Using Tablets for Upper Extremity Rehabilitation Post Acquired Brain Injury "TBL"

Recruiting

Phase N/A Results N/A

Trial Description

The purpose of the study is to test the effectiveness of training using novel tablet applications for hand function, compared to traditional hand exercises. In addition, we aim to examine brain plasticity following treatment with the new tablet applications. We hypothesize that training with a tablet would prove to be more effective than traditional exercises. We expect to observe neuroplastic changes in the brain in patients who practiced finger movements using the tablet.

Conditions

Interventions

  • Tablet - self exercise Device
    ARM 1: Kind: Experimental
    Label: Tablet - self exercise
    Description: Existing tablet Apps that encourage finger movement in a fun manner while playing a game will be used. The apps will be taught to the participants and then they will be requested to exercise alone (or with family) everyday for one hour in addition to their regular rehabilitation sessions (Occupational, Physical Therapy, speech). The intervention will include 15-20 sessions of 60 minutes of self-training using a tablet.
  • GRASP self exercise Other
    ARM 1: Kind: Experimental
    Label: GRASP self exercise
    Description: GRASP (Graded Repetitive Arm Supplementary Program)(Harris et al., 2009)is an arm and hand exercise program developed for individuals with stroke with upper extremity impairments GRASP provides a method for patients to undertake a self-directed arm and hand exercise program. The exercises will be taught to the participants and then they will be requested to exercise alone (or with family) everyday for one hour in addition to their regular rehabilitation sessions (Occupational, Physical Therapy, speech). The intervention will include 15-20 sessions of 60 minutes of self-training

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Change from baseline in score of the Action Research Arm Test An average of one week before intervention and one week after intervention No
Primary Change from baseline in score of the Nine Hole Peg Test An average of one week before intervention and one week after intervention No
Secondary Accelerometers An average of one week before intervention and one week after intervention No
Secondary The Fugl-Meyer Motor Assessment An average of one week before intervention and one week after intervention No
Secondary Grip and pinch strength An average of one week before intervention and one week after intervention No
Secondary Satisfaction Questionnaire An average of one week after intervention No
Secondary Visual Analogue Scale An average of one week before intervention and one week after intervention Yes
Secondary The Short Feedback Questionnaire An average of one week after intervention No
Secondary The System Usability Scale An average of one week after intervention No
Secondary Self - report compliance An average of one week after intervention No

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