This current study will be designed to determine the effect of smart tablets hand training applications on hand functions and functional outcome in patients with stroke. Tablet-based hand function training app with smart tablet exercises:
Patients in the study group will receive 20 min of smart tablet active hand therapy. Patients in the study and control group will receive 30 min of conventional physical therapy program. This program consists of neurodevelopmental facilitation techniques organized specifically for each patient, range of motion exercises, strengthening exercises .
It includes the following functional tasks (reaching, grasping, lifting and placing objects).
Forty chronic ischemic stroke patients from both sexes.
Their ages will range from 45 - 65 years old.
Stroke duration between six months and two years.
Spasticity grade of the upper limb is from 1+to 2 according to the Modified Ashworth scale.
Other neurological disorders (e.g.: Multiple sclerosis, Parkinsonism…etc).
Visual, auditory, and cognitive deficits.
Patients with psychological or sever cognitive disorders.
Patients with musculoskeletal problems (deformity or contracture).