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

Riphah International University

Status: Enrolling

Conditions: Stroke

Treatments: Other: Neurocognitive Therapy with Soft Robotic Hand; Other: Neurocognitive Therapy without Soft Robotic Hand

Study type: Interventional

Funder types: Other

Identifiers

NCT06927284

REC/0217 Shazia

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 46 estimated patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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)

Exclusion criteria

• 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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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46 participants in 2 patient groups

Neurocognitive Therapy with Soft Robotic Hand based

Experimental group

Description:

Neurocognitive therapy group with soft robotic hand for 30 minutes along routine physical therapy for 15 minutes , the participants will be blindfolded during the exercises and ask to concentrate on sensing the position of the limb and hand Opening and closing of the soft robotic glove is controlled by the hand control switch .Treatment session of 45 minutes will be given 3 times a week for 12 week.

Treatment:

Other: Neurocognitive Therapy without Soft Robotic Hand

Neurocognitive Therapy without Soft Robotic Hand based

Experimental group

Description:

Neurocognitive therapy group without soft robotic hand for 30 minutes along routine physical therapy for 15 minutes , the participants will be blindfolded during the exercises and ask to concentrate on sensing the position of the limb and hand Opening and closing of the soft robotic glove is controlled by the hand control switch .Treatment session of 45 minutes will be given 3 times a week for 12 week.

Treatment:

Other: Neurocognitive Therapy with Soft Robotic Hand