The investigators have developed the kinect-based upper extremity rehabilitation program and designed this protocol to prove the efficacy of this program. In brief, subacute stroke patients allocated to intervention group will receive the kinect based-rehabilitation program plus conventional occupational therapy and patients allocated to control group will receive the sham virtual rehabilitation plus conventional occupational therapy, for 10 days. 20 patients with subacute stroke will be allocated into each group and after completing the 10 days intervention, they will be assessed by using objective assessment tools for upper extremity function.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
23
The developed kinect-based rehabilitation system will be used for 30min/session. Conventional 30min occupational therapy also will be applied for the patient enrolled.
For the sham virtual rehabilitation, computer-based cognitive rehabilitation program will be used. Patients will be encouraged to use their affected arm to push the button but the motion will be minimal and not related to the concept of upper extremity rehabilitation.
Seoul National University Hospital
Seongnam-si, Gyeonggi-do, South Korea
Change from Baseline in Fugl-Meyer Assessment Scale for upper extremity at 2 weeks
Time frame: Baseline, 2 weeks after the baseline
Brunnstrom stage
This is composed of 6 stages. Higher score means better function. The description for each stage as follows. 1. Flaccidity: no voluntary movement. 2. Synergies or minimal voluntary movement. 3. Synergies performed voluntary (spasticity gratest). 4. Some deviation from synergy. 5. Independent or isolated movement. 6. Individual joint movement nearly normal with minimal spasticity.
Time frame: Baseline, 2 weeks after the baseline, 6 weeks after the baseline, 14 weeks after the baseline
Modified Barthel Index
Time frame: Baseline, 2 weeks after the baseline, 6 weeks after the baseline, 14 weeks after the baseline
Box and Block Test
Individuals are seated at a table, facing a rectangular box that is divided into two square compartments of equal dimension by means of a partition. One hundred and fifty, 2.5 cm, colored, wooden cubes or blocks are placed in one compartment or the other. The individual is instructed to move as many blocks as possible, one at a time, from one compartment to the other for a period of 60 seconds. The BBT is scored by counting the number of blocks carried over the partition from one compartment to the other during the one-minute trial period.
Time frame: Baseline, 2 weeks after the baseline, 6 weeks after the baseline, 14 weeks after the baseline
Number of movement counts during rehabilitation using accelerometer data
Time frame: Baseline, 2 weeks after the baseline
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