360 Degrees Virtual Reality-based Mirror Therapy for Upper Extremity Rehabilitation Among Stroke Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Sahmyook University
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Fugl-Meyer Assessment for upper extremity (FMA-UE)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this randomized controlled trial is to compare the effects of 360 degree virtual reality-based mirror therapy (360MT) to traditional mirror therapy (TMT) and conventional physical therapy (control group) on upper extremity function among stroke patients.
The main questions it aims to answer are:
- Would 360MT be more effective when treated for 4 weeks in outcome measure ments including: Fugl-Meyer Assessment for upper extremity (FMA-UE); manual function test (MFT); and box & block test (BBT)?
- How would particants' experience be in terms of satisfactory and enjoyment during 360MT?
The study will have three groups of participants who will be involved in different tasks:
- 360MT group: will receive mirror therapy using a virtual reality device (HMD) and perform tasks with their paralyzed hand. Sessions will last 30 minutes, 3 times a week for 4 weeks.
- TMT group: will receive mirror therapy using an acrylic mirror and perform finger, wrist, elbow exercises using their paralyzed limb. Sessions will last 30 minutes, 3 times a week for 4 weeks.
- Control group: will receive conventional physical therapy consisting of exercises for the upper extremity, 60 minutes per day, 5 sessions a week, for 4 weeks.
Investigators
Sungbae Jo
Physical Therapist
Sahmyook University
Eligibility Criteria
Inclusion Criteria
- •who have not passed 12 months since onset;
- •who can understand and follow instructions;
- •who have ≥21 scores in Korean version of Mini-Mental State Examination (MMSE-K);
- •who have mild to moderate motor impairment according to the Fugl Meyer Assessment (FMA) scores
Exclusion Criteria
- •patients who have any kinds of mental disorder and/or Alzheimer's disease;
- •who have orthopedic and/or musculoskeletal injury;
- •who have apraxia; and
- •who have previous experiences of participating in investigations and/or mirror therapy.
Outcomes
Primary Outcomes
Fugl-Meyer Assessment for upper extremity (FMA-UE)
Time Frame: Changes from baseline after 4 weeks of intervention
The test is one of the most frequently used evaluation tools that quantitatively assesses recovery after stroke by measuring motor skills, balance ability, sensory function, and range of motion. The maximum total score for FMA-UE is 66 points, containing 18 items to evaluate shoulder, elbow, and forearm; 5 for the wrist; 7 for the hand; and 3 items for coordination.
Secondary Outcomes
- Box & Block Test (BBT)(Changes from baseline after 4 weeks of intervention)
- Manual Function Test (MFT)(Changes from baseline after 4 weeks of intervention)