Task-oriented training vs. hand-arm bimanual therapy in stroke recovery
Official title: Comparative Effects of Task-Oriented Training and Hand-Arm Bimanual Intensive Therapy on Gross and Fine Motor Skills of Upper Limb and Activities of Daily Living in Post-Stroke Patients
Run by Riphah International University · NCT07724925 · Data updated 2026-11-12
This study tests whether task-focused practice or intensive two-handed arm therapy helps improve hand and arm skills and daily activities after a stroke.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 45 Years to 70 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Nankana Sahib) |
| Status | Recruiting |
| Started | June 1, 2025 |
| Main results expected | July 30, 2026 |
| Study ends | August 2, 2026 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT07724925 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 45–70 with a first-time stroke (ischemic or hemorrhagic) at least 3 months prior and mild-to-moderate upper-limb impairment who can follow commands.
✕Probably not a fit
Patients with severe spasticity, significant cognitive impairment, or unstable medical conditions may not benefit from these interventions.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized trial compares two rehabilitation approaches for adults who have had a stroke: task-oriented training and hand-arm bimanual intensive therapy. Thirty participants aged 45–70 with mild-to-moderate upper-limb impairment will be randomized to receive one of the two therapies over eight weeks at DHQ Hospital Nankana Sahib. Outcomes include the Action Research Arm Test for gross movement, the Nine Hole Peg Test for fine motor skills, and the Barthel Index for daily living activities, assessed before and after the intervention. Data will be analyzed with SPSS, using appropriate statistical tests and a 0.05 significance level. Normality will be checked, and analyses will consider group differences and within-group changes.
Why it matters
Potential benefit: If successful, the preferred therapy could offer clearer guidance on how to maximize arm function and independence after stroke.
How similar studies have gone: Previous rehabilitation trials have reported improvements with both task-oriented and bimanual therapies, supporting the potential value of this head-to-head comparison.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * • Age 45-70 * Gender (both male and female) * Pre diagnosed First-time stroke patients (ischemic or hemorrhagic) * Time since stroke: ≥3 months * Mild to moderate upper limb impairment (ABILHAND Questionnaire: Less than 50% of items rated as "impossible.") * Moderate functional independence in basic activities (Barthel Index score ≥ 60) * Ability to follow commands (MMSE \> 24 or equivalent cognitive screening) Exclusion Criteria: * • Severe spasticity (Modified Ashworth Scale score ≥ 3) or contractures * Other neurological conditions (Alzheimer's disease, Parkinson and dementia) * Unstable medical conditions (diabetes and hypertension) that may interfere with participation * Participation in any other structured upper limb rehabilitation or experimental therapy within the past 3 months
Where it's running
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DHQ Hospital Nankana Sahib
Nankana Sahib, Pakistan Recruiting
Study contacts
- Principal investigator: Aiza Yousaf, MS-OMPT — Riphah International University
- Study coordinator: Imran Amjad, PhD
- Email: imran.amjad@riphah.edu.pk
- Phone: 03324390125
Similar studies
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This trial tests whether a mobile telerehabilitation app delivering action observation therapy (AOT) alone or combined AOT with mirror therapy (AOT-MT) can improve upper limb function in people with subacute stroke.
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Remote Ischaemic Conditioning for Fatigue After Stroke 2
Aat least 12 weeks after stroke, adults with post-stroke fatigue will try a simple hand-arm cuff treatment at home to see if it helps reduce fatigue.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.