A Randomized Controlled Trial of a Virtual Reality Training Program for Ambulatory Patients With Mild-to-moderate Chronic Gait Deficits After Stroke
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Sheba Medical Center
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Community ambulation using Step Activity Monitor (SAM)
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
The purpose of this study is to examine the feasibility and efficacy of a virtual reality program for ambulatory patients with mild-to-moderate chronic gait deficits after stroke.
Detailed Description
Virtual reality (VR) systems enable the learning of simple and complex skills in a controlled virtual environment; i.e., one in which the different components (constraints) of the environment can be displayed, graded, changed and monitored in a quantitative manner. Small preliminary studies suggest that VR may be used to augment chronic stroke rehabilitation and may enhance cortical reorganization. Our aim is to examine the feasibility and efficacy of a virtual reality program for ambulatory patients with mild-to-moderate chronic gait deficits after stroke. Study design-a single center randomized controlled trial of an experimental group and a usual care group.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Stroke within 3-72 months.
- •Mild-to-moderate residual gait deficits after the index stroke with preserved capacity for ambulation without or with an assistive device (e.g., walker, cane) or orthotics (e.g. AFO).
- •Main exclusion Criteria:
- •Unstable cardiac or other medical condition or aphasia, dementia or other significant neurological disease limiting ability to train.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Community ambulation using Step Activity Monitor (SAM)
Time Frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Gait analysis (GaitRite system) including dual task
Time Frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Body sway- displacement of center of pressure (CoP) as indicated by the reactive forces from platform.
Time Frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Timed Up and Go
Time Frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Secondary Outcomes
- 3DGait Analysis system(Baseline X2, post training (week 9-10), retention (week 20-24))
- 6 minute walk(Baseline X2, post training (week 9-10), retention (week 20-24))
- Self-induced perturbations and reaction to perturbations on platform(Baseline X2, post training (week 9-10), retention (week 20-24))
- Functional Reach(Baseline X2, post training (week 9-10), retention (week 20-24))
- Four Stick Stepping Test (FSST)(Baseline X2, post training (week 9-10), retention (week 20-24))