Multi-user Touch Surfaces for Promoting Social Participation and Self-efficacy in Upper-limb Stroke Rehabilitation

Study Overview
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Brief Summary
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The purpose of this study is to compare the efficacy of conventional therapy with a framework intervention for upper limb motor rehabilitation based on the promotion of self-efficacy and social participation/interaction through a multi-user touch surface

Detailed Description
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After signing the written informed consent about participating in the study, participants will be assessed for exclusion criteria and their motor, social and depression skills prior to intervention. After this, they will undergo a 12 sessions treatment for 4 weeks in groups of three, randomly distributed for a control group and experimental group. At the end of the intervention, participants will be assessed in the same manner as before the intervention. One month after the end of the intervention, participants will be assessed for follow-up.

Official Title
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Multi-user Touch Surfaces for Promoting Social Participation and Self-efficacy in Upper-limb Stroke Rehabilitation

Conditions
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Social Interaction, Self Efficacy, Stroke, Motor Activity

Intervention / Treatment
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* Other: Physical rehabilitation
* Other: Physical rehabilitation interactive table


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Stroke survivor Exclusion Criteria: Unable to write and read Hemispatial neglect Previous upper limb motor deficits/lesions that still interfere with function History of drugs/alcohol abuse Aphasia with difficulties understanding oral communication and/or unability to express orally Token equal or under 17 ARAT score lower than 10 or higher than 54 Botulinic toxin treatment in the last 4 months Beck's Depression Inventory higher than 31

Ages Eligible for Study
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Minimum Age: 18 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 |
| --- | --- |
| Experimental: Intervention<br>Will receive intervention through the multi-user touch surface | Other: Physical rehabilitation interactive table<br>* Exercises to rehabilitate upper limb strength, coordination and range of movement, based on multi-user touch surface<br>|
| Active Comparator: Treatment as usual<br>This will receive conventional therapy | Other: Physical rehabilitation<br>* Exercises to rehabilitate upper limb strength, coordination and range of movement, based on conventional therapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Action Research Arm Test (change between three time frames ) | Hand Function | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Box and Blocks (change between three time frames) | Coordination | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Dynamometer (change between three time frames) | Strength | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Nine Hole Peg Test (change between three time frames) | Fine motor skills | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Motor Activity Log (change between three time frames) | Quantity and Quality of movement everyday activities | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Reaching Performance Scale in Stroke (change between three time frames) | Quality of movement | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Fugl-Meyer Assessment (change between three time frames) | Range of movement | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Stroke Self-Efficacy Questionnaire (change between three time frames) | Self-efficacy, minimum 0 maximum 130, higher score means better outcome | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Beck's Depression (change between three time frames) | Depressive symptoms | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) | 
| Social Interaction category of ''Functional Limitation Profile'' (specific name of the scale) (change between three time frames) | Social Interaction | Assessment (before intervention), Reassessment (after 12 x 45 minutes sessions, 3 sessions per week) and Follow-up (1 month after the end of intervention) |