Effect of Adding Augmented Cues /Hand Stroke Patient

Stroke is one of the leading causes of long‐term disability worldwide and frequentlyresults in impaired hand function, reduced dexterity, decreased grip strength, andlimitations in activities of daily living. Conventional physical therapy is commonly usedto improve upper extremity function; however, recovery of hand performance remainschallenging for many stroke survivors.Augmented cues provide additional sensory information through visual, auditory, orsensorimotor feedback that may enhance motor learning and neuroplasticity. Incorporatingaugmented cues into rehabilitation programs may improve patient engagement, increaserepetition of task‐specific movements, and facilitate functional recovery.The purpose of this randomized controlled trial is to examine the effectiveness of addingaugmented cue‐based training to conventional physical therapy intervention in improvinghand function among patients with subacute ischemic stroke.A total of 50 participants meeting the eligibility criteria will be recruited andrandomly assigned into two equal groups:Study Group: Participants will receive augmented cue‐based training combined withconventional physical therapy.Control Group: Participants will receive conventional physical therapy only.The intervention will be conducted over an eight‐week treatment period. Outcome measureswill be collected before and after treatment and will include: 1. Nine‐Hole Peg Test (NHPT) to assess manual dexterity. 2. Hand grip strength measured using a hand dynamometer. 3. Pressure pain threshold measured using a pressure algometer.The primary objective is to determine whether the addition of augmented cues results ingreater improvement in hand function compared with conventional physical therapy alone.The results may contribute to the development of more effective rehabilitation strategiesfor individuals recovering from stroke.