StrokeHDNCT07027787

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

A study testing Standard Physical Therapy for Hand Dexterity in Stroke Patients and Rehacom Attention Training + Physical Therapy in people with Stroke, run by South Valley University at 1 site in Egypt.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial 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. Read more about this study

Who is it for?: Ages 45 to 60 years, men only
Conditions the study is for: Stroke
What is being tested?: Standard Physical Therapy for Hand Dexterity in Stroke Patients and Rehacom Attention Training + Physical Therapy
Type of treatment: Lifestyle or therapy programme
Could I receive a placebo?: No, everyone receives an active treatment
How many people: 40 participants
Where: 1 siteEgypt
Study dates: 1 May 2023to 31 Mar 2024
Phase: Interventional
Are there results?: None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

Ages 45 to 60 years
Men only
No healthy volunteers
Adult

Who may be able to join

) Male patients diagnosed with chronic hemorrhagic infarction stroke
) Stroke diagnosis confirmed through CT or MRI scans
) Referred by a neurologist or neurosurgeon
) Right-handed
) Aged between 45 and 60 years
) Stroke duration ranging from 6 months to 1 year

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) Mini-Mental State Examination (MMSE) score of 24 or higher
) Montreal Cognitive Assessment (MoCA) score above 21, indicating no significant cognitive impairment
) Mild spasticity (Grade 1 or 1+ on the Modified Ashworth Scale)
) Brunnstrom's Stage 4 or 5 of recovery

Who cannot join

) Unstable medical conditions (e.g., diabetes mellitus or hypertension)
) Language deficits that could impair cooperation
) Blindness or deafness
) Severe cognitive impairments affecting task performance
) Presence of brain tumors

Trial locations and contacts

1 site in 1 country.

Egypt1 site

Cairo University Faculty of Physical Therapy
Cairo, Cairo Governorate, 11262

Other trials in Egypt

About this study

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

Read the 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
Being tested: Standard Physical Therapy for Hand Dexterity in Stroke Patients, Rehacom Attention Training + Physical Therapy
Keywords: Incentive training, Attention, Hand dexterity, stroke
Medical subject headings: Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Standard Physical Therapy for Hand Dexterity in Stroke PatientsBehavioural
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.
Rehacom Attention Training + Physical TherapyBehavioural
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.

Study groups in NCT07027787
Study group	Role	What they receive
Standard Physical Therapy for Hand Dexterity in Stroke Patients	Active comparator	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. Receives: Behavioral: Standard Physical Therapy for Hand Dexterity in Stroke Patients
Rehacom Attention Training + Physical Therapy	Active comparator	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. Receives: Behavioral: Rehacom Attention Training + Physical Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

Hand dexterity assessment using the Purdue Pegboard Test (PPBT)
The Purdue Pegboard Test (PPBT) is a timed neuropsychological assessment used to evaluate fine motor skills, finger dexterity, and bimanual coordination by measuring how quickly a person can place small pegs into holes using one or both hands.
Measured: 8 Weeks
Hand grip dynamometer (JAMAR)
The JAMAR hand dynamometer is a reliable and widely used tool for measuring grip strength, featuring a peak-hold needle and adjustable handle settings to accommodate different hand sizes and ensure consistent, accurate readings.
Measured: 8 weeks

Secondary outcomes (2)

Rehacom system
The Rehacom system is a CE-certified, software-based cognitive rehabilitation tool that personalizes training and assessment in domains like attention, memory, and logic. This study utilizes its attention-concentration module to evaluate the cognitive performance of stroke patients through detailed reaction-time metrics and adaptive difficulty levels.
Measured: 8 Weeks
The Mindful Attention Awareness Scale (MAAS)( 6 is high 6 , 1 is low)
The MAAS (Mindful Attention Awareness Scale) is a 15-item self-report tool that measures an individual's open and receptive awareness of present-moment experiences, with strong psychometric validity and associations with emotional, behavioral, and health outcomes; it can be completed in under 5 minutes, with higher scores indicating greater mindfulness and lower scores reflecting more frequent mind-wandering or inattentiveness.
Measured: 8 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

1 May 202331 Mar 2024

First posted19 Jun 2025
Study start1 May 2023
Primary completion31 Mar 2024
Study completion31 Mar 2024

Resources

Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
Other trials for StrokeStudies of the same condition, open and under way.
What the trial phases meanHow a treatment moves from first tests in people to approval.

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design

Study type: Interventional
Phase: Phase N/A
Primary purpose: Treatment
Allocation: Randomised
Intervention model: Parallel groups
Masking: Single blind
Who is masked: Care provider
Enrolment: 40 participants (actual)

IDs, dates and publications

ClinicalTrials.gov ID: NCT07027787
Sponsor's protocol ID: Hand dexterity
Acronym: HD
Status last verified: Jun 2025
First submitted: 16 Jun 2025
Last updated: 19 Jun 2025
Results posted: No
Data monitoring committee: Yes
FDA-regulated drug: No
FDA-regulated device: No
Individual data sharing: Yes: After approval can be shared

Want to know more?

The sponsor has not listed a contact. The official record may have more details.

Talk to your doctor first and take this page with you. Only the study team can confirm whether you can join.

Questions to ask the study team

What is the study trying to find out?
What would I need to do, and how often would I visit?
Could I receive a placebo instead of the treatment?
What are the possible risks and benefits for me?
Will it cost me anything? Are travel or time paid for?
Can I keep seeing my own doctor during the study?
What happens when the study ends?

