Hand Grasp, Stroke
Conditions
Brief summary
Stroke often results in impairments of upper extremity, including coordination deficits, reducing of force, weakness and changes in the kinetic and kinematic workspace of fingers with 75% of stroke survivors facing difficulties performing activities of daily living. The ability to oppose the fingertip of the thumb to each fingertip of the same hand is the basis of grasping objects of various sizes and operating tools and assessing and improving distal upper extremity function is of primary goal in the rehabilitation of stroke survivors. Moreover, repetitive movement practice seems to be crucial for maximizing therapeutic benefits. Recent studies, proposed an engineered glove to assess motor performance during finger-to-thumb opposition movements and to provide objective and reproducible measures. The same tool can be integrated with Virtual Reality and serious games to provide repetitive practice of activities improving motivation and adherence with therapy. the investigators developed a new integrated glove and virtual reality to facilitate the recovery of hand functionality. The aim of this study is to investigate the feasibility of the engineered glove in the assessment and treatment of hand dysfunction in people with Stroke.
Interventions
OTHERexperimental group
Each subject will undergo 10 rehabilitation sessions 2-3 times a week, lasting around 30'.
OTHERcontrol group
Each subject will undergo 10 rehabilitation sessions 2-3 times a week, lasting around 30'.
Sponsors
Fondazione Don Carlo Gnocchi Onlus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* a single stroke, * some movement of the fingers, * any technical and difficulties with wearing the glove on the paretic hand
Exclusion criteria
* visual or cognitive deficits that would prevent them for performing the task
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Box and Blocks Test | baseline- immediately after the intervention | Block and Box Test assesses grasp and transport and upper limb functional disorders and measures unilateral gross manual dexterity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in 9-Hole Peg Test | baseline- immediately after the intervention | It measures finger dexterity. Patient takes the pegs from a container and place them into the holes as quickly as possible. |
| Change in Manual Ability Measurement | baseline- immediately after the intervention | It is a self reported questionnaire to rate perceived manual ability on a scale ranging from 0 (impossible to complete any of activity cited) to 100 (every activity cited is accomplished without any difficulty). |
| Change in the instrumented indexes | baseline- immediately after the intervention | Subjects perform a repetitive finger-to-thumb opposition sequence (index, medium, ring and little finger) with their affected hand at maximal velocity and with the two hands simultaneously at a frequency of 2 Hz paced by a metronome. The testing session includes one 60sec trial per condition. They wear a sensor-engineered glove on both hands to quantitatively assess finger motor performance |
Outcome results
None listed