Brain Injury, Stroke
Conditions
Keywords
Hand, Rehabilitation, Stroke, Brain-injury, Tablet
Brief summary
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.
Interventions
DEVICETablet - self exercise
OTHERGRASP self exercise
Sponsors
Tel-Aviv Sourasky Medical Center
Sheba Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* Other neurological conditions besides the brain injury or stroke * Orthopedic conditions of the upper extremity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in score of the Nine Hole Peg Test | 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Grip and pinch strength | An average of one week before intervention and one week after intervention | Assessed by the Jamar dynamometer. This is a valid and reliable way to assess grip and pinch strength of individuals recovering from stroke. |
| Visual Analogue Scale | An average of one week before intervention and one week after intervention | Quantifies the perceived level of pain intensity on a scale of 0-10 cm. |
| The System Usability Scale | An average of one week after intervention | This questionnaire includes 10 items which provide a global view of subjective assessment of a system's usability. |
| The Fugl-Meyer Motor Assessment | An average of one week before intervention and one week after intervention | To quantify the level of the motor impairment. The participants are required to perform different movements. Each movement is rated 0 (inability to perform) to 2 (full movement). The total score ranges from 0 (no active movements) to 60 points (full movements). |
| Self - report compliance | An average of one week after intervention | Mean self-training time per day. |
| Satisfaction Questionnaire | An average of one week after intervention | Developed for the study and will query how much the subjects were satisfied with the self-training intervention they experienced and to what extent they think it can help them to improve their upper extremity function. Responses will be rated on a scale of 1-5. |
| Change from baseline in score of the Action Research Arm Test | An average of one week before intervention and one week after intervention | Assesses the functional ability of the upper extremity by grasping and moving objects of different size and weight. It has four subtests; grasp, grip, pinch and gross movement. The total score is out of 57 points. |
Countries
Israel
Contacts
Primary ContactGabi Zeilig, MD
Outcome results
None listed