The following article has just been accepted for publication in Journal of Neurologic Physical Therapy:
“Tablet apps and dexterity: comparison between three age groups and proof of concept for stroke rehabilitation”
Rachel Kizony, OT, PhD; Gabi Zeilig; Israel Dudkiewicz; Tamara Schejter-Margalit; Debbie Rand
Background: Touchscreen tablet technology might be suitable for self-training of impaired dexterity post-stroke.
Purpose: To compare iPad app performance of individuals without a disability from three-age groups and to assess the feasibility of using iPad apps with individuals with stroke.
Methods: Experiment I included 172 Individuals without a disability; 79 young [mean (SD) age 26.2 (3.9)], 61 adults [55.9 (5.1)] and 32 older adults [68.7 (3.0) and experiment II included 20 individuals with stroke, aged 59.3 (13.7) years with moderate-mild impairment of the upper extremity. All participants performed the ‘Dexteria-Tap-it’ app twice and the Nine Hole Peg Test (NHPT). The stroke group experienced additional apps and filled in a questionnaire regarding their experience and clinical assessments were administered.
Results: Significant differences in ‘Dexteria-Tap-it’ performance were found between the three-age groups. Only 15/20 individuals with stroke were able to complete the two trials of ‘Dexteria-Tap-it’, but they enjoyed the experience and thought the apps may have potential for stroke rehabilitation to improve their weaker hand.
Discussion and Conclusions: App performance was affected by impaired hand dexterity in aging individuals without a disability and in individuals with stroke. Potentially, apps may provide a way to facilitate self-training of repetitive, task-oriented, isolated finger and hand movements to improve hand dexterity and function after stroke.
Video Abstract available for additional insights from the authors (Supplemental Digital Content, http://links.lww.com/JNPT XXXX
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