An interventional study of Tablet - self exercise and GRASP self exercise in Brain Injury and Stroke, sponsored by Sheba Medical Center. Status unknown at 1 site in Israel. Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2014-09-18.
Sponsored by Sheba Medical Center · Not applicable, Interventional, and Treatment
The purpose of the study is to test the effectiveness of training using novel tablet applications for hand function, compared to traditional hand exercises. In addition, we aim to examine brain plasticity following treatment with the new tablet applications. We hypothesize that training with a tablet would prove to be more effective than traditional exercises. We expect to observe neuroplastic changes in the brain in patients who practiced finger movements using the tablet.
2,125 studies on the registry are indexed under Brain Injuries; 384 are open to participants now.
This study's planned enrollment of 40 is below the median of 48 across 1,341 interventional studies indexed under Brain Injuries.
Browse Brain Injuries studies →Sheba Medical Center is the lead sponsor of 677 studies on the registry; 63 are open to participants now.
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Exclusion Criteria:
Existing tablet Apps that encourage finger movement in a fun manner while playing a game will be used. The apps will be taught to the participants and then they will be requested to exercise alone (or with family) everyday for one hour in addition to their regular rehabilitation sessions (Occupational, Physical Therapy, speech). The intervention will include 15-20 sessions of 60 minutes of self-training using a tablet.
Device: Tablet - self exercise
GRASP (Graded Repetitive Arm Supplementary Program)(Harris et al., 2009)is an arm and hand exercise program developed for individuals with stroke with upper extremity impairments GRASP provides a method for patients to undertake a self-directed arm and hand exercise program. The exercises will be taught to the participants and then they will be requested to exercise alone (or with family) everyday for one hour in addition to their regular rehabilitation sessions (Occupational, Physical Therapy, speech). The intervention will include 15-20 sessions of 60 minutes of self-training
Other: GRASP self exercise
Change from baseline in score of the Nine Hole Peg Test
To assess dexterity of the affected hand. This test is a assesses dexterity and the time to remove and return nine pegs is measured. The Nine Hole Peg Test is a reliable, valid and responsive measure in clients with stroke
Time frame: An average of one week before intervention and one week after intervention
The Fugl-Meyer Motor Assessment
To quantify the level of the motor impairment. The participants are required to perform different movements. Each movement is rated 0 (inability to perform) to 2 (full movement). The total score ranges from 0 (no active movements) to 60 points (full movements).
Time frame: An average of one week before intervention and one week after intervention
Grip and pinch strength
Assessed by the Jamar dynamometer. This is a valid and reliable way to assess grip and pinch strength of individuals recovering from stroke.
Time frame: An average of one week before intervention and one week after intervention
Visual Analogue Scale
Quantifies the perceived level of pain intensity on a scale of 0-10 cm.
Time frame: An average of one week before intervention and one week after intervention
The System Usability Scale
This questionnaire includes 10 items which provide a global view of subjective assessment of a system's usability.
Time frame: An average of one week after intervention
Change from baseline in score of the Action Research Arm Test
Assesses the functional ability of the upper extremity by grasping and moving objects of different size and weight. It has four subtests; grasp, grip, pinch and gross movement. The total score is out of 57 points.
Time frame: An average of one week before intervention and one week after intervention
Self - report compliance
Mean self-training time per day.
Time frame: An average of one week after intervention
Satisfaction Questionnaire
Developed for the study and will query how much the subjects were satisfied with the self-training intervention they experienced and to what extent they think it can help them to improve their upper extremity function. Responses will be rated on a scale of 1-5.
Time frame: An average of one week after intervention
The record gives a start of Feb 2014 and a primary completion of Aug 2015. It does not say whether these dates are actual or estimated.
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This study is status unknown, as verified in Sep 2014. You cannot join it, but the record below documents what was studied.
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