Stroke
Conditions
Keywords
stroke, upper limb, motor control, function, bilateral movement, virtual reality
Brief summary
This study aims at investigating whether bilateral movement-based training with computer games could augment motor function of paretic upper limb and improve quality of life in sub-acute stroke patients.
Interventions
OTHERVideo-directed conventional training
OTHERBilateral movement-based computer training
Sponsors
Shatin Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
stratified, single-blinded, intervention and controlled study
Eligibility
Sex/Gender
ALL
Age
45 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Age between 45-85 * Diagnosis of ischaemic brain injury or intracerebral hemorrhage by MRI or computed tomography 1 week to 6 months after the onset of current stroke * Scoring \> 6 of 10 of Abbreviated Mental Test * Ability of the paretic hand to hold the game controller (minimal control) * Able to give informed consent of the study * Can understand instructions given by English or Cantonese
Exclusion criteria
* Any additional medical, cardiovascular and orthopaedic condition that would hinder the proper assessment and treatment * Having cardiac pacemaker * Receptive dysphasia * Undergoing drug studies or other clinical trials
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment-Upper Extremity Scores (FMA-UE scores) baseline to 4 weeks | Change from baseline to 4 weeks | The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia. It is applied clinically and in research to determine disease severity, describe motor recovery, and to plan and assess treatment. The FMA-UE scores measure motor impairment of upper extremity. The motor domain includes items assessing movement, coordination, and reflex action of the shoulder, elbow, forearm, wrist and hand. |
| Fugl-Meyer Assessment-Upper Extremity Scores (FMA-UE scores) baseline to 8 weeks | Change from baseline to 8 weeks | The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia. It is applied clinically and in research to determine disease severity, describe motor recovery, and to plan and assess treatment. The FMA-UE scores measure motor impairment of upper extremity. The motor domain includes items assessing movement, coordination, and reflex action of the shoulder, elbow, forearm, wrist and hand. |
| Fugl-Meyer Assessment-Upper Extremity Scores (FMA-UE scores) baseline to followup | Change from baseline to 12 weeks (4 weeks after training ended) | The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia. It is applied clinically and in research to determine disease severity, describe motor recovery, and to plan and assess treatment. The FMA-UE scores measure motor impairment of upper extremity. The motor domain includes items assessing movement, coordination, and reflex action of the shoulder, elbow, forearm, wrist and hand. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Short-Form Health Survey Hong Kong version (HK-SF-36) baseline to 4 weeks | Change from baseline to 4 weeks | The Short-Form Health Survey (SF-36) is a widely used, generic, patient-report measure created to assess health-related quality of life (HRQOL) in the general population. SF-36 is the most commonly used generic instrument for measuring quality of life. |
| Action Research Arm Test (ARAT) baseline to 4 weeks | Change from baseline to 4 weeks | The Action Research Arm Test (ARAT) is an evaluative measure to assess specific changes in limb function among individuals who sustained cortical damage resulting in hemiplegia. It assesses a client's ability to handle objects differing in size, weight and shape and therefore can be considered to be an arm-specific measure of activity limitation. |
| Short-Form Health Survey Hong Kong version (HK-SF-36) baseline to followup | Change from baseline to 12 weeks (4 weeks after training ended) | The Short-Form Health Survey (SF-36) is a widely used, generic, patient-report measure created to assess health-related quality of life (HRQOL) in the general population. SF-36 is the most commonly used generic instrument for measuring quality of life. |
| Short-Form Health Survey Hong Kong version (HK-SF-36) baseline to 8 weeks | Change from baseline to 8 weeks | The Short-Form Health Survey (SF-36) is a widely used, generic, patient-report measure created to assess health-related quality of life (HRQOL) in the general population. SF-36 is the most commonly used generic instrument for measuring quality of life. |
| Action Research Arm Test (ARAT) baseline to 8 weeks | Change from baseline to 8 weeks | The Action Research Arm Test (ARAT) is an evaluative measure to assess specific changes in limb function among individuals who sustained cortical damage resulting in hemiplegia. It assesses a client's ability to handle objects differing in size, weight and shape and therefore can be considered to be an arm-specific measure of activity limitation. |
| Action Research Arm Test (ARAT) baseline to followup | Change from baseline to 12 weeks (4 weeks after training ended) | The Action Research Arm Test (ARAT) is an evaluative measure to assess specific changes in limb function among individuals who sustained cortical damage resulting in hemiplegia. It assesses a client's ability to handle objects differing in size, weight and shape and therefore can be considered to be an arm-specific measure of activity limitation. |
Outcome results
None listed