Mishra S S, Sawant N. Investigating the Effects of Dexteria App Therapy on Hand Function in Subacute Stroke Survivors. Iranian Rehabilitation Journal 2024; 22 (2) :175-182
URL:
http://irj.uswr.ac.ir/article-1-1931-en.html
1- Department of Neuroscience Physiotherapy, MGM College of Physiotherapy, MGM Hospital, Maharashtra University of Health Sciences, Nashik, India.
2- Department of Neuroscience Physiotherapy, School of MGM Physiotherapy, MGM Institute of Health Sciences University, Navi, India.
Abstract: (1093 Views)
Objectives: Hand function impairment causes limitations in activities of daily living among stroke survivors. Dexteria app therapy is a game-based therapy with the use of a touchscreen gadget that involves various hand movements. This study evaluates the effect of Dexteria app therapy on hand function in sub-acute stroke survivors.
Methods: This study included 26 subacute stroke survivors, randomly allocated into 2 groups as follows: Group A (n=13) received conventional hand therapy while group B (n=13) received Dexteria app therapy. Both groups received 21 sixty-min therapy sessions. Gross hand function and fine manipulative hand function were assessed using the Brunnstrom hand recovery voluntary control grades and the Jebsen hand function test, respectively.
Results: Inter-group comparison using the Wilcoxon rank sum test of the mean difference between groups A and B showed a significant difference in the Brunnstrom hand recovery voluntary control grades Z value which equaled -3.272 with P=0.001 and Jebsen hand function test Z=-3.0 and P=0.002.
Discussion: Dexteria app therapy showed significant improvement in gross motor function and fine motor hand function than conventional therapy in sub-acute stroke survivors.
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●Dexteria app therapy is easily accessible, portable, and cost-effective allowing wide usability in any neuro-rehabilitation clinical setup. Dexteria app therapy can be considered a home exercise regime or program for hand dexterity improvement among post-stroke survivors in remote areas.
Plain Language Summary
Hand function impairment causes limitations in activities of daily living among stroke survivors. By using the Dexteria app on touch-screen gadgets, the therapy is administered in the form of a game nation that involves hand movements. This study included 26 subacute stroke survivors, randomly allocated to two groups in which 13 subjects received conventional hand therapy and the other 13 subjects received Dexteria app therapy for 21 sixty-min sessions. Gross hand function was assessed using the Brunnstrom hand recovery voluntary control grades and fine manipulation hand function was assessed using the Jebsen hand function test. Dexteria app therapy showed significant improvement in both gross motor and fine motor hand function than conventional therapy in sub-acute stroke survivors.
Article type:
Original Research Articles |
Subject:
Physiotherapy Received: 2023/03/19 | Accepted: 2024/01/13 | Published: 2024/06/1
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