Hemiparesis is a frequently observed symptom of stroke. There are various therapy options that are used in the rehabilitation of patients. Some studies have shown that, in addition to unilateral arm training, bilateral arm training can also lead to positive results in treatment and is a useful addition to therapy. The newly developed app requires the coordination of both arms in certain time sequences and intensities or rhythms and addresses different sensory modalities (visual, auditory and kinesthetic). The aim of the study is to examine whether tablet-based training improves bimanual coordination.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
40
Each task is performed for one minute, followed by a 2-minute break. After the task has been performed three times, there is a 5-minute break. The training block is then carried out twice more. This means that three "blocks" are carried out for each therapy unit.
A task is performed for one minute at a time, followed by a 2-minute break. Once three rounds have been completed, there is a 5-minute break. As in the intervention group, there are a total of three training blocks.
Institute for Neurorehabilitation Research, BDH-Clinic Hessich Oldendorf
Hessisch Oldendorf, Lower Saxony, Germany
Change of the hand/arm motor skills (unilateral)
measured by the difference in moving wooden cubes in the Box-and-Block Test (BBT) The BBT measures unilateral gross manual dexterity. The patient has to move as many individual cubes as possible from one side of the box over a partition to the other within one minute. The test takes place in a seated position and is performed sequentially with the non-impaired hand and the affected hand. The number of cubes transported for each side is evaluated.
Time frame: Pre-test (day 1), Post-test (day 18), Follow-Up (day 25)
Changes in bimanual coordination 1
measured by the difference in moving wooden cubes in the modified Box-and-Block Test (mBBT) For this, a modified box with three compartments and two partitions is used. The task is to take a cube in one hand, pass it to the other hand over the first partition and then transport it over the second partition to the outer compartment. The dice are then counted in the outer compartment. The dice that fall from one hand to the other in the middle compartment are counted separately. The task is performed twice, starting with the unimpaired hand in the first run and with the impaired hand in the second run. The subject has one minute per round to transport as many cubes as possible to the outer compartment.
Time frame: Pre-test (day 1), Post-test (day 18), Follow-Up (day 25)
Changes in bimanual coordination 2
measured by the difference in activity index (calculated from acceleration, movement amplitude and movement frequency during the use of the tablet game)
Time frame: Pre-test (day 1), Post-test (day 18), Follow-Up (day 25)
Change of functional abilities
measured by the difference of National Institutes of Health Stroke Scale (NIHSS)
Time frame: Pre-test (day 1), Post-test (day 18), Follow-Up (day 25)
Change of activities of daily living
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
measured by the difference of Barthel-Index (BI)
Time frame: Pre-test (day 1), Post-test (day 18), Follow-Up (day 25)
Change of hand strength
Hand strength is measured with a KERN MAP digital hand force gauge. The change of strength (in kg) is calculated.
Time frame: Pre-test (day 1), Post-test (day 18), Follow-Up (day 25)
Change of selective motor control after a stroke
measured by the difference of the values of the "Fugl-Meyer-Test" (FMT)
Time frame: Pre-test (day 1), Post-test (day 18), Follow-Up (day 25)