Effect of Virtual Reality Game on Upper Limb Movement in Individuals With Stroke

Inclusion Criteria: Individuals with stroke 1. 45 - 65 years old 2. First ischemic or hemorrhagic stroke 3. Right hemiparesis 4. Right dominant handedness 5. Within 6 months after stroke 6. Discharge from hospital and stay at home 7. Normal dynamic sitting balance 8. At least 120 degrees of shoulder flexion and 45 degrees of shoulder extension by passive range of motion 9. Active movement at least stage 3 by Chedoke-McMaster Stroke Assessment 10. Muscle tone graded 1-2 by Modified Ashworth Scale in 2 of 3 muscle groups including shoulder adductor, internal rotator or/and elbow flexor groups 11. No cognitive impairment Healthy individuals 1. Have same gender and age within range of ±5 years of individuals with stroke 2. Right handedness 3. Active range of motion of shoulder flexion and extension at least 120°and 45° respectively 4. No cognitive impairment Exclusion Criteria: Individual with stroke and healthy 1. Have cyber-sickness 2. Obesity 3. Ataxic movement 4. Loss visual field or visual neglect 5. Loss exteroceptive sensation 6. Impaired or loss proprioceptive sensation 7. Receive the occupation therapy on upper extremity 8. Muscle contracture at the scapula, shoulder and elbow 9. Pain at the scapula, shoulder and elbow 10. History of fracture or surgery at head, shoulder, scapula, and elbow 11. Shoulder subluxation 12. Other neurological disorders 13. Uncontrolled hypertension 14. Myocardial infarction 15. Seizure or epilepsy 16. Pacemaker or hemodialysis vascular access