The purpose of this study is to examine the feasibility and efficacy of a virtual reality program for ambulatory patients with mild-to-moderate chronic gait deficits after stroke.
Virtual reality (VR) systems enable the learning of simple and complex skills in a controlled virtual environment; i.e., one in which the different components (constraints) of the environment can be displayed, graded, changed and monitored in a quantitative manner. Small preliminary studies suggest that VR may be used to augment chronic stroke rehabilitation and may enhance cortical reorganization. Our aim is to examine the feasibility and efficacy of a virtual reality program for ambulatory patients with mild-to-moderate chronic gait deficits after stroke. Study design-a single center randomized controlled trial of an experimental group and a usual care group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
48
Training 2/w for 9 weeks (total 18 sessions).
Sheba Medical Center, Strok Center
Tel Litwinsky, Ramat Gan, Israel
Community ambulation using Step Activity Monitor (SAM)
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Gait analysis (GaitRite system) including dual task
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Body sway- displacement of center of pressure (CoP) as indicated by the reactive forces from platform.
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Timed Up and Go
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Functional Reach
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Four Stick Stepping Test (FSST)
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
3DGait Analysis system
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
6 minute walk
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
Self-induced perturbations and reaction to perturbations on platform
Time frame: Baseline X2, post training (week 9-10), retention (week 20-24)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.