Brief Summary
To evaluate the effects of virtual reality-based rehabilitation (Neofect Glove) for newly diagnosed cognitively intact adult dominant hemisphere stroke patients with paresis of their hand in supplementation with conventional occupational therapy to assess whether it improves motor function and speed recovery during inpatient rehabilitation versus conventional occupational therapy alone. Also, what impact does this have on quality of life.
Brief Title
Effects of Virtual Reality Based Rehabilitation in Acute Stroke Patients in an Inpatient Rehab Setting
Detailed Description
The American Stroke Association states that stroke is 5th leading cause of death in the United States and one of the leading causes of disability and loss of motor function. Approximately 80% of stroke survivors have upper extremity limitations where the distal upper extremity motor function is severely affected and is the last body part to recover. Restoration of arm function is essential to regaining activities of daily living (ADL) such as holding objects like utensils, turning a doorknob, writing or telephone use. Literature search shows that intensive and repetitive training may be necessary to modify neural organization and recover functional motor skills. Along with traditional rehabilitation methods, virtual reality (VR) based rehabilitation has emerged in recent years. VR-based rehabilitation is more intensive, of longer duration and more repetitive. Using VR rehabilitation, repetitive dull exercises can turn into a more challenging and motivating tasks such as games. Moreover, VR-based rehabilitation can provide a quantitative measure of the rehabilitation progress.
The investigators propose a study comparing conventional occupational services versus virtual reality-based rehabilitation intervention for participants during acute phase of stroke in the inpatient rehabilitation setting. The investigators hypothesize that by using VRA, will see a significant increase in the overall motor function, shorter hospital course and improved quality of life for the participants.
The investigators propose a study comparing conventional occupational services versus virtual reality-based rehabilitation intervention for participants during acute phase of stroke in the inpatient rehabilitation setting. The investigators hypothesize that by using VRA, will see a significant increase in the overall motor function, shorter hospital course and improved quality of life for the participants.
Categories
Completion Date
Completion Date Type
Estimated
Conditions
Stroke Syndrome
Hemiplegia
Eligibility Criteria
Inclusion Criteria
* Minimum age of 18 years' old
* Unilateral upper extremity functional deficits after stroke
* First ever clinical diagnosis of stroke in the dominant hemisphere
* Diagnosis of ischemic or hemorrhagic stroke with unilateral paresis of dominant hand
Exclusion Criteria:
* Age less than 18 years' old
* Cognitive impairment resulting in inability to participate
* Severe aphasia resulting in inability to communicate to give consent or participate.
* Minimum age of 18 years' old
* Unilateral upper extremity functional deficits after stroke
* First ever clinical diagnosis of stroke in the dominant hemisphere
* Diagnosis of ischemic or hemorrhagic stroke with unilateral paresis of dominant hand
Exclusion Criteria:
* Age less than 18 years' old
* Cognitive impairment resulting in inability to participate
* Severe aphasia resulting in inability to communicate to give consent or participate.
Inclusion Criteria
Inclusion Criteria
* Minimum age of 18 years' old
* Unilateral upper extremity functional deficits after stroke
* First ever clinical diagnosis of stroke in the dominant hemisphere
* Diagnosis of ischemic or hemorrhagic stroke with unilateral paresis of dominant hand
* Minimum age of 18 years' old
* Unilateral upper extremity functional deficits after stroke
* First ever clinical diagnosis of stroke in the dominant hemisphere
* Diagnosis of ischemic or hemorrhagic stroke with unilateral paresis of dominant hand
Gender
All
Gender Based
false
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
Maximum Age
90 Years
Minimum Age
18 Years
NCT Id
NCT03039764
Org Class
Other
Org Full Name
Montefiore Medical Center
Org Study Id
2016-6572
Overall Status
Withdrawn
Phases
Not Applicable
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
The Comparison Study of Virtual Reality Rehabilitation With Standard Occupational Therapy Versus Standard Occupational Therapy
Primary Outcomes
Outcome Description
Scores on the Wolf Motor Function test measured at baseline and after therapy will be summarized using standard descriptive statistics for each treatment group. Data will be collected by designated research fellow.
Outcome Measure
Number of participants treated with occupational therapy and with VR device will be assesed by Wolf Motor Function Test
Outcome Time Frame
3 Months
Secondary Outcomes
Outcome Description
Scores of Michigan Hand Outcome Questionnaire measured at baseline and after therapy will be summarized using standard descriptive statistics for each treatment group. Data will be collected by designated research fellow.
Outcome Time Frame
3 Months
Outcome Measure
Number of participants treated with occupational therapy and with VR device will be assesed by Michigan Hand Outcome Questionnaire
Start Date
Start Date Type
Actual
Status Verified Date
First Post Date
First Post Date Type
Estimated
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
90
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Gary Inwald
Investigator Email
ginwald@montefiore.org
Investigator Phone