The Effect of Virtual Reality Therapy on Balance and Knee Control in Stroke Patients

Not Applicable

Completed

• Conditions: Chronic Stroke
• Interventions: Other: Virtual Reality Therapy; Other: Conventional Rehabilitation

• Registration Number: NCT05907473
• Lead Sponsor: Hacettepe University

Brief Summary

The aim of study is to determine whether the Virtual Reality training applied in addition to the exercises given inside and outside the parallel bar is effective on balance, daily living activities and knee control in stroke patients.

The hypotheses of the study are:

Hypothesis 1:

H0: Virtual reality training has no effect on balance in stroke patients. H1: Virtual reality training has an effect on balance in stroke patients.

Hypothesis 2; H0: Virtual reality training has no effect on activities of daily living in stroke patients.

H1: Virtual reality training has an effect on daily living activities in stroke patients.

Hypothesis 3; H0: Virtual reality training has no effect on knee control in stroke patients. H1: Virtual reality training has an effect on knee control in stroke patients

Detailed Description

In recent years, virtual reality systems are widely preferred technology-assisted rehabilitation methods due to the many advantages they provide in stroke rehabilitation. Virtual reality increases the quality of movement and functional capacity both by providing a sensory environment and by motor learning.

Study Timeline

• Study Start: 2023-05-16
• Study First Submitted: 2023-05-24
• Study First Submitted QC: 2023-06-07
• Study First Posted: 2023-06-18
• Status Verified: 2024-03
• Primary Completion: 2024-03-01
• Study Completion: 2024-03-15
• Last Update Submitted: 2024-03-30
• Last Update Posted: 2024-04-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 25

Inclusion Criteria

• Being between the ages of 18-70
• Having a stroke for the first time
• Patients who can stand and walk independently

Exclusion Criteria

• Having neglect syndrome
• Being bilaterally affected
• Botulinum toxin application in the last three months
• Having additional neurological diseases such as Parkinson's, multiple sclerosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Virtual Reality Therapy Group	Conventional Rehabilitation	The patients in this group will be able to play balance-based games with the Virtual Reality System for 20 minutes, 3 days a week, together with the conventional rehabilitation program.
Virtual Reality Therapy Group	Virtual Reality Therapy	The patients in this group will be able to play balance-based games with the Virtual Reality System for 20 minutes, 3 days a week, together with the conventional rehabilitation program.
Conventional Rehabilitation Group	Conventional Rehabilitation	In the conventional rehabilitation program, bed exercises, mat activities, balance exercises inside or outside the parallel bar and walking training will be given to the patients every weekday.

Primary Outcome Measures

Name	Time	Method
Timed Up and Go Test	6.week (at the end of the training)	It is an objective, reliable and simple measure for assessing balance and functional mobility. It can also be used for assessment of fall risk.
Computerized Gait Assessment System (Zebris Rehawalk)	6.week (at the end of the training)	Participants will walk at a comfortable walking speed on the treadmill. During the walk, the walk will be recorded with the video camera system integrated into the device. With the help of the system, the knee hyperextension angle during walking will be calculated with the markers placed on the recorded video.
Barthel Index	6.week (at the end of the training)	This scale consists of 10 items that evaluate nutrition, bathing, self-care, dressing, defecation control, urine control, going to the toilet, ability to move from bed to wheelchair, mobility status such as walking or being dependent on a wheelchair, and stair climbing functions.
Functional Reach Test	6.week (at the end of the training)	It is based on the principle of lifting the arm 90° upwards and reaching forward as far as possible while keeping the feet on the ground. 15 cm. and the risk of falling below 15 cm increases significantly, between 15 and 25 cm. indicates a moderate risk of falling. Values less than 25.4 cm indicate an increased risk of falling.

Trial Locations

Locations (1)

Hacettepe University; 🇹🇷 Ankara, Turkey