Movement, Abnormal, Stroke
Conditions
Keywords
virtual reality, feedback
Brief summary
Individuals with stroke show abnormal movement pattern of upper limb. The movement pattern needs to be corrected. There are several methods to train normal movement. Exercise with technology is an active movement and affects sensory and cognitive systems. It may benefit to individuals with stroke in training.
Detailed description
Individuals with stroke sign informed consent. They are trained with virtual reality game with and without feedback from a researcher. Age-matched healthy play the same game as individuals with stroke do. Both individuals with stroke and healthy are measured upper limb movement pattern.
Interventions
OTHERVirtual reality with feedback
Individuals with stroke play game with correction of movement.
OTHERVirtual reality without feedback
Individuals with stroke play game without correction of movement.
OTHERHealthy
Healthy do not play game
Sponsors
Vimonwan Hiengkaew
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
45 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
Individuals with stroke 1. 45 - 65 years old 2. First ischemic or hemorrhagic stroke 3. Right hemiparesis 4. Right dominant handedness 5. Within 6 months after stroke 6. Discharge from hospital and stay at home 7. Normal dynamic sitting balance 8. At least 120 degrees of shoulder flexion and 45 degrees of shoulder extension by passive range of motion 9. Active movement at least stage 3 by Chedoke-McMaster Stroke Assessment 10. Muscle tone graded 1-2 by Modified Ashworth Scale in 2 of 3 muscle groups including shoulder adductor, internal rotator or/and elbow flexor groups 11. No cognitive impairment Healthy individuals 1. Have same gender and age within range of ±5 years of individuals with stroke 2. Right handedness 3. Active range of motion of shoulder flexion and extension at least 120°and 45° respectively 4. No cognitive impairment
Exclusion criteria
Individual with stroke and healthy 1. Have cyber-sickness 2. Obesity 3. Ataxic movement 4. Loss visual field or visual neglect 5. Loss exteroceptive sensation 6. Impaired or loss proprioceptive sensation 7. Receive the occupation therapy on upper extremity 8. Muscle contracture at the scapula, shoulder and elbow 9. Pain at the scapula, shoulder and elbow 10. History of fracture or surgery at head, shoulder, scapula, and elbow 11. Shoulder subluxation 12. Other neurological disorders 13. Uncontrolled hypertension 14. Myocardial infarction 15. Seizure or epilepsy 16. Pacemaker or hemodialysis vascular access
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| kinematic data | 10 minutes | angle of shoulder, elbow, and forearm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Upper limb performance | 10 minutes | doing task according to Fugl Mayer |
| muscle tone | 2 minutes | assessing muscles of shoulder, elbow, and forearm according to Modified Ashworth Scale |
Contacts
Primary ContactVimonwan Hiengkaew, PhD
Outcome results
None listed