Technology-based Hand Rehabilitation in Older People

Официальное название

The Effects of Technology-based Hand Rehabilitation and Dual Task on Upper Extremity Functions in Older People

Обзор

Because hand and cognitive functions decline in the elderly, intervention programs addressing these problems are necessary. In recent years, creating rehabilitation programs using technology has gained popularity. The aim of this study is to examine the effects of technology-based rehabilitation using LMC (Light Mood Enhancer) and dual upper extremity tasks on joint position sense, grip strength, functionality, and executive functions in elderly individuals; and to compare these effects with those of an exercise program performed solely with an LMC device and a control group consisting of a hand rehabilitation program performed with a physiotherapist. The research is a randomized controlled trial and will consist of 3 groups. After randomization, individuals' joint position sense, gross and fine grip strength, functionality, and executive functions will be evaluated. Evaluations will be performed twice, at the beginning and end of the 8-week program.

Подробное описание

Impairment of hand muscle function reduces quality of life and independence in daily living activities in the geriatric population. In recent years, technology-based rehabilitation applications have been used in hand rehabilitation programs because, in addition to their effects similar to conventional rehabilitation, they increase patient motivation and compliance with rehabilitation. Studies have also shown that dual-task training has positive effects on upper extremity functions. In the literature, rehabilitation programs and dual-task training to improve hand functions in the elderly are applied separately. However, a study combining technology-based hand rehabilitation programs with dual-task training to increase cognitive level in elderly individuals has not been previously encountered. The unique value of our study and its difference from the existing literature is that the intervention group includes dual-task training as a cognitive task along with the Leap Motion Controller (LMC) and assessment of joint position sense. The aim of this study is to examine the effects of technology-based rehabilitation using LMC and dual-task training targeting the upper extremities on joint position sense, grip strength, functionality, and executive functions in elderly individuals; and to compare these effects with the effects of an exercise program performed only with the LMC device and a hand rehabilitation program performed with a physiotherapist as a control group. The main goal of this project is to improve the hand skills of elderly individuals through a technology-based rehabilitation program and dual-task training, enabling them to continue their daily lives independently. In the study, 75 elderly individuals will be randomly divided into three groups. The first group will receive hand exercises via computer using LMC (Leap Motion Conntroller) and dual-task training during these exercises. These exercises and training will be conducted twice a week for eight weeks under the supervision of a physiotherapist. The second group will receive only hand exercises via LMC under the supervision of a physiotherapist. The third group, the control group, will receive a conventional hand rehabilitation program (stretching and strengthening) under the supervision of a physiotherapist. The program will be applied to all three groups for 45 minutes a day, twice a week, for eight weeks. Following randomization, individuals' joint position sense (using inclinometer), gross and fine grip strength (using dynamometer and pinchmeter), functionality (using Jebsen hand function, Purdue pegbord, 9 hole peg test), and executive functions (using stroop test) will be evaluated. Evaluations will be conducted twice, at the beginning and end of the eight-week program.

Вмешательства

• Другое Technological hand rehabilitation exercises
  Elderly individuals in this group will play the games mentioned above for 45 minutes a day, 2 days a week, for 8 weeks, using only their hands via a computer with an LMC device, under the supervision of a physiotherapist. The procedure will be the same as for the other group, as described above. The intervention will be carried out with ball games for the first 4 weeks, and helicopter and airplane games will be added in the following 4 weeks. The elderly individual will play these games with bot
• Другое Home exercises
  A rehabilitation program consisting of stretching and strengthening exercises will be applied to individuals under the guidance of a physiotherapist experienced in geriatric rehabilitation. The program will include hand flexion, extension, radial and ulnar deviation, and finger movements. Therabands and resistance bands will be used for strengthening. The number of repetitions of the exercises will be increased each week. The rehabilitation program will be applied for 45 minutes a day, 2 days a
• Другое Dual task with technological hand exercises
  Hand exercises will be conducted with the guidance of a physiotherapist using the Leap Motion Controller (LMC). These exercises will be performed twice a week for eight weeks, with each session lasting 45 minutes. While the elderly are playing games on a computer using their hands via the LMC device, dual-task training will be provided by physiotherapists. The dual-task training will be implemented as follows: In the first week, while the elderly are performing hand exercises via the LMC, they w

Первичные конечные точки

• Joint sense position [Срок оценки: Just before the treatment begins and at the end of the 8th week]
• Hand function [Срок оценки: Just before the treatment begins and at the end of the 8th week]
• Hand function [Срок оценки: Just before the treatment begins and at the end of the 8th week]
• Grip strength [Срок оценки: Just before the treatment begins and at the end of the 8th week]
• Hand function [Срок оценки: Just before the treatment begins and at the end of the 8th week]

Вторичные конечные точки (1)

• Stroop test [Срок оценки: Just before the treatment begins and at the end of the 8th week]

Критерии участия

Критерии включения

• 65 years of age and older
• Not receiving hand-related physiotherapy and rehabilitation
• Ability to follow instructions,
• Scoring 24 points or more on the Mini Mental Test

Критерии исключения

• Having a neuropsychiatric diagnosis
• Acute hand and arm injury
• Having a diagnosis of rheumatological and orthopedic diseases affecting the hand

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

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Akdeniz University — Antalya

Публикации

• Arman N, Oktay AB, Tarakci D, Tarakci E, Akgul YS. The validity of an objective measurement method using the Leap Motion Controller for fingers wrist, and forearm ranges of motion. Hand Surg Rehabil. 2021 Sep;40(4):394-399. doi: 10.1016/j.hansur.2021.03.007. Epub 2021 Mar 26. PMID 33781957

Идентификаторы

NCT: NCT07507279 · TBAEK-185

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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