented exercise training for strengthening foe 30 minutes.

Gruppo di partecipanti / Arm

Intervento / Trattamento

Sperimentale: Study Group (A)

Received Robot-assisted training of a selected physical therapy program using Multifunctional intelligent instrument system for 45 minutes, three times per week, for 12 week.

Dispositivo: Robot-assisted training using the In motion robotic gym system

The Hand Wrist Assistive Rehabilitation Device or HWARD: 'exoskeleton with 3 degrees of freedom (flexion-extension of the fingers, thumb and wrist) that assists (through pneumatic actuators) the hand in the" grasp and release "movement. The patient is seated in front of a monitor, the hand is secured to the robot by three soft Velcro strips, The palm of the hand is left free allowing the grasping of real objects, as well as virtual ones. Its a 45 minutes session , three times per week, for 12 weeks.

Comparatore attivo: Control Group (B)

Received Conventional physical therapy program for 1 hour per session, three times per week, for12 weeks. Passive, active assisted, and active range of motion exercises for affected upper extremity for 30 minutes, Facilitation and inhibition techniques, plus neuromuscular electrical stimulation for wrist extensors for 30 minutes.

Altro: Conventional Physical Therapy Program

Passive, active-assisted, and active range of motion, and facilitation/inhibition techniques for 30 minutes, also Neuromuscular electrical stimulation for wrist extensors, and task-oriented exercise training for strengthening foe 30 minutes.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato	Misura Descrizione	Lasso di tempo
Hand-held dynamometer for measuring hand strength Lasso di tempo: 1. Pre-treatment at base-line of the study. 2. Post-treatment after 12 weeks of intervention.	Handheld dynamometer (Item model number:EH101, Manufacturer: Handeful), it is equipped with high precision strain gauge sensor that provides an accurate momentary digital reading of gripping power with a maximum capacity 198ibs - 90kgm. It is easy to read as it includes a large LCD screen that displays all measurements. It is used for measuring hand strength, while patient was seated comfortably, then was asked to place the arms by sides with his\her elbow in a 90-flexion position in neutral, then instructed to squeeze the digital hand dynamometer as hard as possible for 3 seconds, the test was repeated 2 more times and the mean handgrip strength of the 3 attempts were recorded.	1. Pre-treatment at base-line of the study. 2. Post-treatment after 12 weeks of intervention.

Misure di risultato secondarie

Misura del risultato	Misura Descrizione	Lasso di tempo
Fugl-Meyer Test (Upper limb impairment test) Lasso di tempo: 1. Pre-treatment at base-line 2. Post-treatment after 12 weeks of intervention	Fugl-Meyer Test is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia. It takes approximately 30-35 minutes, Scoring is based on direct observation of performance. Scale items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0=cannot perform, 1=performs partially and 2=performs fully. The total possible scale score is 226. Noting 0-35: Very severe, 6-55: Severe, 56-79: Moderate, more than 79 indicates mild in the scoring system.	1. Pre-treatment at base-line 2. Post-treatment after 12 weeks of intervention
Jobson Hand function test Lasso di tempo: 1. Pre-treatment at baseline of the study 2. Post-treatment after 12 weeks of intervention	It is a health and care, UK, that is a used to evaluate the functional capabilities using a stopwatch. It includes seven items: picking up small common objects, card turning, simulated feeding (bean spooning), picking up large light objects, stacking checkers, picking up large heavy objects, and writing a short sentence. The time of performance was recorded for each test. Total score is the sum of time taken for each sub-test, which are rounded to the nearest second. Shorter times indicate better performance	1. Pre-treatment at baseline of the study 2. Post-treatment after 12 weeks of intervention
Jobson Hand function test Lasso di tempo: 1. Pre-Treatment at baseline of the study 2. Post-treatment of 12 weeks of intervention	Using a stop watch for scoring and evaluating the functional capabilities of patients. This test includes seven items: picking up small common objects, card turning, simulated feeding (bean spooning), picking up large light objects, stacking checkers, picking up large heavy objects, and writing a short sentence. The time of performance was recorded for each test Total score is the sum of time taken for each sub-test, which are rounded to the nearest second. Shorter times indicate better performance.	1. Pre-Treatment at baseline of the study 2. Post-treatment of 12 weeks of intervention

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Adly A Adam

Investigatori

Cattedra di studio: Mushira H Darwish, Professor, Cairo University; Faculty of Physical Therapy

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

1 maggio 2025

Completamento primario (Effettivo)

1 marzo 2026

Completamento dello studio (Effettivo)

30 maggio 2026

Date di iscrizione allo studio

Primo inviato

8 luglio 2026

Primo inviato che soddisfa i criteri di controllo qualità

8 luglio 2026

Primo Inserito (Effettivo)

14 luglio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

14 luglio 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

8 luglio 2026

Ultimo verificato

1 luglio 2026

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

P.T.REC/012/005776

Piano per i dati dei singoli partecipanti (IPD)

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Tipo di informazioni di supporto alla condivisione IPD

STUDIO_PROTOCOLLO
RSI

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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Robotic-Assisted Training on Hand Function in Stroke