RecruitingNot ApplicableNCT06696885

Mobile Applications for Exercise Adherence and Hand Function in Chronic Stroke.

Combined Effects of Mobile Based Video Games and Face to Face Exercise Program on Exercise Adherence and Hand Function in Chronic Stroke.

Sponsor

Riphah International University

Enrollment

32 participants

Start Date

Jan 12, 2023

Study Type

INTERVENTIONAL

Conditions

Chronic Stroke Patients

Summary

Stroke is a clinically defined syndrome characterized by an acute, focal neurological deficit due to vascular damage in the central nervous system. It is the second leading cause of death and disability globally. Stroke is not a singular disease but results from a variety of risk factors, disease processes, and mechanisms. Following a stroke, upper limb (UL) dysfunction affects 40-50% of individuals in the chronic phase, significantly impacting their ability to perform daily tasks. The latest trend in therapy involves the use of mobile video games within rehabilitation programs. These applications leverage the multi-touch interface of mobile devices to provide accurate monitoring of a patient's health status. Many of these mobile games are specifically designed to offer therapeutic tools that enhance dexterity and improve adherence to exercise routines.

Eligibility

Min Age: 35 YearsMax Age: 75 Years

Inclusion Criteria7

Male and female patients age 30 to 75 years were included.
Chronic stroke patients ranging from 6 months to 2 years (41).
Participants having a stroke severity score \> 6 on National Institute of Health Stroke Scale (NIHSS) (42).
Modified Ashworth scale score ≤ 3 of the affected upper extremity (44).
Montreal Cognitive Assessment (MoCA) score ≥ 26 (45).
Patients who are able to sit without support.
No contractures of the affected wrist and fingers.

Exclusion Criteria4

Participants who show the symptoms of global or receptive aphasia.
Participants who have medical problems or co-morbidities that interdict their participation in the study (such as shoulder pain in the paretic limb).
Patients with severe apraxia, somatosensory problems.
Severe spasticity of the affected wrist and finger flexors.

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Interventions

OTHERMobile based video games and task based training

The experimental group received a mobile-based applications for 20 minutes and tasks-based training for 20 minutes per day (a total of 40 minutes), 6 days a week for 17 weeks. The time between each game was divided accordingly to work on improving hand function. The games and tasks were divided into three broad categories, Easy, Moderate, Difficult. Each category is applied for 6 weeks