Effect of Adding Augmented Cues /Hand Stroke Patient (AUGMENTED CUES)
Effect of Adding Augmented Cues to Physical Therapy Intervention on Hand Function Post Stroke Patients
연구 개요
상세 설명
Stroke is one of the leading causes of long-term disability worldwide and frequently results in impaired hand function, reduced dexterity, decreased grip strength, and limitations in activities of daily living. Conventional physical therapy is commonly used to improve upper extremity function; however, recovery of hand performance remains challenging for many stroke survivors.
Augmented cues provide additional sensory information through visual, auditory, or sensorimotor feedback that may enhance motor learning and neuroplasticity. Incorporating augmented cues into rehabilitation programs may improve patient engagement, increase repetition of task-specific movements, and facilitate functional recovery.
The purpose of this randomized controlled trial is to examine the effectiveness of adding augmented cue-based training to conventional physical therapy intervention in improving hand function among patients with subacute ischemic stroke.
A total of 50 participants meeting the eligibility criteria will be recruited and randomly assigned into two equal groups:
Study Group: Participants will receive augmented cue-based training combined with conventional physical therapy.
Control Group: Participants will receive conventional physical therapy only.
The intervention will be conducted over an eight-week treatment period. Outcome measures will be collected before and after treatment and will include:
- Nine-Hole Peg Test (NHPT) to assess manual dexterity.
- Hand grip strength measured using a hand dynamometer.
- Pressure pain threshold measured using a pressure algometer.
The primary objective is to determine whether the addition of augmented cues results in greater improvement in hand function compared with conventional physical therapy alone. The results may contribute to the development of more effective rehabilitation strategies for individuals recovering from stroke.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Mostafa abdullah ahmed, MD
- 전화번호: 00201095052373
- 이메일: dr.mostafa.abdullah.abdelaziem@gmail.com
연구 연락처 백업
- 이름: mariam mohamed elsayed, phd
- 전화번호: 002010950505529
- 이메일: mariamelanany5@gmail.com
참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- - Male and female patients.
- Age between 40 and 60 years.
- First-ever subacute ischemic stroke.
- Time since stroke between 6 weeks and 6 months.
- Unilateral upper limb involvement.
- Able to understand and follow verbal instructions.
- Medically stable and able to participate in the rehabilitation program.
- Willing to provide informed consent.
Exclusion Criteria:
- - Hemorrhagic stroke.
- Bilateral stroke involvement.
- Severe cognitive impairment or severe aphasia interfering with participation.
- Severe visual or auditory deficits affecting training.
- Severe upper limb spasticity that prevents hand training.
- Other neurological disorders affecting upper limb function.
- Severe musculoskeletal disorders of the upper limb.
- Participation in another rehabilitation trial during the study period.
- Unstable cardiovascular or medical conditions.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
활성 비교기: control group
Participants will receive a conventional physical therapy program for hand rehabilitation after stroke.
Treatment will be administered three times per week for eight weeks (24 sessions), with each session lasting 60 minutes and including range of motion exercises, strengthening exercises, stretching, and task-oriented hand training.
|
Participants will receive a conventional physical therapy program for upper limb and hand rehabilitation after stroke.
The program includes stretching exercises, range of motion exercises, strengthening exercises, and task-oriented hand training.
Treatment will be provided three times per week for eight weeks (24 sessions).
|
|
실험적: musical gloves
articipants will receive the same conventional physical therapy program provided to the control group in addition to MusicGlove training.
Treatment will be administered three times per week for eight weeks (24 sessions).
MusicGlove will provide augmented visual, auditory, and performance feedback during task-specific hand training.
|
Participants will receive a conventional physical therapy program for upper limb and hand rehabilitation after stroke.
The program includes stretching exercises, range of motion exercises, strengthening exercises, and task-oriented hand training.
Treatment will be provided three times per week for eight weeks (24 sessions).
MusicGlove is a sensor-based rehabilitation device that provides augmented visual, auditory, and performance feedback during task-specific hand exercises.
Participants perform repetitive thumb-to-finger opposition and grasping movements synchronized with computer-based musical activities.
Training will be provided in addition to conventional physical therapy three times per week for eight weeks.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Nine-Hole peg Test (NHPT)
기간: Baseline and after 8 weeks of treatment
|
Manual dexterity assessed using the Nine-Hole Peg Test.
The time required to place and remove nine pegs will be recorded in seconds.
Lower scores indicate better hand dexterity.
|
Baseline and after 8 weeks of treatment
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
hand grip strength
기간: Baseline and after 8 weeks of treatment
|
Hand grip strength will be assessed using a calibrated hand dynamometer.
Participants will perform maximal voluntary grip contractions, and the average value of three trials will be recorded in kilograms.
Higher values indicate greater hand strength.
|
Baseline and after 8 weeks of treatment
|
|
pressure pain threshold
기간: Baseline and after 8 weeks of treatment
|
Pressure pain threshold of the Extensor Carpi Radialis Brevis muscle will be measured using a digital pressure algometer.
Pressure will be applied at a standardized rate until the participant first perceives pain.
Higher values indicate lower pain sensitivity.
|
Baseline and after 8 weeks of treatment
|
공동 작업자 및 조사자
스폰서
수사관
- 연구 의자: Moshera H Darwish, PHD, Professor of Physical Therapy for Neurology and Neurosurgery Faculty of Physical Therapy Cairo University
- 연구 책임자: mariam m elsayed, phd, Lecturer in department of physical Therapy for Neurology and Neurosurgery Faculty of physical therapy Cairo University
- 연구 책임자: Essam M Abdulwahab, PHD, Professor of Neurology Faculty of Medicine Al-Azhar university
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- P.T.REC/012/006310
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
미국에서 제조되어 미국에서 수출되는 제품
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