ClinicalTrials.gg
CompletedNCT06997978Updated May 31, 2025

Efficacy of Tele-rehabilitation Intervention on Hand, Cognitive Functions & Depression of Hemiparetic Patients

An interventional study of Tele-rehabilitation and Hand rehabilitation program in Hemiparesis, sponsored by Ahmed Alshimy. Completed at 1 site in Egypt. Open to participants aged 45 Years to 55 Years. Per ClinicalTrials.gov, last updated 2025-05-31.

Sponsored by Ahmed Alshimy · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 3 months after the study started (first participant enrolled Feb 2023, registered May 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
45 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies in Paresis with a site in Egypt — 2 open to participants now, 4 under way, none of them phase 3. Paresis · Egypt.

Enrollment
9th of 10
30 · median 41
Started
2023
with 1 other
No phase
10 of 11
2 open now
Registered
5th of 11
by date
Lead sponsor
2 of 11
Ahmed Alshimy

Among the 11 studies in Paresis with a site in Egypt, this one is the 9th largest by enrollment of the 10 interventional ones that give a count, is one of 2 that started in 2023, is one of 10 with no phase, and was the 5th registered.

Paresis

468 studies on the registry are indexed under Paresis; 117 are open to participants now.

This study's enrollment of 30 is below the median of 37 across 420 interventional studies indexed under Paresis.

Browse Paresis studies →

Open to participants now

2 of the 11 studies in Paresis with a site in Egypt are open now, in 1 country. Each count lists the studies.

All 2 open studies →

Where they have run

Who these studies take

Of the 83 Paresis studies recruiting now, 34 (41%) set no upper age limit and 27 (33%) stop at 75 or younger; 10 take children under 18; 15 take healthy volunteers.

This study: 45 Years to 55 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies in Paresis with a site in Egypt, or all of them as a file.
02

Study summary

Information and communication technologies (ICT) are used in telerehabilitation to deliver rehabilitation treatments to patients in their homes or other locations.

Read the detailed description

Thirty hemiparetic patients with mild hand dysfunction of both sexes participated in the study (Age range was 45- to 55-year-old); 15 patients in the control group (GB) received a selected hand rehabilitation program, whereas 15 patients in the study group (GA) received telerehabilitation intervention. The 9HPT (Nine-hole peg test), FMUE (Fugl Meyer upper extremity), MOCA (Montreal cognitive assessment scale), REHACOM system, and the BECK DEPRESSION INVENTORY QUESTIONNAIRE were used to evaluate the patients in both groups before and after the treatment program began.

03

Conditions studied

  • Hemiparesis

Keywords

  • Tele-rehabilitation
  • Hand functions
  • Cognitive functions
  • Depression
  • Hemiparesis
04

Who can participate

Ages eligible
45 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients between the ages of 45 and 55 were included in this study.
  • Both men and women were among the patients. Patients with duration of illness between three to six months.
  • According to the modified Ashworth scale (MAS), the patients' hand spasticity ranged from grade 1 to +1.
  • The patients had a Fugl Myer upper extremity score of at least nine, indicating mild hand function. On the BECK DEPRESSION INVENTORY questionnaire, the patients' score ranged from 17 to 20 (Borderline clinical depression). Every patient had good vision and hearing.
  • The patients successfully filled out the consent form and completed the assigned activities.
  • In order to enable video communication while at home, patients need to have at least ten years of education to be able to use a smart device that is connected to the internet, such as a laptop, phone, or tablet.
  • In addition to medical care, the patients shouldn't receive any other kind of treatment.
  • The patients should be able to communicate and obey commands with ease. - - The patients' scores were over 21, indicating good cognitive abilities.

Exclusion criteria

Exclusion Criteria:

  • Individuals with unstable medical conditions, such as unstable angina, symptomatic heart failure, or uncontrolled diabetes mellitus or hypertension. - --- Patients who are unable to utilize the video communication device, have moderate to severe impairment of hand functions, or have any other pathology impacting hand function except stroke.
  • Patients who have visual or hearing impairments.
  • Patients who have communication issues or who have trouble understanding or obeying instructions.
  • Individuals who have seizures or psychological disorders.
  • Patients who have not had a stroke but have another illness that impairs cognitive function.
  • Individuals who have a history of stroke or other neurological conditions.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Group A

    study group A (n = 15) received the hand rehabilitation program through the Tele-rehabilitation program, a technological device. The rehabilitation was three times a week for a total of twelve weeks (36 sessions) following the conclusion of the rehabilitation program.

    Other: Tele-rehabilitation · Other: Hand rehabilitation program

  • Experimental
    Group B

    control group B (n = 15) received the same hand rehabilitation program at the physical therapy clinic. The rehabilitation was three times a week for a total of twelve weeks (36 sessions) following the conclusion of the rehabilitation program.

    Other: Hand rehabilitation program

Interventions

  • OtherTele-rehabilitation

    Patients at the Telerehabilitation group are contacted via laptops that have cameras, microphones, and a reliable internet connection. The therapist's laptop camera is positioned so the patient may watch the therapist while the therapist demonstrates the exercises. After the therapist performs the exercise on himself, the patient must see the therapist via a laptop camera and then perform the same activity again.

  • OtherHand rehabilitation program

    1. Free exercises: 1. Wrist flexion and extension 2. Wrist side movement 3. Thumb flexion and extension 4-Finger opposition 5. Palm up and down 2. Ball exercises: 1. Ball grip 2. Finger flexion 3. Thumb extend 4. The pinch exercise 5. Opposition 6- Side squeeze 7. Extend out 3. Household exercises 1. Roll movement 2. Wrist curl 3. Extending the wrist 4. Pen exercises 1. Pinch and release 2. Pen spine 5. Exercises with coins 1. Coin drop 2. Coin stacking

06

What researchers measure

Primary outcomes

  1. The Nine Hole Peg Test

    Used to evaluate hemiparetic patients' finger dexterity

    Time frame: 12 weeks

  2. Fugl Myer Upper extremities

    Intended to assess the motor functioning and impairment of stroke patients

    Time frame: 12 weeks

  3. Montreal Cognitive Assessment

    Intended to identify moderate cognitive impairment and assess the various cognitive functions of stroke patients

    Time frame: 12 weeks

  4. REHACOM system

    a software program made for diagnosing and treating patients with cognitive impairments. Figural memory (FM), attention concentration (AC), reaction behavior (RB), and logical reasoning (LR) are their four categories

    Time frame: 12 weeks

  5. Beck's Depression Inventory

    a screening tool for depression and a means of determining the severity of depression

    Time frame: 12 weeks

07

Study locations

1 site
  • Al Ryada University for Science and Technology
    Sadat, Menoufia, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2023 to primary completion in Nov 2024, 21 months.

Of 221 non-industry interventional studies with no phase under Paresis, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 55. This study's 21 months is below that.

Counting every sponsor, half of 239 studies reached it within 32 months; a quarter within 13 and three quarters within 55.

How these figures are worked out, and which studies are left out of them.

Registered
May 22, 2025
First posted
May 31, 2025
StartActual
Feb 1, 2023
Primary completionActual
Nov 1, 2024
CompletionActual
Nov 20, 2024
Last update
May 31, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06997978
Lead sponsor
Ahmed Alshimy
Responsible party
Ahmed Alshimy (Assistant professor of Physical Therapy, AlRyada University for Science & Technology) — Sponsor-investigator
First posted
May 31, 2025
Start date
Feb 1, 2023
Primary completion
Nov 1, 2024
Completion
Nov 20, 2024
Last update
May 31, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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