Brain Diseases, Upper Extremity Dysfunction
Conditions
Brief summary
Because virtual reality can provide more enriched environment, repetitive goal-oriented tasks, and increased patients' interest and motivation, it is expected to stimulate neuroplasticity of injured brain and promote recovery in patients with brain disorders. On the other hand, immersive virtual reality using a head-mounted display has not yet been attempted in the rehabilitation of patients with brain disorders. In addition to the benefits of existing virtual reality or game rehabilitation, immersive virtual reality can further enhance brain plasticity, such as the effect of mirror therapy or action observation, through self-awareness of the body in the virtual space. The purpose of this study is to investigate the feasibility of applying the immersive virtual reality using a head-mounted display in patients with upper extremity dysfunction due to brain disorders.
Interventions
DEVICEVirtual rehabilitation
A total of 10 sessions were held for 30 minutes, 2 to 3 times a week for upper limb rehabilitation using immersive virtual reality under the assistance of an occupational therapist.
Sponsors
Seoul National University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DEVICE_FEASIBILITY
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with upper extremity dysfunction due to brain disorders (eg, stroke, traumatic brain injury, brain tumor, etc.) * Patient who can move the upper limb against the gravity (MRC grade 3 or above in both shoulder and elbow flexion) * Patient who can maintain stable sitting position * Adults over 18 years old * Patients who voluntarily agreed to participate in the study
Exclusion criteria
* A moderate-to-severe cognitive impairment score of 18 or less in Mini-Mental Status Examination (MMSE) * Peripheral nerve injury, joint disease, other diseases of the upper extremity dysfunctions other than brain disorders * Patients with a history of severe dizziness or epilepsy * Patients with other medical illness that are difficult to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Action Research Arm Test | at study completion, an average of 1 month | 19 items including grasp, grip, pinch, and gross arm movement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of Box and Block Test | at study completion, an average of 1 month | the number of blocks carried over the partition from one compartment to the other during the one-minute trial period |
| Change of Modified Barthel Index | at study completion, an average of 1 month | Evaluation of activities of daily living |
| Time of participation | at study completion, an average of 1 month | Total time of patient's participation in the study intervention |
| Patient's satisfaction | at study completion, an average of 1 month | Evaluation of patient's satisfaction to the study intervention using a Likert scale |
| Patient's discomfort | at study completion, an average of 1 month | Evaluation of patient's discomfort to the study intervention using a Likert |
Countries
South Korea
Outcome results
None listed