Wrist and fingers flexor spasticity of stroke patients stroke hand function functional hand device spasticity management
Conditions
Interventions
hand device with hand training program determined by the researcher 3 sessions/week, 60 minutes each session, continuously for 8 weeks. By Physical Therapist.,hand training program determined by the r
Hand device,conventional physical therapy
Sponsors
National Research Council of Thailand (NRCT)
Center of Excellence in Creative Engineering Design and Development (CED-Square), Department of Mechanical Engineering, Faculty of Engineering, Thammasat University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Male and female aged 18-40 years, in good health, with normal right hand and forearm shape, and lived in Pathum Thani province, There is hand size according to the specified criteria. Able to understand and follow instructions. 2. Physical therapist and/or occupational therapist with at least 5 years of experience in training stroke patients. The dominant hand and arm have normal shape and can move normally. And chronic strokes with the wrist and fingers spasticity on one side, along with some strength in the hand and arm on the affected side. Age 25-75 years. The wrist can be stretched almost straight and all of fingers joints can be stretched to some extent. Stable condition, able to sit firmly on one's own. Understand Thai and can follow instructions. 3. First stroke and in the chronic stage (6 months or more) only. Age 25-75 years. Wrist and fingers flexor spasticity on one side, along with some strength in the hand and arm on the affected side. The wrist can be extended almost straight and all of fingers joints can be stretched to some extent. Stable condition, able to sit firmly by oneself. Understand Thai and follow instructions.
Exclusion criteria
Exclusion criteria: 1. There was surgery or bone and joint disease that limited hand and arm movement. The skin in the area to be measured has wounds or pain on the day of measurement. 2. There was surgery or bone and joint disease that limited hand and arm movement. The skin in the area to be measured and tests has wounds or pain. 3. There was surgery or bone and joint disease that limited hand and arm movement. The skin on the lower arm and hand to be studied has no wounds or pain. Not participating in other research related to hand and arm movement or research related to reducing hand and arm spasticity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Assessment - Upper Extremity 8 weeks stroke-specific, performance-based impairment index,Wolf Motor Function Test (WMFT) 8 weeks upper extremity (UE) motor abilities,Box and Block Test (BBT) 8 weeks unilateral gross manual dexterity | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Ashworth Scale (MAS) 8 weeks Spasticity test,Questionnaire on Perceptions Toward the Usability of This Hand Assistive Device 8 weeks Perceptions Toward the Usability of This Hand Assistive Device | — |
Countries
Thailand
Contacts
Public ContactKhakhanan Ngamdencharoensri
Faculty of Engineering, Thammasat University
Outcome results
None listed