Skip to main content
OpenTrials
Completed

NCT Number: NCT07027787

Incentive Training Role in Treatment of Hand Dexterity in Patients With Stroke

Attention and hand dexterity are interdependent, with deficits in one often worsening the other. Post-stroke, reduced attention impairs hand dexterity, hindering daily activities, while poor hand function further limits attentional focus. Despite progress in rehabilitation, strategies addressing both remain limited. Purpose: This study explored the impact of incentive-based attention training on hand dexterity in stroke patients.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Stroke Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Vascular Diseases

Age range

45 year–60 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Cairo University Faculty of Physical Therapy

Cairo, Cairo Governorate, 11262, Egypt

About this study

Forty male patients with hemorrhagic infarction stroke, aged 45-60 years, were randomized into two equal groups. The control group (Group A, n=20) underwent hand dexterity exercises for 60 minutes per session, while the intervention group (Group B, n=20) received a combination of 30 minutes of hand dexterity exercises and 30 minutes of attention training using the Rehacom system. Both groups completed three training sessions per week for eight weeks (24 sessions). Outcomes were assessed pre- and post-training using the Mindful Attention Awareness Scale (MAAS), Hand Grip Dynamometer, Rehacom system, and Purdue Pegboard Test (PPBT).

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • ) Male patients diagnosed with chronic hemorrhagic infarction stroke
  • ) Stroke diagnosis confirmed through CT or MRI scans
  • ) Referred by a neurologist or neurosurgeon
  • ) Right-handed
  • ) Aged between 45 and 60 years
  • ) Stroke duration ranging from 6 months to 1 year
  • ) Mini-Mental State Examination (MMSE) score of 24 or higher
  • ) Montreal Cognitive Assessment (MoCA) score above 21, indicating no significant cognitive impairment
  • ) Mild spasticity (Grade 1 or 1+ on the Modified Ashworth Scale)
  • ) Brunnstrom's Stage 4 or 5 of recovery

Exclusion criteria

  • ) Unstable medical conditions (e.g., diabetes mellitus or hypertension)
  • ) Language deficits that could impair cooperation
  • ) Blindness or deafness
  • ) Severe cognitive impairments affecting task performance
  • ) Presence of brain tumors

Treatment and study plan

Standard Physical Therapy for Hand Dexterity in Stroke Patients

Behavioral

Standard physical therapy program for stroke patients targeting hand dexterity. Conducted 3 times/week for 8 weeks (60 min/session), exercises included wrist and forearm movements, object manipulation, ball gripping, and putty-based hand strengthening.

Rehacom Attention Training + Physical Therapy

Behavioral

Combined intervention: 30 minutes of computerized attention training using the Rehacom system, followed by 30 minutes of standard hand dexterity physical therapy. Conducted 3 times/week for 8 weeks. Rehacom provided task-based cognitive training with visual, auditory, and performance feedback in a controlled lab setting.

Primary outcomes

  1. Hand dexterity assessment using the Purdue Pegboard Test (PPBT)

    Time frame: 8 Weeks

    The Purdue Pegboard Test (PPBT) is a timed neuropsychological assessment used to evaluate fine motor skills, finger dexterity, and bimanual coordination by measuring how quickly a person can place small pegs into holes using one or both hands.

  2. Hand grip dynamometer (JAMAR)

    Time frame: 8 weeks

    The JAMAR hand dynamometer is a reliable and widely used tool for measuring grip strength, featuring a peak-hold needle and adjustable handle settings to accommodate different hand sizes and ensure consistent, accurate readings.

Secondary outcomes

  1. Rehacom system

    Time frame: 8 Weeks

    The Rehacom system is a CE-certified, software-based cognitive rehabilitation tool that personalizes training and assessment in domains like attention, memory, and logic. This study utilizes its attention-concentration module to evaluate the cognitive performance of stroke patients through detailed reaction-time metrics and adaptive difficulty levels.

  2. The Mindful Attention Awareness Scale (MAAS)( 6 is high 6 , 1 is low)

    Time frame: 8 Weeks

    The MAAS (Mindful Attention Awareness Scale) is a 15-item self-report tool that measures an individual's open and receptive awareness of present-moment experiences, with strong psychometric validity and associations with emotional, behavioral, and health outcomes; it can be completed in under 5 minutes, with higher scores indicating greater mindfulness and lower scores reflecting more frequent mind-wandering or inattentiveness.

Sponsors and collaborators

Lead sponsor

South Valley University

Other

Collaborators

  • Cairo University
  • Delta University for Science and Technology
  • Keele University
  • Misr University for Science and Technology
  • Princess Nourah Bint Abdulrahman University
  • Queen Margaret University

Registry information

Official study title

Effect of Incentive Training on Hand Dexterity Skills in Male Stroke Patients: A Randomized Controlled Trial

Acronym: HD

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Jun 19, 2025
Registry last updated
Jun 19, 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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.