Stroke
Conditions
Keywords
Stroke, Virtual reality, Upper Extremity Paresis
Brief summary
The study aimed to investigate the effect of exergames using virtual reality with head mounted device on motor recovery of upper extremities in chronic stroke patients.
Detailed description
This is a crossover study for comparing conventional occupational therapy and exercise with game format using virtual reality (virtual reality exergame). The virtual reality exergame is designed to maximize the movement of upper extremities, primary to the shoulder and elbow. Fifteen chronic stroke patient will receive conventional occupational treatment and virtual reality exergame in random order with a two-week-washout period. Outcome measures will be evaluated within two days before and after each treatment, conventional treatment and virtual reality exergame. \*Due to recruitment challenges, the anticipated enrollment has been revised from 36 to 15.
Interventions
Twelve sessions of virtual reality exergames involving upper extremities will be conducted. Each session is 30 minutes and will be held 3 times a week. The washout period between the two types of interventions is 2 weeks.
BEHAVIORALConventional occupational therapy
Conventional occupational therapy involving upper extremities will be conducted. Each session is 30 minutes and will be held 3 times a week. The washout period between the two types of interventions is 2 weeks.
Sponsors
Asan Medical Center
National Traffic Injury Rehabilitation Hospital
Korea Workers' Compensation and Welfare Service Incheon Hospital
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Chronic stroke patients who have passed 6 months or more without additional stroke after the first stroke * Patients with upper extremity dysfunction due to stroke (ischemic, hemorrhagic) * Patients who can move the upper extremity against gravity with a manual muscle test of grade 3 or higher in the affected shoulder and elbow, respectively * Patients who can stably maintain a sitting position * Patients who voluntarily agreed to participate in the study
Exclusion criteria
* Patients with moderate or severe cognitive impairment with a score of 18 or less on the Mini-Mental Status Examination (K-MMSE) * Patients with other causes of upper extremity dysfunction, such as peripheral nerve damage, joint disease, etc. * Patients with a history of severe vertigo or epilepsy * Patients with medical reasons such as medical conditions that make it difficult to participate in research * Patients who may be pregnant or who are pregnant or lactating
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Action Research Arm Test | Within 2 days after the end of each intervention | As an upper extremity function evaluation tool, it tests grasp, grip, pinch, and gross arm movement function as sub-tests. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer (FM) Assessment | Within 2 days after the end of each intervention | an upper extremity function evaluation tool |
| Modified Barthel Index | Within 2 days after the end of each intervention | an evaluation tool for assessing activities of daily living |
| Box and Block test | Within 2 days after the end of each intervention | an upper extremity function evaluation tool |
| Beck Depression Inventory (BDI) | Within 2 days after the end of each intervention | an evaluation tool for severity of depression in normal and psychiatric populations |
| Simulator Sickness Questionnaire | Day 1 and Day 12 of virtual reality exergames intervention | an evaluation tool for assessing the subjective severity of simulator sickness symptoms |
| Grip strength | Within 2 days after the end of each intervention | Strength of hand grip, palmar pinch and lateral pinch power measured by grip force meter |
Countries
South Korea
Contacts
Primary ContactHan Gil Seo, MD, PhD
Outcome results
None listed