Stroke, Rehabilitation, Virtual Reality, Mirror Movement Therapy, Task Performance
Conditions
Brief summary
In the proposed study, the investigators assumed that Virtual Reality-Based Generative Bimanual Cooperative Task-Oriented Therapy (VRMCTOMT) will provide a better treatment effects than traditional virtual reality mirror therapy (VRMT) for the patients with unilateral stroke. The aim of the study is to examine the difference in the treatment effects among the combination of task-oriented training with either VRMCTOMT, or VRMT on the upper extremity function and brain activity of the stroke patients.
Interventions
Motor training targeted to goals that are relevant to the functional needs of the patient
Virtual Reality Mirror Therapy using goggle
Virtual Reality-Based Generative Bimanual Cooperative Task-Oriented Mirror Therapy using goggle
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of stroke with unilateral side involved; * A score of Mini-mental state examination greater than 24 for proving higher mental function * Time of onset \> 6 months before treatment begins; and * Premorbid right-handedness.
Exclusion criteria
* Severe vision impairment; * Major cognitive-perceptual deficit; * Other brain disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the result of Fugl-Meyer assessment (FMA) for motor function of upper extremity test | baseline, 9 weeks and 21 weeks | Each item is rated on a three-point ordinal scale (2 points for the detail being performed completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the result of Modified Ashworth scale (MAS) | baseline, 9 weeks and 21 weeks | Muscle tone is defined by assess muscle tone by evaluating resistance to passive stretch, reflecting the level of spasticity, with scores ranging from 0 (no increase in tone) to 4 (rigidity in flexion or extension). |
Countries
Taiwan