Stroke
Conditions
Keywords
Stroke, Rehabilitation, Hand, Game, Functional electrical stimulation, Virtual reality
Brief summary
The purpose of the present study was to investigate the effects of game-based virtual reality rehabilitation combined with functional electrical stimulation on distal upper extremity function, and compare the findings to those of functional electrical stimulation in stroke survivors.
Interventions
Functional electrical stimulation on distal upper extremity
Game-based virtual reality rehabilitation system (Smart glove system) combined with functional electrical stimulation on distal upper extremity
Sponsors
Study design
Eligibility
Inclusion criteria
* first-ever ischemic or hemorrhagic stroke * wrist extensor of medical research council scale 1\ 3 * No clinical evidence of limited passive range of motion of affected wrist
Exclusion criteria
* age \<18 years * severe aphasia resulting in communication difficulties confounding intervention and outcome measures * severe cognitive impairment resulting cooperation difficulties * spasticity \> modified Ashworth scale 1+
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wolf Motor Function Test | 4 weeks from baseline |
| Fugl-Meyer Assessment-hand & wrist | 4 weeks from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment upper extremity | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | global assessment of upper extremity impairment |
| Stroke Impact Scale | baseline, 4 weeks after baseline | — |
| Motor Activity Log | baseline, 4 weeks after baseline | — |
| Medical research council scale of elbow flexion/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Medical research council scale of wrist flexion/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Range Of Motion of elbow flexion/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Range Of Motion of wrist flexion/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Wolf Motor Function Test | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Jebsen-Taylor hand function test | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Modified Ashworth scale of elbow flexor/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Modified Ashworth scale of wrist flexion/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Modified Tardieu scale of elbow flexor/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Modified Tardieu scale of wrist flexion/extension | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | — |
| Adverse events | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | Any adverse events |
| Brunnstrom stage | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | It represent the recovery status among stroke patients |
| Box and Block Test | baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline | number of block transferred by hand from one box to other box. |
Countries
South Korea