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Effect of VR VS Conservative Treatment in Sensorimotor Function of Upper Extremity in Chronic Stroke Patients

Not Applicable
Active, not recruiting
Conditions
Chronic Stroke
Interventions
Behavioral: Virtual Reality (VR) Therapy
Other: Conservative Treatment
Registration Number
NCT06459531
Lead Sponsor
Superior University
Brief Summary

Virtual reality (VR) therapy has shown promising results in improving sensorimotor function of the upper extremity in chronic stroke patients compared to conservative treatments. VR offers immersive, interactive environments that can enhance motivation and engagement in rehabilitation exercises. Studies have indicated that VR can lead to significant improvements in motor function, coordination, and strength of the affected upper limb.

Detailed Description

These advancements are often attributed to the ability of VR to provide real-time feedback, varied and repetitive tasks, and the stimulation of neuroplasticity. In contrast, conservative treatments, such as traditional physical and occupational therapy, though beneficial, may not offer the same level of stimulation and engagement. Overall, VR therapy can be a valuable adjunct to traditional rehabilitation, potentially accelerating recovery and improving functional outcomes for chronic stroke patients by providing a more dynamic and engaging approach to therapy.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
33
Inclusion Criteria
  • Patients with a confirmed diagnosis of chronic stroke (at least 6 months post-stroke).
  • Adults aged 18 years and older.
  • Demonstrable sensorimotor impairment of the upper extremity due to stroke, as assessed by clinical evaluation.
  • Sufficient cognitive ability to follow instructions and participate in VR therapy, as determined by a Mini-Mental State Examination (MMSE) score of 24 or higher.
  • Medically stable and able to participate in physical rehabilitation sessions, as cleared by a healthcare professional.
Exclusion Criteria
  • Severe communication difficulties that would impede the ability to follow instructions during therapy.
  • Severe spasticity in the affected upper limb (Modified Ashworth Scale score of 4 or higher)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Virtual Reality (VR) TherapyVirtual Reality (VR) Therapy-
Conservative TreatmentConservative Treatment-
Primary Outcome Measures
NameTimeMethod
Fugl-Meyer Assessment (FMA) for Upper Extremity12 Months

The Fugl-Meyer Assessment (FMA) for Upper Extremity is a widely used and validated tool to evaluate motor function, balance, sensation, and joint functioning in individuals who have had a stroke. It specifically assesses the sensorimotor function of the upper extremities.

Stroke Impact Scale (SIS)12 months

The Stroke Impact Scale (SIS) is a self-report questionnaire that evaluates the impact of stroke on multiple dimensions, including strength, hand function, activities of daily living (ADL), mobility, communication, emotion, memory, thinking, and participation.

Scoring:

Each item is scored on a scale of 1 to 5:

1: Unable to do 5: Not difficult at all Higher scores indicate a lesser impact of stroke on the patient's life.

Usage in the Study:

Assessment Schedule: Administered at baseline and at the end of the intervention period.

Objective: To assess the overall impact of stroke on the patient's quality of life and participation in daily activities

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

General hospital Jinnah hospital Mayo hospital Chaudhry Muhammad Akram Teaching and research hospital Services hospital Lahore (SHL)

🇵🇰

Lahore, Pakistan

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