A Low-cost Virtual Reality Gaming Platform for Neurorehabilitation of Hemiparesis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Change in Motor Activity Log
研究概览
简要总结
Pilot study to assess the feasibility and initial efficacy of therapist-as-consultant, game-based CI therapy. Pre/post study design. Participant received a target of 30 hours game-based motor intervention, 100 hours constraint of the less affected upper extremity, and 5 hours therapist consultation (including completion of a behavioral contract at the first study visit). Duration of intervention was 10 consecutive weekdays, with pre-treatment and post-treatment testing performed within 1 week prior to and 1 week post-intervention by an independent tester.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Provide signed and dated informed consent form
- •Willing to comply with all study procedures and be available for the duration of the study
- •Male or female aged > 17
- •Preserved ability to comprehend English and participate in basic elements of the therapy
- •Community-dwelling
- •Experienced mild to moderate hemiparesis at least six months prior
- •Can independently operate the gaming system (those with severe cognitive impairments can usually achieve this)
- •Corrected vision of at least 20/70 as assessed by their ability to identify game objects on the monitor from 5 feet away
排除标准
- •concurrent participation in other experimental upper extremity trials
- •concurrent participation in other outpatient rehabilitation for their upper extremity
- •Botox within the last 3 months (confound)
- •near-normal motor function (9-hole Peg Test score above the 10th percentile of a normative sample)
- •minimal nonuse (Motor Activity Log at baseline >2.5, Accelerometry > 60%)
- •major medical issues that would interfere with study treatments or make intensive rehabilitation difficult to tolerate
研究组 & 干预措施
Stroke
干预措施: Hemiparesis Therapy with VR (Behavioral)
Hemiparesis other
干预措施: Hemiparesis Therapy with VR (Behavioral)
结局指标
主要结局
Change in Motor Activity Log
时间窗: Week 0 and Week 3
Self-report measure of arm use for daily activities
Change in Wolf Motor Function Test
时间窗: Week 0 and Week 3
Objective measure of motor function in a laboratory setting
次要结局
- Weschler Adult Intelligence Scale Symbol Seach(Week 0 and Week 3)
- Action Research Arm Test (ARAT)(Week 0 and Week 3)
- Montreal Cognitive Assessment(Week 0 and Week 3)
- Bilateral activity monitors(Week 0 and Week 3)
- Patient Health Questionnaire(Week 0 and Week 3)
- Strok Specific Quality of Life Scale(Week 0 and Week 3)
- Kinematic Data(Week 0 and Week 3)
- Survey(Week 0 and Week 3)
- Mitt Compliance(Week 0 and Week 3)
- Brief Kinesthesia test(Week 0 and Week 3)
- Total game-play time(Week 0 and Week 3)
- Gestures(Week 0 and Week 3)
研究者
Lynne Gauthier , PhD
Assistant Prof. PM&R
Ohio State University