New Interactive Sensor-home-based Hand Training to Improve Dexterity

New Interactive Sensor-home-based Hand Training to Improve Dexterity

Primary objective of this study is to explore the impact of a 3-week upper limb hand function training in patients with PD, MS or stroke. The benefits on hand function of this training program will be evaluated. The hypothesize is that the 3-week upper limb hand function training improves finger dexterity.

Patients with Parkinson's disease (PD), multiple sclerosis (MS) or stroke often suffer from significantly decreased coordination and have difficulties with precise hand/finger movements during the performance of both basic activities of daily living (ADL), such as dressing, grooming as well as higher ADL, such as cooking, shopping and regular medication intake. The investigators explore the effects of a new, interactive, sensor-home-based upper limb hand training on upper limb related ADL in patients with PD, MS or stroke.

Inclusion Criteria:

• Patients with confirmed PD, according to UK Brain bank Criteria (Hughes et al., 1992) or
• MS patients with relapsing-remitting MS (RRMS), secondary-progressive MS (SPMS) or primary progressive MS (PPMS) according to the revised McDonald's criteria or
• subacute stroke
• written and signed informed consent
• self-reported hand function problems

or

• healthy subject
• written and signed informed consent
• no self-reported hand function problems

Exclusion Criteria:

• MoCA <21/30
• psychiatric disease
• participation on other interventional trials
• Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc.