Comparison of Exergaming Training With Visual Feedback Training on Upper Limb Functions in Post Stroke Patients

Sponsor

Riphah International University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05673421

Collaborator

(none)

Enrollment

Arms

4.7

Anticipated Duration (Months)

Study Details

Study Description

Brief Summary

Stroke is classically characterized as a neurological deficit attributed to an acute focal injury of the central nervous system (CNS) by a vascular cause, including transient ischemic attack, cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage. It is a major cause of disability and death worldwide. The main purpose of this study to determine the effect of exergaming training compared to visual feedback training on improvement in upper limb function.

Condition or Disease	Intervention/Treatment	Phase
Stroke	Other: Exergaming Training Other: Visual Feedback Training	N/A

Detailed Description

Stroke patients have various problems such weight. The loss of motion element involved on ﬁne functions, and the above-mentioned problems can lead to decreased muscle cooperativity of the lower limbs while walking and may also result in an asymmetric gait due to imbalance in the ability to perform exercises. Recent studies on the treatment of stroke patients reported that approaches such as more intensive and repetitive training as compared to conventional general and passive intervention, training related to reality, intervention involving motivation and active participation and forced induction exercise, visual exercise feedback, purpose-oriented training, and task-oriented training are more effective in promoting function after stroke onset. Virtual reality (VR) is frequently used in different disease groups at the clinic for rehabilitation purposes. Xbox Kinect, Nintendo Wii, Sony PlayStation, and Cyber Glove are among the most commonly used VR applications in rehabilitation. Several studies reported that VR applications improved both upper and lower extremity functions and promoted independence in performing activities of daily living.

Games based on virtual reality for stroke rehabilitation are mainly focused on motor rehabilitation. Nevertheless, interest in the integration of cognitive and motor rehabilitation has grown. Research shows that the use of virtual reality-based games improves the range of motion as well as the memory and attention of stroke patients. Benefits of virtual reality games include diverse and intensive exercises, designing exercises tailored to patients' abilities, monitoring patients' progress, and boosting patients' motivation. Game-based virtual reality is an emerging technology in healthcare allowing users to interact with a dynamic 3D environment. Studies show that this technology is an effective, feasible and safe solution which makes rehabilitation more convenient. In addition, computer games increase motivation, satisfaction and involvement of patients.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

40 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Exergaming trainingExergaming training

Masking:

Single (Participant)

Masking Description:

Visual Feedback Training Group

Primary Purpose:

Other

Official Title:

Comparison of Exergaming Training With Visual Feedback Training on Upper Limb Functions in Post Stroke Patients

Anticipated Study Start Date :

Jan 10, 2023

Anticipated Primary Completion Date :

Jan 10, 2023

Anticipated Study Completion Date :

Jun 1, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Exergaming Training Group VR game-assisted intervention will perform for 30-45 min, 5 sessions per week for a duration of 8 weeks.	Other: Exergaming Training VR game-assisted intervention will perform for 30-45 min, 5 sessions per week for a duration of 8 weeks
Active Comparator: Visual Feedback Training During the visual feedback practices, patients will be seated or in a standing phase close to a table on which a mirror would be placed vertically. The practice would be consisted of nonparetic-side shoulder, elbow, wrist and finger flexion, extension, abduction, adduction movements, task oriented activities like, unscrewing lid of jar ,card stacking, moving coins or marbles from one box to another, Folding towels and stacking them, picking glass, while patient will look into the mirror, -watching the image of their noninvolved hand, thus seeing the reflection of the hand movement projected over the involved hand. After watching the practices on the uninvolved side, patient will be asked to try to do the same movements with the paretic limb while they will be moving the nonparetic limb. Each activity will be performed for 4 min, with a 1 min preparation time between tasks.	Other: Visual Feedback Training During the visual feedback practices, patients will be seated or in a standing phase close to a table on which a mirror would be placed vertically. The practice would be consisted of nonparetic-side shoulder, elbow, wrist and finger flexion, extension, abduction, adduction movements, task oriented activities like, unscrewing lid of jar ,card stacking, moving coins or marbles from one box to another, Folding towels and stacking them, picking glass, while patient will look into the mirror, -watching the image of their noninvolved hand, thus seeing the reflection of the hand movement projected over the involved hand. After watching the practices on the uninvolved side, patient will be asked to try to do the same movements with the paretic limb while they will be moving the nonparetic limb.Each activity will be performed for 4 min, with a 1 min preparation time between tasks.

