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Completed

NCT Number: NCT06997978

Efficacy of Tele-rehabilitation Intervention on Hand, Cognitive Functions & Depression of Hemiparetic Patients

Information and communication technologies (ICT) are used in telerehabilitation to deliver rehabilitation treatments to patients in their homes or other locations.

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Key information

Conditions

Hemiparesis Behavior Behavioral Symptoms Depression Nervous System Diseases Neurologic Manifestations Paresis Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

45 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

About this study

Thirty hemiparetic patients with mild hand dysfunction of both sexes participated in the study (Age range was 45- to 55-year-old); 15 patients in the control group (GB) received a selected hand rehabilitation program, whereas 15 patients in the study group (GA) received telerehabilitation intervention. The 9HPT (Nine-hole peg test), FMUE (Fugl Meyer upper extremity), MOCA (Montreal cognitive assessment scale), REHACOM system, and the BECK DEPRESSION INVENTORY QUESTIONNAIRE were used to evaluate the patients in both groups before and after the treatment program began.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients between the ages of 45 and 55 were included in this study.
  • Both men and women were among the patients. Patients with duration of illness between three to six months.
  • According to the modified Ashworth scale (MAS), the patients' hand spasticity ranged from grade 1 to +1.
  • The patients had a Fugl Myer upper extremity score of at least nine, indicating mild hand function. On the BECK DEPRESSION INVENTORY questionnaire, the patients' score ranged from 17 to 20 (Borderline clinical depression). Every patient had good vision and hearing.
  • The patients successfully filled out the consent form and completed the assigned activities.
  • In order to enable video communication while at home, patients need to have at least ten years of education to be able to use a smart device that is connected to the internet, such as a laptop, phone, or tablet.
  • In addition to medical care, the patients shouldn't receive any other kind of treatment.
  • The patients should be able to communicate and obey commands with ease. - - The patients' MMSE scores were over 21, indicating good cognitive abilities.

Exclusion criteria

  • Individuals with unstable medical conditions, such as unstable angina, symptomatic heart failure, or uncontrolled diabetes mellitus or hypertension. - --- Patients who are unable to utilize the video communication device, have moderate to severe impairment of hand functions, or have any other pathology impacting hand function except stroke.
  • Patients who have visual or hearing impairments.
  • Patients who have communication issues or who have trouble understanding or obeying instructions.
  • Individuals who have seizures or psychological disorders.
  • Patients who have not had a stroke but have another illness that impairs cognitive function.
  • Individuals who have a history of stroke or other neurological conditions.

Treatment and study plan

Tele-rehabilitation

Other

Patients at the Telerehabilitation group are contacted via laptops that have cameras, microphones, and a reliable internet connection. The therapist's laptop camera is positioned so the patient may watch the therapist while the therapist demonstrates the exercises. After the therapist performs the exercise on himself, the patient must see the therapist via a laptop camera and then perform the same activity again.

Hand rehabilitation program

Other
  • Free exercises:
  • Wrist flexion and extension 2. Wrist side movement 3. Thumb flexion and extension 4-Finger opposition 5. Palm up and down
  • Ball exercises:
  • Ball grip
  • Finger flexion
  • Thumb extend
  • The pinch exercise
  • Opposition 6- Side squeeze
  • Extend out
  • Household exercises
  • Roll movement
  • Wrist curl
  • Extending the wrist
  • Pen exercises
  • Pinch and release
  • Pen spine
  • Exercises with coins
  • Coin drop
  • Coin stacking

Primary outcomes

  1. The Nine Hole Peg Test

    Time frame: 12 weeks

    Used to evaluate hemiparetic patients' finger dexterity

  2. Fugl Myer Upper extremities

    Time frame: 12 weeks

    Intended to assess the motor functioning and impairment of stroke patients

  3. Montreal Cognitive Assessment

    Time frame: 12 weeks

    Intended to identify moderate cognitive impairment and assess the various cognitive functions of stroke patients

  4. REHACOM system

    Time frame: 12 weeks

    a software program made for diagnosing and treating patients with cognitive impairments. Figural memory (FM), attention concentration (AC), reaction behavior (RB), and logical reasoning (LR) are their four categories

  5. Beck's Depression Inventory

    Time frame: 12 weeks

    a screening tool for depression and a means of determining the severity of depression

Sponsors and collaborators

Lead sponsor

Ahmed Alshimy

Other

Registry information

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
May 31, 2025
Registry last updated
May 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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