Treatment of the weakness of Upper Extremity due to Stroke by virtual gaming

Conditions

Health Condition 1: I63- Cerebral infarction

Sylaja PN, Pr S, Paul R, Chakravarthy S, Sinha A, Bapi RS, Kesavadas C, Bharath RD, Sarma PS, Elango S, Hafsath S, Darshini D, F AJA, Dhasan A, Sambath S, Amal MG, R S A, Akhil S, Devan HS, Anjana Madhu MV, S SE, Ambikapathy R, Shaji S, Raja P, Gupta A, Kulkarni GB.

2026-02-18

10.1136/bmjopen-2025-107014

Feasibility and efficacy of virtual reality rehabilitation compared with conventional physiotherapy for upper extremity impairment due to ischaemic stroke: protocol for a randomised controlled trial

Rinta Paul, Sundari Elango, V. Srinivasa Chakravarthy, Aniruddha Sinha, P R Srijithesh et al. (12 authors)

BMJ Open2024-07-015 citations

10.1136/bmjopen-2024-086556

Interventions

Intervention1: Virtual Gaming: Virtual gaming will be given minimum of 3 sessions/week for 3 months Control Intervention1: Physiotherapy: Routine Physiotherapy for 3 months (Standard of care)

Eligibility

Inclusion criteria

Inclusion criteria: (a) Age between 18-70 years of age (b) Patients with first-ever stroke with impairment of upper limb extremity function (c) Time of stroke onset between 1-6 months (d) Level of spasticity in upper extremity between grades 1 and 1+ based on Modified Ashworth scale (e) Brunnstrom hand recovery stages of 4,5,6, shoulder and elbow recovery stages of 3,4,5

Exclusion criteria

Exclusion criteria: 1. Age 2. Other neurological disorders that cause motor deficits, such as Parkinson’s disease and peripheral neuropathy; 3. Severe aphasia resulting in communication difficulties that could influence the intervention and outcome measures; 4. Cognitive impairment resulting in cooperation difficulties (a score of=24 in the Mini-Mental State Examination); 5. Severe pain impeding upper extremity rehabilitation (numeric pain rating scale score = 7) 6. No significant visual dysfunction. 7. Contraindications for doing MRI.

Design outcomes

Primary

Measure	Time frame
Feasibility Outcome: Compliance with the treatment Efficacy Outcome: Fugl Meyer score and Wolf motor function test Timepoint: Feasibility Outcome: 3 months Efficacy Outcome: Baseline and 3 months	—

Secondary

Measure	Time frame
Barthel Index (BI) & Quality of life scale (SF-36)Timepoint: Baseline & 3 months	—

Countries

India

Contacts

Public ContactDr P N Sylaja

Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram

sylajapn@hotmail.com04712524482

Outcome results

None listed