Arm

Intervention/Treatment

Experimental: Exergaming Training Group

VR game-assisted intervention will perform for 30-45 min, 5 sessions per week for a duration of 8 weeks.

Other: Exergaming Training

VR game-assisted intervention will perform for 30-45 min, 5 sessions per week for a duration of 8 weeks

Active Comparator: Visual Feedback Training

During the visual feedback practices, patients will be seated or in a standing phase close to a table on which a mirror would be placed vertically. The practice would be consisted of nonparetic-side shoulder, elbow, wrist and finger flexion, extension, abduction, adduction movements, task oriented activities like, unscrewing lid of jar ,card stacking, moving coins or marbles from one box to another, Folding towels and stacking them, picking glass, while patient will look into the mirror, -watching the image of their noninvolved hand, thus seeing the reflection of the hand movement projected over the involved hand. After watching the practices on the uninvolved side, patient will be asked to try to do the same movements with the paretic limb while they will be moving the nonparetic limb. Each activity will be performed for 4 min, with a 1 min preparation time between tasks.

Other: Visual Feedback Training

During the visual feedback practices, patients will be seated or in a standing phase close to a table on which a mirror would be placed vertically. The practice would be consisted of nonparetic-side shoulder, elbow, wrist and finger flexion, extension, abduction, adduction movements, task oriented activities like, unscrewing lid of jar ,card stacking, moving coins or marbles from one box to another, Folding towels and stacking them, picking glass, while patient will look into the mirror, -watching the image of their noninvolved hand, thus seeing the reflection of the hand movement projected over the involved hand. After watching the practices on the uninvolved side, patient will be asked to try to do the same movements with the paretic limb while they will be moving the nonparetic limb.Each activity will be performed for 4 min, with a 1 min preparation time between tasks.

Outcome Measures

Primary Outcome Measures

Fugyl Meyer Assessment scale [Change from baseline and 2 months]
It is now widely used for clinical assessment of motor function. This is an impairment-based test with items organized by sequential recovery stages.
Box and block test [Change from baseline and 2 months]
The Box and Block Test (BBT) measures unilateral gross manual dexterity. It is a quick, simple and inexpensive test. It can be used with a wide range of populations, including clients with stroke.
wolf motor function test [Change from baseline and 2 months]
The Wolf Motor Function Test (WMFT) quantifies upper extremity movement ability through timed single- or multiple-joint motions and functional tasks.

Eligibility Criteria

Criteria

Ages Eligible for Study:

40 Years to 70 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Both genders
Subacute and chronic patients of stroke (> 4 weeks).
Age: 40-70 years
Able to follow verbal instructions related to the visual feedback training.
MMSE score >21
Modified Ashworth scale (MAS) level 1-3
Brunnstrom stages 1-4
Fugyl Meyer score limit for upper limb

Exclusion Criteria:

Patients with

Cognitive and Visual impairments
Psychological disorder
History of other neurological disorders
Pusher's syndrome
Hemineglect
Abnormal synergic pattern
Rheumatoid arthritis or other hand impairments

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Riphah International University

Investigators

Principal Investigator: Misbah Ghous, MSNMPT, Riphah International University islamabad

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Riphah International University

ClinicalTrials.gov Identifier:

NCT05673421

Other Study ID Numbers:

Hafsa Rashid

First Posted:

Jan 6, 2023

Last Update Posted:

Jan 6, 2023

Last Verified:

Jan 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Riphah International University

upper limb functions

Additional relevant MeSH terms:

Stroke

Study Results

No Results Posted as of Jan 6, 2023