NCT07027787

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

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

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 40 (actual)
• Sponsor: South Valley University · Academic / Other
• Sex: Male
• Age: 45 Years – 60 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed description

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).

Conditions

• Stroke

Interventions

Type	Name	Description
BEHAVIORAL	Standard Physical Therapy for Hand Dexterity in Stroke Patients	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.
BEHAVIORAL	Rehacom Attention Training + Physical Therapy	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.

Timeline

• Start date: 2023-05-01
• Primary completion: 2024-03-31
• Completion: 2024-03-31
• First posted: 2025-06-19
• Last updated: 2025-06-19

Locations

1 site across 1 country: Egypt