Mirror Movement, Paresis, Stroke
Conditions
Brief summary
The researchers found that enhanced reality developed for the first time in the word by us had a synergistic or additive effect on brain plasticity in patients without central nervous system injury. The aim of this study is to determine the validity and feasibility of enhanced reality in hemiparetic arm in the stroke patients with central nervous system injury.
Detailed description
Pre-interventional evaluation; within 1 day of initiation of the intervention; 10 days after initiation of the intervention; 30 days after termination of treatment.
Interventions
DEVICEEnhanced reality
This prototype is developed by investigators for the first time so that it have no trademark or manufacturer name yet. The patient sits facing the horizontal desk with the ER therapy device, and then raises the wrist joint to the fixed base. The hand, wrist, and distal forearm to be treated are positioned below the ER medical camera so that the wrist is visible on the screen. Fix the wrist and wrist joint using Velcro. When treating the distal forearm, detach the wrist fixing Velcro.
OTHERNo Enhanced reality
Identical rehabilitation without enhanced reality
Sponsors
Ulsan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Arm motor Fugl-Mayer scale; wrist/hand subscales ≥ 2-20 * 9-hole pegboard ; ≥ 25% of contra-lateral hand
Exclusion criteria
* Alexander apraxia scale ≤2 * NIH stroke scale question Ia-c ≥1 * Nottingham sensory scale; \<75% of contra-lateral hand * Ashworth scale ≥3 * NIH stroke scale question IX ≥2 * Beck depression inventory ≥21 * Significant upper extremity disease causing hand or below elbow dysfunction * Visual disturbance * Refusal of participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Jebsen Taylor test | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | Jebsen-Taylor Hand Function Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of Arm motor Fugl-Mayer scale | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | Arm motor Fugl-Mayer scale; wrist & hand/proximal arm |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change of Stroke impact scale | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | Stroke impact scale, hand function |
| Change of Grasp force in Newtons | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | Grasp force in Newtons |
| Change of Ashworth scale | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | Ashworth scale; wrist/ elbow |
| Change of Korean-modified Barthel index | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | Korean version-Modified Barthel Index |
| Change of motor evoked potential of abdutor pollicis brevis | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | Motor Evoked Potential |
| Change of Active range of motion of wrist joint | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | range of motion of the wrist joint |
| Change of 9-hole pegboard | 1 day before the initiation of intervention, 10 day after the initiation of intervention, and 30 days after termination of treatment | 9-hole pegboard |
Countries
South Korea
Contacts
Primary ContactChang Ho Hwang
Outcome results
None listed