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临床试验/NCT01794585
NCT01794585已完成不适用

Home-Based Virtual Reality (VR) Treatment for Chronic Balance Problems in Adults With Traumatic Brain Injury

Craig Hospital2 个研究点 分布在 1 个国家目标入组 62 人开始时间: 2013年4月最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
62
试验地点
2
主要终点
Change from Baseline on Community Balance and Mobility (CB&M)

研究概览

简要总结

The purpose of this study is to evaluate the effectivenes of a home-based physical therapy program designed to improve balance following traumatic brain injury by incorporating the use of a virtual reality system.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 64 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Has sustained a documented TBI that required an inpatient rehabilitation program;
  • is at least one year post TBI;
  • is at least 18 and no more than 64 years of age at the time of enrollment;
  • is English or Spanish speaking
  • is at least three months beyond completion of formal PT, including acute inpatient rehabilitation, outpatient and home-based therapy;
  • provides written medical clearance for participation in an in-home balance exercise program;
  • ambulates independently within the home (with assistive devices and/or orthotics as needed);
  • has active range of motion of bilateral upper extremities of at least 90 degrees of abduction to allow for control of the VR system;
  • completes a 15 minute trial using a VR system in the absence of a negative physical or behavioral reaction;
  • self-reports ongoing balance deficits and demonstrate such deficits by scoring at or below one standard deviation above the mean (75 or below) on the CB&M; and
  • provides informed consent, or has a guardian available to provide consent.

排除标准

  • has a history of another medical illness or neurological disorder which may affect balance;
  • has experienced a seizure within the last year;
  • has a history of psychiatric disorder requiring hospitalization;
  • is currently participating in another RCT;
  • is currently using VR technology to address specific balance goals;
  • is unable to travel to Craig for assessments throughout the study period;
  • is unable to communicate effectively to complete standardized assessments;
  • has cognitive impairment that precludes completion of baseline testing;
  • is unavailable to participate in 12 continuous weeks of therapy;
  • has no access to television able to connect to VR-gaming system; and
  • reports inadequate space required for VR-gaming system sensors.

研究组 & 干预措施

Standard Exercise

Active Comparator

干预措施: Standard Exercise (Behavioral)

Virtual Reality Based Exercise

Experimental

干预措施: Virtual Reality Based Exercise (Behavioral)

结局指标

主要结局

Change from Baseline on Community Balance and Mobility (CB&M)

时间窗: Baseline, 6-weeks, 12 weeks, 24weeks

Specifically developed to assess balance function for individuals with TBI. Includes 13 balance based activites such as single leg standing, tandem walking, hopping, running, descending stairs.

次要结局

  • Change from Baseline on Balance Evaluation Systems Test (BESTest)(Baseline, 6weeks, 12weeks, 24weeks)
  • Change from Baseline on Activity-specific, Behavior Confidence Scale (ABC)(Baseline, 6weeks, 12weeks, 24weeks)
  • Change from Baseline on Participation Assessment with Recombined Tools-Objective (PART-O)(Baseline, 6 weeks, 12weeks, 24weeks)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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