Effect of Upper Extremity Rehabilitation Using Immersive Virtual Reality in Chronic Stroke Patients.
- Conditions
- Stroke
- Interventions
- Device: Virtual reality exergamesBehavioral: Conventional occupational therapy
- Registration Number
- NCT05148052
- Lead Sponsor
- Seoul National University Hospital
- 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. Thirty-six 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.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 36
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Conventional therapy first Conventional occupational therapy Group receiving conventional occupational therapy first and then virtual reality exergames. Virtual reality first Virtual reality exergames Group receiving virtual reality exergames with virtual reality first and then conventional occupational therapy. Virtual reality first Conventional occupational therapy Group receiving virtual reality exergames with virtual reality first and then conventional occupational therapy. Conventional therapy first Virtual reality exergames Group receiving conventional occupational therapy first and then virtual reality exergames.
- Primary Outcome Measures
Name Time Method 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 Outcome Measures
Name Time Method Box and Block test Within 2 days after the end of each intervention an upper extremity function evaluation tool
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
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
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
Trial Locations
- Locations (4)
Korea Workers' Compensation & Welfare Service Incheon Hospital
🇰🇷Incheon, Korea, Republic of
Seoul National University Hospital
🇰🇷Seoul, Korea, Republic of
Asan Medical Center
🇰🇷Seoul, Korea, Republic of
Korea Worker's Compensation and Welfare Service Incheon Hospital
🇰🇷Seoul, Korea, Republic of