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360 Degrees Virtual Reality-based Mirror Therapy for Stroke Patients

Not Applicable
Completed
Conditions
Mirror Movement Therapy
Stroke
Stroke Rehabilitation
Interventions
Procedure: 360 Degrees virtual reality-based mirror therapy
Procedure: Traditional mirror therapy
Procedure: Conventional Physical Therapy
Registration Number
NCT05796843
Lead Sponsor
Sahmyook University
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Traditional Mirror Therapy GroupConventional Physical TherapyThe group which will receive traditional mirror therapy using a conventional mirror
360 Degrees Virtual Reality-based Mirror Therapy GroupConventional Physical TherapyThe group which will receive 360 Degrees Virtual Reality-based Mirror Therapy Group
Conventional Physical Therapy GroupConventional Physical TherapyThe group which will receive conventional rehabilitation for upper extremity
360 Degrees Virtual Reality-based Mirror Therapy Group360 Degrees virtual reality-based mirror therapyThe group which will receive 360 Degrees Virtual Reality-based Mirror Therapy Group
Traditional Mirror Therapy GroupTraditional mirror therapyThe group which will receive traditional mirror therapy using a conventional mirror
Primary Outcome Measures
NameTimeMethod
Fugl-Meyer Assessment for upper extremity (FMA-UE)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 Outcome Measures
NameTimeMethod
Box & Block Test (BBT)Changes from baseline after 4 weeks of intervention

used to evaluate manual dexterity of the hands. The evaluation involves wooden blocks (2.5 cm3) placed in a box (53.7cm x 8.5 cm x 27.4cm) which is divided by a partition in the center. The subjects were instructed to move as many boxes as possible from one side to another in one minute using their affected upper limbs.

Manual Function Test (MFT)Changes from baseline after 4 weeks of intervention

This test can reflect the degree of upper extremity dysfunction after stroke, consists of four items each for shoulder and hands. The MFT has a maximum total score of 32 points

Trial Locations

Locations (1)

Myeonji Choonhae Hospital

🇰🇷

Seoul, Korea, Republic of

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