None listed
Conditions
Brief summary
Introduction: The STRoke Interactive Virtual thErapy (STRIVE) intervention provides community-dwelling stroke survivors access to individualised, remotely-supervised progressive exercises via an online platform. This trial aims to determine the clinical efficacy, effects on brain activity and user preferences of the STRIVE intervention in community-dwelling stroke survivors. Methods and analysis: In a multi-site, assessor blinded randomised controlled trial with a parallel mixed-methods implementation evaluation, 60 participants from 3 stroke support groups across Victoria and Tasmania will be equally randomised by location to receive 8 weeks of virtual therapy (VT) at a local community centre, or usual care. Participants allocated to VT will perform 3-5 upper-limb exercises (depending on initial impairment severity), whilst participants allocated to usual care will be asked to maintain their daily activities. The primary outcome measure will be upper extremity function and spasticity, as measured by the Fugl-Meyer upper extremity assessment and modified Ashworth scale respectively. Secondary outcome measures include task-related changes in bilateral sensorimotor cortex hemodynamics during hand reaching and wrist extension movements as measured by functional near-infrared spectroscopy. All measures will be assessed at baseline and immediately post-intervention.
Interventions
The intervention will be participation in interactive computer based activities using the kinect camera and software designed for stroke rehabilitation (JRS wave technology). Participants will view screen based activities and perform tasks that give feedback on arm and body position in space. Between 3 and 5 upper limb exercises will be performed which are functional upper limb tasks that require shoulder flexion, abduction and adduction with elbow flexion, extension and forearm supination. the
The intervention will be participation in interactive computer based activities using the kinect camera and software designed for stroke rehabilitation (JRS wave technology). Participants will view screen based activities and perform tasks that give feedback on arm and body position in space. Between 3 and 5 upper limb exercises will be performed which are functional upper limb tasks that require shoulder flexion, abduction and adduction with elbow flexion, extension and forearm supination. the dose will be for up to 50 minutes twice per week in a community setting for 8 weeks. Sessions will be supervised by an exercise physiologist 1:1 face to face and attendance recorded. The software records duration and number of activities participated in.
Sponsors
Deakin University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants will be included if they are 1) community dwelling stroke survivors, 2) with mild-to-moderate upper arm impairments (Fugl-Meyer upper extremity score 25-45), 3) no cognitive impairments (Mini-mental state examination score >24) and 4) able to read English.
Exclusion criteria
Stroke survivors with 1) other neurological conditions (e.g. Parkinson’s disease or dementias) and 2) no observable movements in shoulders or elbows will be excluded from this trial.
Outcome results
None listed