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Role of Functional Translation After Immersive Virtual Reality Exposure in Persons With Stroke

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StatusNot yet recruiting
Sponsors
Loma Linda University

Keywords

Abstract

This is a single-blinded randomized control trial aiming to explore the use of immersive virtual reality (VR) training in conjunction with real-life tasks therapy in 75 first time stroke patients with upper limb weakness.

Description

Patients will be randomized to a control or experimental group. The experimental group will receive immersive VR training followed by the translation of related tasks in a real life environment. The control group will perform the same tasks in a real life environment but will receive immersive VR exposure to a non-related task.

Dates

Last Verified: 03/31/2020
First Submitted: 04/15/2020
Estimated Enrollment Submitted: 04/20/2020
First Posted: 04/23/2020
Last Update Submitted: 04/29/2020
Last Update Posted: 05/03/2020
Actual Study Start Date: 04/30/2020
Estimated Primary Completion Date: 04/30/2022
Estimated Study Completion Date: 04/30/2022

Condition or disease

Hemiparesis as Late Effect of Cerebrovascular Disease

Intervention/treatment

Other: Experimental

Other: Control

Phase

-

Arm Groups

ArmIntervention/treatment
Experimental: Experimental
Virtual reality followed by translation into related functional tasks in a real life setting for 2 weeks + conventional therapies
Other: Experimental
The experimental group will perform tasks in an immersive virtual reality setting designed to encourage functional task performance for 30 minutes. The patient will then be brought to a real-life setting and evaluated on similar task performances for an additional 30 minutes for a total of 60 minutes per day, 3 times a week for 2 weeks.
Active Comparator: Control
Virtual reality followed by translation into non-related functional tasks in a real life setting for 2 weeks + conventional therapies
Other: Control
The control group will also be asked to perform tasks in an immersive VR setting for 30 minutes, however tasks will be unrelated to the tasks performed in the real-life setting in the following 30 minutes. The control group will also receive 60 minutes of therapy a day, 3 times a week, for 2 weeks.

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

1. 18-90 years old

2. Hospitalized at Loma Linda East Campus Rehabilitation Hospital

3. First time stroke patient

4. Upper limb hemiparesis

5. English-speaking

6. Manual muscle testing of at least 2/5 in 3 or more muscle groups in affected upper limb

Exclusion Criteria:

1. Active neck pain, headaches, or vertigo limiting ability to tolerate Virtual Reality Head Mounted Device

2. Patients with hemicraniectomy

3. Current uncontrolled seizures

4. Active infections requiring contact precautions

5. Cognitively unable to participate

6. Vision loss limiting ability to participate with VR therapy

Outcome

Primary Outcome Measures

1. Motor Activity Log [Change in score (between baseline and time of discharge from rehabilitation hospital, about 2 weeks)]

ADL Self-Reported Questionnaire Amount Scale (0-5) 0 = Did not use my weaker arm (not used) 5 = Used my weaker arm as often as before the stroke (same as pre-stroke). How well scale (0-5) 0 - My weaker arm was not used at all for that activity (not used). 5 - The ability to use my weaker arm for that activity was as good as before the stroke (normal).

Secondary Outcome Measures

1. Modified Barthel's Index [Change in score (between baseline and time of discharge from rehabilitation hospital, about 2 weeks)]

Quality of Life Self-Reported Questionnaire 80-100 Independent 60-79 Minimally dependent 40-59 Partially dependent 20-39 Very dependent <20 Totally dependent

2. Fugl-Meyer Upper Extremity Assessment [Change in score (between baseline and time of discharge from rehabilitation hospital, about 2 weeks)]

Post-stroke upper extremity assessment Very severe = 0-35 Severe = 36-55 Moderate. = 56-79 Slight = >79

3. Montreal Cognitive Assessment [Change in score (between baseline and time of discharge from rehabilitation hospital, about 2 weeks)]

Cognitive Assessment No cognitive impairment: MoCA ≥ 25 Mild cognitive impairment: MoCA 20-24 Severe cognitive impairment: MoCA < 20

4. Functional Independence Measurement Score [Change in score (between baseline and time of discharge from rehabilitation hospital, about 2 weeks)]

Functional evaluation 7 - complete independence 6 - modified indepdendence 5 - supervision/Setup 4 - minimal contact assistance 3 - moderate assistance 2 - maximal assistance 1 - total assistance 0 - activity does not occur

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