Effect of Virtual Reality Game on Upper Limb Movement in Individuals With Stroke

Stroke Clinical Trial

— VRULS  

Official title:

Effect of Game-based Virtual Reality Training on Upper Extremity Movement in Individuals With Subacute Stroke

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03277950
• Other study ID #: 2016/097.0906
• Status: Not yet recruiting
• Phase: N/A
• First received: August 27, 2017
• Last updated: September 8, 2017
• Start date: September 15, 2017
• Est. completion date: September 15, 2019

Study information

• Verified date: September 2017
• Source: Mahidol University
• Contact: Vimonwan Hiengkaew, PhD
• Phone: +6624415450
• Email: vimonwan.hie[@]mahidol.ac.th
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Individuals with stroke show abnormal movement pattern of upper limb. The movement pattern needs to be corrected. There are several methods to train normal movement. Exercise with technology is an active movement and affects sensory and cognitive systems. It may benefit to individuals with stroke in training.

Description:

Individuals with stroke sign informed consent. They are trained with virtual reality game with and without feedback from a researcher. Age-matched healthy play the same game as individuals with stroke do. Both individuals with stroke and healthy are measured upper limb movement pattern.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 21
• Est. completion date: September 15, 2019
• Est. primary completion date: September 15, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 45 Years to 65 Years

Eligibility

Inclusion Criteria:

Individuals with stroke

1. 45 - 65 years old

2. First ischemic or hemorrhagic stroke

3. Right hemiparesis

4. Right dominant handedness

5. Within 6 months after stroke

6. Discharge from hospital and stay at home

7. Normal dynamic sitting balance

8. At least 120 degrees of shoulder flexion and 45 degrees of shoulder extension by passive range of motion

9. Active movement at least stage 3 by Chedoke-McMaster Stroke Assessment

10. Muscle tone graded 1-2 by Modified Ashworth Scale in 2 of 3 muscle groups including shoulder adductor, internal rotator or/and elbow flexor groups

11. No cognitive impairment

Healthy individuals

1. Have same gender and age within range of ±5 years of individuals with stroke

2. Right handedness

3. Active range of motion of shoulder flexion and extension at least 120°and 45° respectively

4. No cognitive impairment

Exclusion Criteria:

Individual with stroke and healthy

1. Have cyber-sickness

2. Obesity

3. Ataxic movement

4. Loss visual field or visual neglect

5. Loss exteroceptive sensation

6. Impaired or loss proprioceptive sensation

7. Receive the occupation therapy on upper extremity

8. Muscle contracture at the scapula, shoulder and elbow

9. Pain at the scapula, shoulder and elbow

10. History of fracture or surgery at head, shoulder, scapula, and elbow

11. Shoulder subluxation

12. Other neurological disorders

13. Uncontrolled hypertension

14. Myocardial infarction

15. Seizure or epilepsy

16. Pacemaker or hemodialysis vascular access

Related Conditions & MeSH terms

• Dyskinesias
• Movement, Abnormal
• Stroke

Intervention

Other:
• Virtual reality with feedback
Individuals with stroke play game with correction of movement.
• Virtual reality without feedback
Individuals with stroke play game without correction of movement.
• Healthy
Healthy do not play game

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Vimonwan Hiengkaew

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	kinematic data	angle of shoulder, elbow, and forearm	10 minutes
Secondary	Upper limb performance	doing task according to Fugl Mayer	10 minutes
Secondary	muscle tone	assessing muscles of shoulder, elbow, and forearm according to Modified Ashworth Scale	2 minutes