Stroke
Conditions
Keywords
stroke chronic gait deficits virtual reality training
Brief summary
The purpose of this study is to examine the feasibility and efficacy of a virtual reality program for ambulatory patients with mild-to-moderate chronic gait deficits after stroke.
Detailed description
Virtual reality (VR) systems enable the learning of simple and complex skills in a controlled virtual environment; i.e., one in which the different components (constraints) of the environment can be displayed, graded, changed and monitored in a quantitative manner. Small preliminary studies suggest that VR may be used to augment chronic stroke rehabilitation and may enhance cortical reorganization. Our aim is to examine the feasibility and efficacy of a virtual reality program for ambulatory patients with mild-to-moderate chronic gait deficits after stroke. Study design-a single center randomized controlled trial of an experimental group and a usual care group.
Interventions
DEVICEVirtual reality system (CAREN™ Integrated Reality System; MOTEK BV, Netherlands).
Training 2/w for 9 weeks (total 18 sessions).
Sponsors
Sheba Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Main Inclusion Criteria: * Stroke within 3-72 months. * Mild-to-moderate residual gait deficits after the index stroke with preserved capacity for ambulation without or with an assistive device (e.g., walker, cane) or orthotics (e.g. AFO). Main
Exclusion criteria
* Unstable cardiac or other medical condition or aphasia, dementia or other significant neurological disease limiting ability to train.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Community ambulation using Step Activity Monitor (SAM) | Baseline X2, post training (week 9-10), retention (week 20-24) |
| Gait analysis (GaitRite system) including dual task | Baseline X2, post training (week 9-10), retention (week 20-24) |
| Body sway- displacement of center of pressure (CoP) as indicated by the reactive forces from platform. | Baseline X2, post training (week 9-10), retention (week 20-24) |
| Timed Up and Go | Baseline X2, post training (week 9-10), retention (week 20-24) |
Secondary
| Measure | Time frame |
|---|---|
| 3DGait Analysis system | Baseline X2, post training (week 9-10), retention (week 20-24) |
| Four Stick Stepping Test (FSST) | Baseline X2, post training (week 9-10), retention (week 20-24) |
| 6 minute walk | Baseline X2, post training (week 9-10), retention (week 20-24) |
| Self-induced perturbations and reaction to perturbations on platform | Baseline X2, post training (week 9-10), retention (week 20-24) |
| Functional Reach | Baseline X2, post training (week 9-10), retention (week 20-24) |
Countries
Israel
Outcome results
None listed