Efficacy of VR Based Sword Fighting Exercises to Improve Upper Body Movements in Hemiplegic Patients

Hemiplegic Gait Clinical Trial

Official title:

Efficacy of VR Based Sword Fighting Exercises to Improve Upper Body Movements in Hemiplegic Patients

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06459570
• Other study ID #: MSRSW/Batch-Fall22/729
• Status: Active, not recruiting
• Phase: N/A
• Start date: October 1, 2023
• Est. completion date: September 30, 2024

Study information

• Verified date: June 2024
• Source: Superior University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

this thesis endeavors to shed light on the efficacy of VR-based sword-fighting exercises as a rehabilitation tool for improving upper body movement in hemiplegic patients.

Description:

By amalgamating clinical insights, technological advancements, and theoretical frameworks, this research aims to contribute to the growing body of knowledge in neurorehabilitation and pave the way for innovative, effective, and engaging interventions to enhance the lives of individuals affected by hemiplegia.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 62
• Est. completion date: September 30, 2024
• Est. primary completion date: May 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 21 Years to 80 Years

Eligibility

Inclusion Criteria:

• Age 21-80 years

• First clinical stroke, ischemic or hemorrhagic, with diagnosis of stroke confirmed on CT/MRI brain scan.

• Less than 6 weeks after stroke onset

• Upper limb weakness of Medical Research Council (MRC) motor power of grade 2-4 motor power in either the shoulder, elbow or the fingers of the hemiplegic upper extremity

• Subject can understand simple instructions and learn

Exclusion Criteria:

• Recurrent stroke

• History of epilepsy

• Presence of arthritis or pain in the affected upper limb restricting repetitive exercises

• Severe aphasia or cognitive impairment, or other psychiatric illnesses that limit the ability to participate or give consent.

Related Conditions & MeSH terms

• Gait Disorders, Neurologic
• Hemiplegic Gait

Intervention

Behavioral:
• Virtual reality based exercises
one experimental group with Virtual reality-based exercises. Subjects in the VR-based exercises will receive 12 sessions of the VR-based exercises treatment, administered four times a week over 3 weeks, with each session lasting approximately 60 minutes.

Other:
• standard physical therapy
"Second control group with standard physical therapy and occupational therapy treatment.Subjects in the control group will receive 12 sessions of physical therapy treatment involving passive and active range of motion exercises, muscle strengthening, and therapeutic stretching, administered four times a week over a span of 3 weeks, with each session lasting approximately 60 minutes.

Locations

Country	Name	City	State
Pakistan	Azra Naheed Medical College, Superior University	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Superior University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Fugl-Meyer Assessment of upper limb (FMA)	This measures upper limb impairment and scores from 0 to 66, the higher the score, the less the impairment. The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation, and joint functioning in patients with post-stroke hemiplegia.	12 Months
Primary	Action Research Arm Test (ARAT)	This measures arm and hand function and ranges from 0 to 57, the higher the score, the better the upper limb function. The ARAT is a 19-item measure divided into 4 sub-tests (grasp, grip, pinch, and gross arm movement). Performance on each item is rated on a 4-point	12 months