Effects of Virtual Reality Game on Upper Extremity Function for Stroke

Taipei Medical University

Status: Completed

Conditions: Stroke

Treatments: Behavioral: standard treatment; Behavioral: virtual reality game traning

Study type: Interventional

Funder types: Other

Identifiers

NCT04296032

TMU-JIRB N201912049

Details and patient eligibility

About

Virtual reality training had already been used in stroke rehabilitation, and previous studies supported that it could improve upper extremity ability and increase motivation and pleasure than conventional methods. Pablo is a new VR game combined with motion sensor system which can detect subject's activities. Unlike commercial camera systems such as Kinect or XBOX, the systems require a continuous sightline or enough active range of motion which may increase risk of compensatory movement. Few of studies had investigated the rehabilitation effects on upper extremity with Pablo for patients with stroke.The purpose of this study is to investigate the effects of virtual reality upper extremity training through Pablo system in patients with chronic stroke.

Full description

PURPOSE: The purpose of this study is to investigate the effects of virtual reality upper extremity training through Pablo system in patients with chronic stroke.

METHODS:Patients with mild to moderate motor deficits were recruited and randomly assigned to "VR plus standard rehabilitation group"(n=19), and "standard rehabilitation group" (n=19). After 12 training sessions (60 minutes a time, 2 times a week), the performance was assessed by a blinded assessor. The outcome measures included Fugl-Meyer Assessment-Upper Limb section(FMAUE), Box and block test(BBT), Dynanometer, active range of motion of shoulder and elbow,and Stroke Impact Scale.Modified Physical Activity Enjoyment Scale and adverse effect were recorded after each sessions.Collected data will be analyzed with sample T test by SPSS version 20.0, and alpha level was set at 0.05.

Enrollment: 37 patients

Sex: All

Ages: 20 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First stroke with hemiplegia,
• Chronicity of >6 months
• Could understand instructions
• Brunnstrom stage of UE ≥IV.

Exclusion criteria

• Patients who were aged <20 years and >75 years
• Patients with visual or auditory impairment who were unable to see or hear the feedback from the device clearly
• Montreal Cognitive Assessment <16
• Modified Ashworth Scale score of >2
• Patients with other medical symptoms that can affect movement were excluded.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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37 participants in 2 patient groups

virtual reality group

Experimental group

Description:

Standard treatment 30 minutes plus virtual reality game 30 minutes, twice a week for 9 weeks.

Treatment:

Behavioral: virtual reality game traning

Behavioral: standard treatment

standard treatment group

Active Comparator group

Description:

Standard treatment 60 minutes, twice a week for 9 weeks.

Treatment:

Behavioral: standard treatment