Stroke
Conditions
Brief summary
Stroke rehabilitation for stroke patients can enhance the upper and lower limb function, daily of daily activity improvement, and be beneficial to the family members' quality of life. Literature studies have supported the use of tele-rehabilitation to be as effective as stroke home rehabilitation. Stroke tele-rehabilitation model can use smartphones and apps to practice the mobile health model. Nevertheless, effects of tele-rehabilitation analysis for the proximal recovery of the stroke upper limbs still need to be explored. The main purpose of this research is to develop a smart phone with app system for stroke upper limb motor training, and further analyze its feasibility and treatment effects. The investigators randomly assigned chronic home stroke cases to the experimental group (n=20) and control group (n=20), each group received 8 weeks of treatment.
Detailed description
Stroke rehabilitation (including occupational therapy and physical therapy) for stroke patients can enhance the upper and lower limb function, daily of daily activity improvement, and be beneficial to the family members' quality of life. Literature studies have supported the use of tele-rehabilitation to be as effective as stroke home rehabilitation. Stroke tele-rehabilitation model can use smartphones and apps to practice the mobile health model. This technology with remote rehabilitation have the important characteristics, including ease of use, high-intensity, repetitive exercises, and providing feedback information, to facilitate the recovery of training functions. Nevertheless, effects of tele-rehabilitation analysis for the proximal recovery of the stroke upper limbs still need to be explored. The main purpose of this research is to develop a smart phone with app system for stroke upper limb motor training, and further analyze its feasibility and treatment effects. The investigators randomly assigned chronic home stroke cases to the experimental group (n=20) and control group (n=20), each group received 8 weeks of treatment.
Interventions
OTHERsmart phone App rehabilitation
stroke subjects use smart phone to complete therapeutic tasks 5 min/session total 8 sessions/day with affected arm or bilateral arm movement for 6 weeks
OTHERconventional rehabilitation
stroke subjects receive conventional rehabilitation home program for 6 weeks(30min/day)
Sponsors
Kaohsiung Medical University Chung-Ho Memorial Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 79 Years
Healthy volunteers
No
Inclusion criteria
* First onset * Unilateral Hemiplegia * No obvious cognitive impairment (Mini-Mental State Examination (MMSE) score \> 23) * The FMA upper limb movement score is above 30 points * Those who have used a smartphone for more than 3 months before the onset of the disease or at present * Those who have no obvious vision loss and can read the text on mobile phones clearly * Those who own a smart phone
Exclusion criteria
* Language barriers or aphasia * Other orthopedic diseases (such as severe shoulder pain, joint contractures) or nerve damage (such as peripheral nerve damage) that affect the movement of the upper limbs * Feel severe Absence, FMA sensory score \<12 points * Other progressive diseases such as cancer, amyotrophic lateral sclerosis, multiple sclerosis, etc
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| FUGL-MEYER ASSESSMENT-UE, FMA) | pre-test, post-test(Change from pre-test FUGL-MEYER ASSESSMENT-UE after 8 weeks' intervention) | Fugl-Meyer Assessment (FMA) scale is an index to assess the sensorimotor impairment in individuals who have had stroke. |
| Box and Block Test | pre-test, post-test(Change from pre-test Box and Block Test after 8 weeks' intervention) | The Box and Block Test (BBT) measures unilateral gross manual dexterity. It is a quick, simple and inexpensive test. It can be used with a wide range of populations, including clients with stroke. |
| Grip Strength Assessment | pre-test, post-test(Change from pre-test Grip Strength Assessment after 8 weeks' intervention) | Grip strength is a measure of muscular strength or the maximum force/tension generated by one's forearm muscles. It can be used as a screening tool for the measurement of upper body strength and overall strength. |
| System Usability Scale | only post-test(after 8 weeks' intervention) | The System Usability Scale, or SUS, is a simple survey that provides a high-level score for the usability of a product. |
| The Ruff 2 & 7 Selective Attention Test | pre-test, post-test(Change from pre-test The Ruff 2 & 7 Selective Attention Test after 8 weeks' intervention) | The Ruff 2 and 7 Selective Attention Test (RSAT) is designed to measure selective attention. |
Countries
Taiwan
Outcome results
None listed