Acquired Brain Injury
Conditions
Keywords
Virtual Reality, Rehabilitation, Acquired Brain Injury
Brief summary
The aim of the study is to investigate the effectiveness of motor and cognitive virtual environment rehabilitation on upper limb function in sub-acute patients after an acquired brain injury.
Interventions
Three hours rehabilitation sessions every day that will consist in two hours of physiotherapy and one hour of neurocognitive rehabilitation, for 15 consecutive working days (3 weeks). 1 hour: conventional physiotherapy 1 hour: virtual reality upper extremity motor rehabilitation 1 hour: virtual reality neurocognitive training
Three hours rehabilitation sessions every day that will consist in two hours of physiotherapy and one hour of neurocognitive rehabilitation, for 15 consecutive working days (3 weeks). 1 hour: conventional physiotherapy 1 hour: upper extremity motor rehabilitation 1 hour: neurocognitive training
Sponsors
Study design
Eligibility
Inclusion criteria
* Acquired Brain Injury within 1 month before the recruitment; * Score between 0 and 3 at the Motor Arm subscore of the Italian version of the National Institutes of Health Stroke Scale (it-NIHSS); * Score between 9 and 15 at the Glasgow Coma Scale for the traumatic brain injury Acquired Brain Injury.
Exclusion criteria
* Denial of informed consent; * Visual deficits that interfere with the virtual reality rehabilitation; * Score under 18 at the Mini Mental State Examination; * Severe orthopedic deficit; * Patients with pace maker; * Patients with contraindication to undergo magnetic resonance; * Pregnant women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fugl-Meyer Upper Extremity (FMUE) | From Baseline (T0) to 3 weeks of rehabilitation (T1) | Items are scored on a 3-point ordinal scale 0 = cannot perform; 1 = performs partially; 2 = performs fully. Maximum Score = 66 points |
Secondary
| Measure | Time frame |
|---|---|
| Change in Action Research Arm Test (ARAT) | From Baseline (T0) to 3 weeks of rehabilitation (T1) |
| Change in Functional Independence Measures (FIM) | From Baseline (T0) to 3 weeks of rehabilitation (T1) |
| Change in Mini Mental State Examination (MMSE) | From Baseline (T0) to 3 weeks of rehabilitation (T1) |
| Change in Beck Depression Inventory (BDI) | From Baseline (T0) to 3 weeks of rehabilitation (T1) |
| Change in 36-Item Short Form Survey (SF-36) | From Baseline (T0) to 3 weeks of rehabilitation (T1) |
| Change in Montreal Cognitive Assessment (MoCA) | From Baseline (T0) to 3 weeks of rehabilitation (T1) |
Other
| Measure | Time frame |
|---|---|
| Change in Resting state functional MRI (fMRI) | From Baseline (T0) to 3 weeks of rehabilitation (T1) |
Countries
Italy