Effects Of Neurocognitive Therapy With And Without Soft Robotic Hand On Hand Function

Официальное название

Effects of Neurocognitive Therapy With and Without Soft Robotic Hand on Hand Function in Sub-acute Stroke

Обзор

To determine the effect of neurocognitive therapy with and without a soft robotic hand on manual ability, dexterity, strength, spasticity and upper limb function in sub-acute stroke.

Подробное описание

Stroke is a global disease with high death rate and high disability caused by motor cortical damage. According to the calculations, there were approximately 13.68 million new increased stroke patients all over the world a year and about 70% of survivors had different degrees of upper limb and hand movement dysfunction .The recovery rate of patients' motor function mainly depends on rehabilitation training. Therefore, due to individual difference of patients. Neurocognitive therapy is an effective therapy to improve and increase cognitive, sensory and motor function of upper limb. Robotic hand also help the function of weak hand muscle. Neurocognitive therapy with a robotic hand will have the potential to offer targeted, precise, and adaptable interventions, possibly increase the rehabilitation process compared to both interventions alone. Evaluating their relative efficacy will aid in refining and tailoring rehabilitation strategies for individuals recovering from acute stroke.

Вмешательства

• Другое Neurocognitive Therapy with Soft Robotic Hand
  There will be 23 participants received Neurocognitive Therapy with soft robotic hand . Total 45 minutes session will be provided to patient including 15 minutes of routine physical therapy training for upper limb. The following hand exercises will be performed . Passive localization, passive identification, and active object exploration .For localization placed a part of the patient's limb, typically the fingertip, on one external object (e.g. sand paper, toothpick, sponge, paint brush, cotton b
• Другое Neurocognitive Therapy without Soft Robotic Hand
  There will be 23 participants received Neurocognitive Therapy without soft robotic hand . Total 45 minutes session will be provided to patient including 15 minutes of routine physical therapy training for upper limb. The following hand exercises will be performed . Passive localization, passive identification, and active object exploration .For localization placed a part of the patient's limb, typically the fingertip, on one external object (e.g. sand paper, toothpick, sponge, paint brush, cotto

Первичные конечные точки

• Montreal cognitive assessment (MoCA): (cognition) [Срок оценки: 12 Weeks]
• Barthel Index (basic activities of daily living) [Срок оценки: 12 Weeks]
• Modified Ashworth Scale (MAS)( spasticity level of the upper limb) [Срок оценки: 12 Weeks]
• Erasmus MC Nottingham Sensory Assessment (ErNSA) (sensation and proprioceptive) [Срок оценки: 12 Weeks]
• ) Action Research Arm Test (grasping, grip- ping, pinching) [Срок оценки: 12 Weeks]

Критерии участия

Критерии включения

• Participants of Post stroke patients (6-12 weeks )
• Participants with Spasticity < 2 on modified Ashworth scale.
• Participants with first ever stroke.
• Participants with normal cognition > 24 on MoCA
• Participants must be able to provide informed consent
• Hemiparesis with arm motor deficit as assessed by with NIHSS >1(14)

Критерии исключения

• Participants who have a history of significant neurological or orthopedic disorders, other than stroke, that could interfere with upper limb motor or sensory recovery.
• Participants who have altered state of consciousness, severe aphasia, severe cognitive deficit.
• Participants who have severe pathologies of traumatic and or rheumatic nature, severe pain in effected arm (>5 on visual analog scale for pain) .
• Participants who have active pacemakers and other active implants.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Sheikh Zayad Hospital — Lahore

Идентификаторы

NCT: NCT06927284 · REC/0217 Shazia

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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