Effects of Wearable Sensor Based Virtual Reality Game on Upper Extremity Function for Patients With Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Taipei Medical University Shuang Ho Hospital
- Enrollment
- 37
- Locations
- 1
- Primary Endpoint
- Fugl-Meyer Assessment-upper extremity
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Virtual reality training had already been used in stroke rehabilitation, and previous studies supported that it could improve upper extremity ability and increase motivation and pleasure than conventional methods. Pablo is a new VR game combined with motion sensor system which can detect subject's activities. Unlike commercial camera systems such as Kinect or XBOX, the systems require a continuous sightline or enough active range of motion which may increase risk of compensatory movement. Few of studies had investigated the rehabilitation effects on upper extremity with Pablo for patients with stroke.The purpose of this study is to investigate the effects of virtual reality upper extremity training through Pablo system in patients with chronic stroke.
Detailed Description
PURPOSE: The purpose of this study is to investigate the effects of virtual reality upper extremity training through Pablo system in patients with chronic stroke. METHODS:Patients with mild to moderate motor deficits were recruited and randomly assigned to "VR plus standard rehabilitation group"(n=19), and "standard rehabilitation group" (n=19). After 12 training sessions (60 minutes a time, 2 times a week), the performance was assessed by a blinded assessor. The outcome measures included Fugl-Meyer Assessment-Upper Limb section(FMAUE), Box and block test(BBT), Dynanometer, active range of motion of shoulder and elbow,and Stroke Impact Scale.Modified Physical Activity Enjoyment Scale and adverse effect were recorded after each sessions.Collected data will be analyzed with sample T test by SPSS version 20.0, and alpha level was set at 0.05.
Investigators
Eligibility Criteria
Inclusion Criteria
- •First stroke with hemiplegia,
- •Chronicity of \>6 months
- •Could understand instructions
- •Brunnstrom stage of UE ≥IV.
Exclusion Criteria
- •Patients who were aged \<20 years and \>75 years
- •Patients with visual or auditory impairment who were unable to see or hear the feedback from the device clearly
- •Montreal Cognitive Assessment \<16
- •Modified Ashworth Scale score of \>2
- •Patients with other medical symptoms that can affect movement were excluded.
Outcomes
Primary Outcomes
Fugl-Meyer Assessment-upper extremity
Time Frame: Change from Baseline at 9 weeks
The Fugl-Meyer Assessment-upper extremity (FMA-UE) measures motor impairment in the upper extremity. The assessment consists of 33 items, including movement, reflex, grasp, and coordination, and a total score of 66.
Secondary Outcomes
- Box and block test(Change from Baseline at 9 weeks)
- Dynanometer(Change from Baseline at 9 weeks)
- Stroke Impact Scale(Change from Baseline at 9 weeks)
- Active range of motion of shoulder and elbow(Change from Baseline at 9 weeks)
- Modified Physical Activity Enjoyment Scale(Every training session during 18 sessions, total sessions continued to 9 weeks)
- Adverse effect times(Every training session during 18 sessions, total sessions continued to 9 weeks)