None listed
Conditions
Brief summary
Innovative technologies for sensorimotor rehabilitation after acquired brain injury have dramatically increased over the past 20 years and their development, as well as the demand for access to these devices, is expected to continue to increase exponentially. Many of the developments have been technology-driven which may limit their application and acceptance in clinical settings. Emerging research shows promise, and collaborative research with engineers, therapists and end-users is critical for the successful translation of these devices into standard practice. Based on this premise, we aim to examine the potential benefits of using a novel device, which incorporates virtual reality, triggered-electrical stimulation and haptic feedback, as an adjunct therapy for the rehabilitation of people with stroke.
Interventions
Both groups will receive routine therapy, daily for 60 minutes. For the intervention group, the last 20minutes of this session will be facilitated by the multimodal therapy device. This sophisticated device is the first 'closed loop' see, feel and move rehabilitation system. It incorporates the latest VR and haptic technologies in combination with intelligent muscle stimulation. It is comprised of a glove worn on the affected limb, a VR headset, and a laptop computer which provides the interface
Both groups will receive routine therapy, daily for 60 minutes. For the intervention group, the last 20minutes of this session will be facilitated by the multimodal therapy device. This sophisticated device is the first 'closed loop' see, feel and move rehabilitation system. It incorporates the latest VR and haptic technologies in combination with intelligent muscle stimulation. It is comprised of a glove worn on the affected limb, a VR headset, and a laptop computer which provides the interface to real world environments and daily activities. It allows the patient to practice repetitive, goal directed everyday tasks, in a virtual environment, which are facilitated by the electrical stimulation provided robotic glove. Examples of these activities include picking up a cup, folding a towel and brushing your teeth.The stimulation is triggered in response to both the position of the limb and through the patients’ own EMG signals detected by the glove. This therapy will be provided by the treating therapist (OT or physio) daily for three weeks or until discharge
Sponsors
University of Newcastle
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
1. 18 years of age or older 2. Diagnosis of ischaemic or haemorhhagic stroke 3. Admitted to a research site for inpatient rehabilitation 4. Within 2 months of stroke onset 5. Medical stable and able to participate in rehabilitation activities 6. Upper limb impairment: Score less atleast 3 or greater on arm item of MAS ( item 5) ( in supine able to hold arm in elevation and take hand to touch forehead then extend elbow) and 1 or greater on the hand item of MAS (item 6) (extend wrist with forearm supported on a table)
Exclusion criteria
1. Bilateral impairment 2. Motion sickness 3. Significant cognitive impairment (Montreal Cognitive Assessment Score of <19) 4. Presence of pain or joint restriction that limits the ability to perform upper limb activities 5. Any medical condition which limits the ability to maintain a sitting posture and participate in the prescribed activities such as severe visual loss, perceptual impairments or dizziness
Outcome results
None listed