See locations

Not yet recruiting
Temporal Interference Stimulation for Upper-Limb Motor Recovery in Early Subacute Stroke
Acute Ischemic Stroke
RecruitingObservational study
ELATE Study: Evaluating Large-vessel Acute Thrombectomy in Extended Time Window
Acute Ichemic Stroke
Recruiting
Web-Based Tele-Rehabilitation Using Action Observation and Mirror Therapy for Subacute Stroke: A Randomized Controlled Trial
Stroke, Upper Extremity Paresis
Recruiting
Early Motor-Cognitive Integrative Training on Cognitive and Motor Performance in Patients With Aneurysmal Subarachnoid Hemorrhage
Subarachnoid Aneurysm Hemorrhage
Not yet recruiting
Selective Intra-Arterial Hypothermia After Endovascular Treatment for Acute Basilar Artery Occlusion
Acute Ischemic Stroke, Basilar Artery Occlusion

All Stroke trials

Study at a glance

From the registry record, last updated by the sponsor on 19 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.

Official title: Effect of Incentive Training on Hand Dexterity Skills in Male Stroke Patients: A Randomized Controlled Trial
ClinicalTrials.gov ID: NCT07027787
Acronym / sponsor ID: HD / Hand dexterity
Conditions: Stroke
Keywords: Incentive training, Attention, Hand dexterity, stroke
Study type: Interventional
Recruitment status: Completed
Enrolment: 40 participants (actual)
Lead sponsor: South Valley UniversityUniversity, hospital or other
Collaborators: Princess Nourah Bint Abdulrahman University, Keele University, Cairo University, Queen Margaret University, Delta University for Science and Technology, Misr University for Science and Technology
Study start: 1 May 2023 (actual)
Primary completion: 31 Mar 2024 (actual)
Study completion: 31 Mar 2024 (actual)
First posted: 19 Jun 2025 (actual)
Results: Not posted in the source record

Clinical summary

The research question as the sponsor registered it. This describes what the study plans to test, not what it found.

Detailed description

Study design

Primary purpose: Treatment
Allocation: Randomised
Intervention model: Parallel groups
Masking: Single blind (care provider)
Number of arms: 2

Arm	Type	Receives
Standard Physical Therapy for Hand Dexterity in Stroke Patients	Active comparator	Behavioral: Standard Physical Therapy for Hand Dexterity in Stroke PatientsStandard 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.
Rehacom Attention Training + Physical Therapy	Active comparator	Behavioral: Rehacom Attention Training + Physical TherapyCombined 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.

Who may qualify

Ages: 45 to 60 years
Sex: Male only
Healthy volunteers: Not accepted
Age groups: Adult

Key inclusion criteria (10 listed)

) Male patients diagnosed with chronic hemorrhagic infarction stroke
) Stroke diagnosis confirmed through CT or MRI scans
) Referred by a neurologist or neurosurgeon
) Right-handed
) Aged between 45 and 60 years

Key exclusion criteria (5 listed)

) Unstable medical conditions (e.g., diabetes mellitus or hypertension)
) Language deficits that could impair cooperation
) Blindness or deafness
) Severe cognitive impairments affecting task performance
) Presence of brain tumors

Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.

Interventions

Intervention	Type	Arms
Standard Physical Therapy for Hand Dexterity in Stroke PatientsStandard 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.	Behavioural	Standard Physical Therapy for Hand Dexterity in Stroke Patients
Rehacom Attention Training + Physical TherapyCombined 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.	Behavioural	Rehacom Attention Training + Physical Therapy

Primary outcome

Hand dexterity assessment using the Purdue Pegboard Test (PPBT)
Time frame: 8 Weeks
The Purdue Pegboard Test (PPBT) is a timed neuropsychological assessment used to evaluate fine motor skills, finger dexterity, and bimanual coordination by measuring how quickly a person can place small pegs into holes using one or both hands.
Hand grip dynamometer (JAMAR)
Time frame: 8 weeks
The JAMAR hand dynamometer is a reliable and widely used tool for measuring grip strength, featuring a peak-hold needle and adjustable handle settings to accommodate different hand sizes and ensure consistent, accurate readings.

2 secondary outcomes

Rehacom system
Time frame: 8 Weeks
The Mindful Attention Awareness Scale (MAAS)( 6 is high 6 , 1 is low)
Time frame: 8 Weeks

Results and safety

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

Research links

Official record on ClinicalTrials.govLast updated by the sponsor 19 Jun 2025.
Individual participant dataSharing planned: Yes. After approval can be shared

Related trials for Stroke

Not yet recruiting
Temporal Interference Stimulation for Upper-Limb Motor Recovery in Early Subacute Stroke
Acute Ischemic Stroke
RecruitingObservational study
ELATE Study: Evaluating Large-vessel Acute Thrombectomy in Extended Time Window
Acute Ichemic Stroke
Recruiting
Web-Based Tele-Rehabilitation Using Action Observation and Mirror Therapy for Subacute Stroke: A Randomized Controlled Trial
Stroke, Upper Extremity Paresis
Recruiting
Early Motor-Cognitive Integrative Training on Cognitive and Motor Performance in Patients With Aneurysmal Subarachnoid Hemorrhage
Subarachnoid Aneurysm Hemorrhage
Not yet recruiting
Selective Intra-Arterial Hypothermia After Endovascular Treatment for Acute Basilar Artery Occlusion
Acute Ischemic Stroke, Basilar Artery Occlusion

Referral and contact

AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.

Reem M Alwhaibi, master study chair

College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University

1 site in 1 country: see every site and its status.

Questions about this trial

What is this clinical trial studying?

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hand dexterity assessment using the Purdue Pegboard Test (PPBT) (time frame: 8 Weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07027787.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jun 2025.