Role of Functional Translation After Immersive Virtual Reality Exposure in Persons With Stroke

Loma Linda University10 enrolled

Overview

This is a single-blinded randomized control trial aiming to explore the use of immersive virtual reality (VR) training in conjunction with real-life tasks therapy in 75 first time stroke patients with upper limb weakness.

Patients will be randomized to a control or experimental group. The experimental group will receive immersive VR training followed by the translation of related tasks in a real life environment. The control group will perform the same tasks in a real life environment but will receive immersive VR exposure to a non-related task.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Hemiparesis as Late Effect of Cerebrovascular Disease

Interventions

Immersive virtual reality + related functional translation into real-lifeOTHER

The experimental group will perform tasks in an immersive virtual reality setting designed to encourage functional task performance for 30 minutes. The patient will then be brought to a real-life setting and evaluated on similar task performances for an additional 30 minutes for a total of 60 minutes per day, 3 times a week for 2 weeks.

Immersive virtual reality + non-related translation into real-lifeOTHER

The control group will also be asked to perform tasks in an immersive VR setting for 30 minutes, however tasks will be unrelated to the tasks performed in the real-life setting in the following 30 minutes. The control group will also receive 60 minutes of therapy a day, 3 times a week, for 2 weeks.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. 18-90 years old 2. Hospitalized at Loma Linda East Campus Rehabilitation Hospital 3. First time stroke patient 4. Upper limb hemiparesis 5. English-speaking 6. Manual muscle testing of at least 2/5 in 3 or more muscle groups in affected upper limb Exclusion Criteria: 1. Active neck pain, headaches, or vertigo limiting ability to tolerate Virtual Reality Head Mounted Device 2. Patients with hemicraniectomy 3. Current uncontrolled seizures 4. Active infections requiring contact precautions 5. Cognitively unable to participate 6. Vision loss limiting ability to participate with VR therapy

Locations (1)

Tom and Vi Zapara Rehabilitation Pavilion

Loma Linda, California, United States

Outcomes

Primary Outcomes

Motor Activity Log

ADL Self-Reported Questionnaire Amount Scale (0-5) 0 = Did not use my weaker arm (not used) 5 = Used my weaker arm as often as before the stroke (same as pre-stroke). How well scale (0-5) 0 - My weaker arm was not used at all for that activity (not used). 5 - The ability to use my weaker arm for that activity was as good as before the stroke (normal).