Effects of Comprehensive Augmented and Virtual Reality in Stroke Patients
Study Details
Study Description
Brief Summary
The purpose of this study was to assess the efficacy of augmented and virtual reality-based rehabilitation programs on improving upper extremity function in subacute stroke patients.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
This was a randomized, single-blinded study, conducted at a single acute rehabilitation unit in a university hospital. In this study, the effect of augmented and virtual reality-based rehabilitation for the recovery of subacute stroke patients compared with conventional occupational therapy was evaluated.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Augmented reality and virtual reality rehabilitation This group underwent augmented reality and virtual reality rehabilitation for 60 minutes per session, 5 days per week for 2 weeks. |
Behavioral: Augmented reality and virtual reality rehabilitation
This group underwent augmented reality and virtual reality rehabilitation with 4 different systems.
The RAPAEL Smart Glove® is a wearable sensory system that contains a single 9-axis movement and position sensor with 3 acceleration channels, 3 angular rate channels, and 3 magnetic field channels that measures wrist movements, and 5 bending sensors that measure finger movements. The RAPAEL Smart Board® is a rehabilitation system used to improve arm function by practicing gravity-compensated movements. The RehabMaster® is a game-based Kinect sensor AR rehabilitation system which uses a 3D camera to digitize patient movements and quickly analyze their range of motion, speed, motion angle, and movement cycles. rehabilitation exercise using games to encourage active arm and trunk movements and promote successful rehabilitation. The COG-Trainer® is a VR system that uses a training device synchronized with the screen through simulation.
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Active Comparator: Conventional occupational therapy This group underwent conventional occutational therapy for 60 minutes per session, 5 days per week for 2 weeks. |
Behavioral: Conventional occupational therapy
The group underwent standard ocupational therapy, such as range of motion and strengthening exercises for the affected upper extremity, table-top activities, and training for activities of daily living.
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Outcome Measures
Primary Outcome Measures
- Fugl-Meyer Assessment for Upper Extremity score [Baseline]
range (0-126), higher scores mean a better motor function
- Fugl-Meyer Assessment for Upper Extremity score [2 weeks after intervention]
range (0-126), higher scores mean a better motor function
Secondary Outcome Measures
- Box and Block Test [Baseline]
higher scores mean a worse motor function
- Box and Block Test [2 weeks after intervention]
higher scores mean a worse motor function
- Modified Barthel Index [Baseline]
range (0-100), higher scores mean a better activity of daily living
- Modified Barthel Index [2 weeks after intervention]
range (0-100), higher scores mean a better activity of daily living
- Motor Activity Log of Amount of Use and Quality of Movement [Baseline]
range (0-150), higher scores mean a better activity of daily living
- Motor Activity Log of Amount of Use and Quality of Movement [2 weeks after intervention]
range (0-150), higher scores mean a better activity of daily living
- EuroQol Visual Analogue Scale [Baseline]
range (0-100), higher scores mean a better quality of life
- EuroQol Visual Analogue Scale [2 weeks after intervention]
range (0-100), higher scores mean a better quality of life
- Berg Balance Scale [Baseline]
range (0-56), higher scores mean a better balance function
- Berg Balance Scale [2 weeks after intervention]
range (0-56), higher scores mean a better balance function
- Grip strength (kg) [Baseline]
higher scores mean a better hand function
- Grip strength (kg) [2 weeks after intervention]
higher scores mean a better hand function
- Hand response reaction time [Baseline]
higher scores mean a worse hand function
- Hand response reaction time [2 weeks after intervention]
higher scores mean a worse hand function
Eligibility Criteria
Criteria
Inclusion Criteria:
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First ever stroke
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Onset of stroke less than 3 months
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Sufficiently medically stable to participate in active rehabilitation
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Mild-to-moderate upper extremity motor impairments (Brunnstrom stage for the upper extremity 2-6).
Exclusion Criteria:
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Severe cognitive impairment (defined as score < 10 on the Mini-Mental State Examination)
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Evidence of apraxia
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Clinical history of neglect
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Previous upper extremity hemiplegia.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Samsung Medical Center | Seoul | Korea, Republic of |
Sponsors and Collaborators
- Samsung Medical Center
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2016-07-012-021