Technology-based Hand Rehabilitation in Older People
ConditionOlder Adults (65 Years and Older)
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorAkdeniz University
About this trial
Because hand and cognitive functions decline in the elderly, intervention programs addressing these problems are necessary. In recent years, creating rehabilitation programs using technology has gained popularity. The aim of this study is to examine the effects of technology-based rehabilitation using LMC (Light Mood Enhancer) and dual upper extremity tasks on joint position sense, grip strength, functionality, and executive functions in elderly individuals; and to compare these effects with those of an exercise program performed solely with an LMC device and a control group consisting of a hand rehabilitation program performed with a physiotherapist. The research is a randomized controlled trial and will consist of 3 groups. After randomization, individuals' joint position sense, gross and fine grip strength, functionality, and executive functions will be evaluated. Evaluations will be performed twice, at the beginning and end of the 8-week program.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
65 years of age and older
Not receiving hand-related physiotherapy and rehabilitation
Ability to follow instructions,
Scoring 24 points or more on the Mini Mental Test
Disqualifiers
Having a neuropsychiatric diagnosis
Acute hand and arm injury
Having a diagnosis of rheumatological and orthopedic diseases affecting the hand
Trial design
Design model
Parallel
Treatments tested in this trial
Technological hand rehabilitation exercises
Other interventionElderly individuals in this group will play the games mentioned above for 45 minutes a day, 2 days a week, for 8 weeks, using only their hands via a computer with an LMC device, under the supervision of a physiotherapist. The procedure will be the same as for the other group, as described above. The intervention will be carried out with ball games for the first 4 weeks, and helicopter and airplane games will be added in the following 4 weeks. The elderly individual will play these games with both their dominant and non-dominant hands. The playing time will be equal for both hands. The elderly individuals will be able to take as many breaks as they wish during the games. The number of repetitions of the games will be increased each week according to the elderly individual's progress.
Home exercises
Other interventionA rehabilitation program consisting of stretching and strengthening exercises will be applied to individuals under the guidance of a physiotherapist experienced in geriatric rehabilitation. The program will include hand flexion, extension, radial and ulnar deviation, and finger movements. Therabands and resistance bands will be used for strengthening. The number of repetitions of the exercises will be increased each week. The rehabilitation program will be applied for 45 minutes a day, 2 days a week, for 8 weeks.
Dual task with technological hand exercises
Other interventionHand exercises will be conducted with the guidance of a physiotherapist using the Leap Motion Controller (LMC). These exercises will be performed twice a week for eight weeks, with each session lasting 45 minutes. While the elderly are playing games on a computer using their hands via the LMC device, dual-task training will be provided by physiotherapists. The dual-task training will be implemented as follows: In the first week, while the elderly are performing hand exercises via the LMC, they will be given one verbal, one arithmetic, and one auditory task. In subsequent weeks, the number of verbal, arithmetic, and auditory tasks will be increased by one task each week. Thus, the training will be gradually made more challenging. In addition, the dual-task training can be individualized according to the elderly's initial cognitive level and progress. Technology-based hand exercises will be performed with games specific to the LMC.
Treatment groups
66 Participants
are divided into 3 treatment groupsGroup A: Technological hand rehabilitation groupExperimental treatment 1 intervention
Group B: Dual task groupExperimental treatment 1 intervention
Group C: Home exercise groupOther 1 intervention
Trial outcomes
Primary outcomes
1
Joint sense position
Wrist joint position sense of individuals will be assessed using a digital inclinometer. In this method, the individual will be actively guided to the desired position by the physiotherapist, held in that position for 5 seconds, and asked to remember the position. The individual will then be asked to return their wrist to that position. Wrist position sense assessment will be based on the principle of actively repeating the predetermined target angle. All axes of movement of the wrist in flexion, extension, radial deviation, and ulnar deviation directions will be evaluated. The target angles used in the assessment will be determined as 30° for flexion and extension, 10° for radial deviation, and 15° for ulnar deviation. The angle of the participant's wrist in all axes of movement will be noted, and the absolute difference between this angle and the target angle will be recorded as the "Joint Position Sense Error Amount"
Time frame
Just before the treatment begins and at the end of the 8th week2
Hand function
The Nine-Hole Peg Test (9HPT) is a standardized, timed, quantitative assessment of fine manual dexterity. The test requires placing 9 pegs into holes on a board one-by-one and then removing them, using one hand at a time, to measure hand-eye coordination and finger speed. Less time means better performance.
Time frame
Just before the treatment begins and at the end of the 8th week3
Hand function
Jebsen hand function tes will be used for hand function. It is a standardized, clinician-administered assessment designed to measure fine motor, gross motor, and weighted hand function using simulated activities of daily living (ADLs). Special equipment and a stopwatch are provided for the tests. Separate times are recorded for each task given for scoring purposes. It consists of seven timed subtests performed on both hands-starting with the non-dominant hand-to evaluate speed rather than movement quality, with higher times indicating lower function.
Time frame
Just before the treatment begins and at the end of the 8th week4
Grip strength
Dynamometer and pinchmeter will be used for gross and fine grip strength. The measurement will be repeated three times. A 15-second break will be given after each measurement. Finally, the average of the three measurements will be recorded.
Time frame
Just before the treatment begins and at the end of the 8th weekSecondary outcomes
1
Stroop test
This test will be used to assess the executive functions of older adults. The test consists of a word, a color, and a color word attempt sheet, and five separate tests as follows: 1. Saying color names from a card written in black, 2. Saying color names from a card written in different colors, 3. Saying the colors of circles shown on a card with colored circles, 4. Saying the colors of words on a card with neutral words written in color, and 5. Saying the color names shown on a card with color names written using different colors. A stopwatch will be used to record the time during the test.
Time frame
Just before the treatment begins and at the end of the 8th weekSponsors and contacts
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Source ClinicalTrials.gov
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