This study will evaluate the potential efficacy and safety of using virtual reality gaming in conjunction to standard therapy regimen care as an approach to promote upper-limb motor recovery, cognitive function and quality of life after stroke. The investigators believe that allowing users to interact with a computer-simulated reality environment will result in a pleasant experience, which will likely result in motivation and therapy engagement.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
5
Each VR session is 30 minutes long. Participants are able to pause or discontinue at any time. Each participant will receive one VR sessions five times per week over the course of a two-week period.
UAB Spain Rehabilitation Center
Birmingham, Alabama, United States
Change in Upper-limb and hand motor function
National Institutes of Health Stroke Scale (NIHSS)
Time frame: Change from NIHSS measured at baseline visit, one week after final VR session, and three months following discharge. Totals are summed to determine the range:0= No stroke, 1-4 = Minor, 5-15 = Moderate, 15-20= Moderate to Severe; and 21-42 = Severe
Change in upper-limb and hand motor function
Motricity Index
Time frame: Change from motricity index measured at baseline visit, one week following final VR session, and three months following discharge from rehabilitation center
Change in upper-limb and hand motor function
Action Research Arm Test
Time frame: Change from Action Research Arm Test measured at baseline visit, one week following final VR session, and three months following discharge from rehabilitation center
Change in upper-limb and hand motor function
Nine hole Peg test
Time frame: Change from Nine hole Peg test measured at baseline visit, one week following final VR session, and three months following discharge from rehabilitation center
Change in upper-limb and hand motor function
Fugl-Meyer Assessment
Time frame: Change from Fugl-Meyer Assessment measured at baseline visit, one week following final VR session, and three months following discharge from rehabilitation center
Change in upper-limb and hand motor function
Modified Rankin Scale (m-RS)
Time frame: Change from m-RS measured at baseline, one wee following final VR session, and three months following discharge. The score is based on symptoms with a 0 provided for no symptoms up to a 5 provided for severe disability; bedridden, requires constant care.
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Change in cognitive function
Montreal Cognitive Assessment (MOCA)
Time frame: Change from MOCA measured at baseline, one week following final VR session, and three months following discharge. The scores are summed. The range is: 27-30=Normal; 18-26=Mild impairment; 10-17=Moderate impairment; <10=Severe
Change in activities of daily living (ADL) and quality of life
Stroke Impact Scale (SIS)
Time frame: Change in SIS measured at baseline, one week after final VR session, and three months after discharge. Range is 0-100. Higher scores indicate better ADL and quality of life. Formula: Actual raw score - lowest possible score/Possible raw score)*100
Change in depression
Patient Health Questionnaire 9 (PHQ9)
Time frame: Change from PHQ9 measured at baseline, one week following final VR session, and three months following discharge. Scores are totaled with higher score being severe. 5-9 = Mild, 10-14 = Moderate, 15-19 = Moderately severe, 20-27 = Severe