Effectiveness of an Intervention Program for Fine Motor Skills

Study Overview
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Brief Summary
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Investigators have created a protocol of intervention to treating the general disability of upper limbs.

Detailed Description
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A protocol of intervention for fine motor skills will be performed on institutionalized elderly people. This protocol consist on implementation of a manual activity that it is well known in the clinical setting. This activity will enhance several skills such as strength, coordination of upper limbs, range of motion, general auto-efficacy and the quality of life. The intervention or rehabilitation will be implemented for two month.

Official Title
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Effectiveness of an Intervention Program for Fine Motor Skills in Institutionalized Elderly Residents: a Randomized Clinical Trial

Conditions
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Hand Injuries

Intervention / Treatment
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* Other: Intervention for fine motor skills
* Other: Support to activities of daily living


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Institutionalized elderly people, on a full or part-time. Voluntary participation. Exclusion Criteria: Cognitive impairment (< 23 in normal school population and < 20 points with a low education or illiteracy, in Spanish validation of Mini-Mental State Examination (MMSE)). Postural control problems. Balance disorders, while the subject is seated.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intervention for fine motor skills<br>Implementation of an well known activity to improve the function of upper extremities | Other: Intervention for fine motor skills<br>* Implementation of an well known activity to improve the function of upper extremities<br>* Other names: Performing of a specific manual activity;|
| Placebo Comparator: Support to activities of daily living<br>Performing of general activities planned in the centres where the participants are included | Other: Support to activities of daily living<br>* Participants are supported and orientated when they are performing some activity of daily living scheduled by the institution<br>* Other names: Performing of activities of daily living;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in Disability of the Arm, Shoulder and Hand (DASH) questionnaire at 8 weeks |  | Eight weeks | 
| Change from Baseline in Disability of the Arm, Shoulder and Hand (DASH) questionnaire at 16 weeks |  | Sixteen weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in General self-efficacy at 8 weeks |  | Eight weeks | 
| Change from Baseline in General self-efficacy at 16 weeks |  | Sixteen weeks | 
| Change from Baseline in Purdue Pegboard Tests at 8 weeks |  | Eight weeks | 
| Change from Baseline in Purdue Pegboard Tests at 16 weeks |  | Sixteen weeks | 
| Change from Baseline in finger goniometer at 8 weeks | Active and passive measures of motion in first, second and fifth fingers of dominant hand will be recorded . | Eight weeks | 
| Change from Baseline in finger goniometer at 16 weeks | Active and passive measures of motion in first, second and fifth fingers of dominant hand will be recorded . | Sixteen weeks | 
| Change from Baseline in Pinch Gauge at 8 weeks |  | Eight weeks | 
| Change from Baseline in Pinch Gauge at 16 weeks |  | Sixteen weeks | 
| Change from Baseline in Short-Form health survey questionnaire (SF-36) at 8 weeks |  | Eight weeks | 
| Change from Baseline in Short-Form health survey questionnaire (SF-36) at 16 weeks |  | Sixteen weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Frail Elderly, Motor Skills, Upper Extremity