Game-Based Home Exercise Programs in Chronic Stroke: A Feasibility Study

Status Completed

Clinical Trial Summary

Study will look at the effect of a game-based, task-oriented home exercise program on adherence in persons with chronic (> 6 months post) stroke as compared to a standard home exercise program. The study will also look at the effect of a game-based, task-oriented home exercise program on upper extremity motor function and occupational performance in persons with chronic (> 6 months post) stroke as compared to a standard home exercise program. Finally, the study will look at barriers and facilitators to successful use of the game-based, task-oriented home exercise program in the home setting.

Clinical Trial Description

Approximately 26% of stroke survivors are still fully dependent in activities of daily living (ADLs) when they enter the chronic phase at 6-months post stroke, and over half have hemiparesis that impacts upper extremity motor function. Exercise and activity in the chronic phase of stroke are essential in reducing disability, improving balance, increasing mobility, and improving overall quality of life. Without regular activity and exercise in the chronic phase, survivors are at risk for a developing comorbid conditions (e.g., diabetes) and experiencing a recurrent stroke. Unfortunately, people with stroke report many barriers to exercise, such as fatigue or pain, and lack of motivation and engagement. A promising solution may lie in interactive video games and virtual reality (VR), which have been used as intervention tools to potentially increase patient engagement and adherence, over the past 15 years. The investigators have developed an interactive, customized VR system called Mystic Isle that has shown to be feasible for general home-based rehabilitation. Mystic Isle utilizes portable, low-cost technology (the Microsoft Kinect® sensor, Microsoft) and can provide a customized program with remote monitoring by an occupational therapist (OT). This study will explore the preliminary effect of the game-based home program on adherence to a home program in comparison to a control. It will also explore the barriers and facilitators to home use of a virtual reality-based intervention. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03531567
Study type	Interventional
Source	University of Missouri-Columbia
Contact
Status	Completed
Phase	N/A
Start date	September 21, 2017
Completion date	September 30, 2018

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03780296` - Implementing Technology Enhanced Real Time Action Observation Therapy in Persons With Chronic Stroke	N/A
Not yet recruiting	`NCT06057584` - Effect of Somatosensory Motor Intergration Training on Post-stroke Upper Limb Function.	N/A
Completed	`NCT03228264` - A Trial Investigating Telerehabilitation as an add-on to Face-to-face Speech and Language Therapy in Post-stroke Aphasia.	N/A
Completed	`NCT02364232` - Effects of Home-based vs. Clinic-based Rehabilitation on Sensorimotor, Cognition, Daily Function, and Participation	N/A
Completed	`NCT04121754` - Post-Stroke Walking Speed and Community Ambulation Conversion Study	N/A
Completed	`NCT04574687` - Effects of Action Observation Therapy on Fine Motor Skills of Upper Limb Functions in Chronic Stroke Patients.	N/A
Recruiting	`NCT04974840` - Thera-band Resisted Treadmill Training for Chronic Stroke Patients	N/A
Recruiting	`NCT04534556` - Wireless Nerve Stimulation Device To Enhance Recovery After Stroke	N/A
Completed	`NCT04553198` - Quantifying the Role of Sensory Systems Processing in Post-Stroke Walking Recovery	N/A
Completed	`NCT04226417` - Effect of Home Based Transcranial Direct Current Stimulation (tDCS) With Exercise on Upper and Lower Limb Motor Functions in Chronic Stroke	N/A
Recruiting	`NCT06049849` - Can Patients With Chronic Stroke Regain Living Independence by Daily Energizing With Biophoton Generators	N/A
Active, not recruiting	`NCT02881736` - Proprioceptive Deficits and Anomalies in Movement-error Processing in Chronic Stroke Patients	N/A
Completed	`NCT03208634` - Rehabilitation Multi Sensory Room for Robot Assisted Functional Movements in Upper-limb Rehabilitation in Chronic Stroke	N/A
Completed	`NCT05183100` - Effects of Neurodynamics on Lower Extremity Spasticity - a Study in Chronic Stroke	N/A
Completed	`NCT03326349` - Home-based Computerized Cognitive Rehabilitation in Chronic Stage Stroke	N/A
Recruiting	`NCT04721860` - Optimizing Training in Severe Post-Stroke Walking Impairment	N/A
Recruiting	`NCT06051539` - Outcomes and Health Economics of Stroke Using Rhythmic Auditory Stimulation	N/A
Not yet recruiting	`NCT06060470` - Active Balance and Cardio Care Intervention on Physical and Cardiovascular Health in People With Chronic Stroke	N/A
Recruiting	`NCT05591196` - Hand and Arm Motor Recovery Via Non-invasive Electrical Spinal Cord Stimulation After Stroke	N/A
Recruiting	`NCT06116942` - Magnetic Brain Stimulation and Computer-based Motor Training for Rehabilitation After Stroke	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.