Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients

Study Overview
=================
Brief Summary
-----------------
To determine the effects of mobile application dexteria fine motor skills on hand dexterity and grip strength in chronic stroke patients

Detailed Description
-----------------
This study will be conducted to investigate the effects of mobile applications of dexterity fine motor skills on hand dexterity and grip strength in chronic stroke patients. Data will be collected from Jinnah hospital Lahore and Riphah Rehabilitation center Lahore. All 22 patients will be taken using random sampling. Both study groups will be given common treatment of conventional hand function. The subjects will randomly assign to the experiment group with mobile apps training and the control group without mobile app training. Mobile applications like Dexteria, ScribbleKid, PegLight and Bowling game will be used for the purpose of training and success rate will be considered as outcome measure. Test and tools include the Nine Hole Peg Test (NHPT), the Fugl-Meyer Motor assessment (FMA), The Box &amp; Block Test (BBT), and Grip strength will be assessed using a hand dynamometer. SPSS 25 version will be used for data entry and analysis.

Official Title
-----------------
Effects of Mobile Application Dexteria Fine Motor Skills on Hand Dexterity and Grip Strength in Chronic Stroke Patients

Conditions
-----------------
Stroke, Ischemic, Skill, Social, Occlusion

Intervention / Treatment
-----------------
* Other: app based training with conventional therapy
* Other: conventional therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Six months to 2 years post stroke Participants must be able to open and close their fingers (even only 2 cm of movement) Before stroke there must be fully functional hand Normal or intact vision Exclusion Criteria: Neurological disorders other than stroke for example multiple sclerosis or Parkinson disease. Upper extremities acute orthopaedic conditions. Any cardiopulmonary complications Medically unstable patients.

Ages Eligible for Study
-----------------
Minimum Age: 40 Years
Maximum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: total 22 participants will be enrolled. In experimental group app based training will be performed along with conventional hand fine motor skills and dexterity therapy. Conventional hand therapy will be given to the second group.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: app based training with conventional therapy<br>In experimental group app based training will be performed along with conventional hand fine motor skills and dexterity therapy. | Other: app based training with conventional therapy<br>* The experimental group will receive an additional mobile application therapy including , dexterity fine motor skills, bowling game, scribble game and peglight game in addition to the conventional therapy for hand function.<br>|
| Active Comparator: conventional therapy<br>The control group will receive conventional hand function rehabilitation therapy including, strengthening exercises which consist of palm down wrist flexion exercise, dexterity( shifting exercise) and fine motor skills(nine peg hole exercise) | Other: conventional therapy<br>* conventional hand function rehabilitation therapy including, strengthening exercises which consist of palm down wrist flexion exercise, dexterity( shifting exercise) and fine motor skills(nine peg hole exercise)<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Nine Hole Peg Test (NHPT) | The Nine Hole Peg Test (NHPT) is designed to quantify finger dexterity with neurological diagnoses patients. | 9 months | 
| Fugl-Meyer Motor assessment (FMA) | Fugl-Meyer Motor assessment (FMA) is specific for post stroke performance based on impairment index. This is specific for quantification of balance and motor functioning. | 9 months | 
| The Box &Block Test (BBT) | The Box &Block Test (BBT) is designed for measuring overall manual dexterity. | 9 months | 
| hand dynamometer. | Grip strength is assessed using a hand dynamometer. | 9 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Stroke, Ischemic, Skill, Social, Occlusion