Use of Virtual Reality Game in Rehabilitation of Stroke Patients in Tan Tock Seng Hospital

Tan Tock Seng Hospital20 enrolled

Overview

Use of SIlverfit 3d to aid in rehab of stroke patients focusing on their shoulder and knee strength

Either 1 of 3 physiotherapists will recruit the patient from NICU if the GCS is 14 - 15. Silverfit 3D will then be used for 20 minutes each day to train the knee and arm strength until the patient's discharge from ICU. Baseline muscle strength will be measured and graded by the physiotherapist using Medical Research Council grading then followed up by the same physiotherapist on discharge from ICU and on discharge from hospital.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Stroke, Acute

Interventions

Silverfit 3DDEVICE

Virtual reality game used for rehabilitation of stroke patients

Eligibility

Sex: ALLMin age: 21 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients 21 - 90 years old * Diagnosis of stroke of pure motor/sensory type affecting the limbs, all levels of severity and at all stages post stroke, defined by the WHO as "a syndrome of rapidly developing symptoms and signs of focal, and at times global, loss of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than that of vascular origin" (WHO 1989), diagnosed by imaging or neurological examination * GCS 14 - 15 * RASS -1 to +1 * Blood pressure within 20% of patient's baseline * Muscle power at least 2 out of 5 on the affected side, as assessed by the physiotherapist or clinician Exclusion Criteria: * Age less than 21 or more than 90 years old * Neurological instability * Poor prognosis/expected withdrawal of treatment/palliative care patient * Visual loss/hearing loss * Active delirium with inability to cooperate as determined by CAM-ICU positivity * Severe cognitive impairment/dementia * Haemodynamic instability

Locations (1)

Tan Tock Seng Hospital

Singapore, Singapore

Outcomes

Primary Outcomes

To estimate an improvement in muscle strength using the Medical Research Council (MRC) grading following the intervention.

Use of MRC grade to estimate improvement in muscle strength by a group of trained physiotherapists before, during and after the use of virtual reality equipment.

Time frame: 3 months

estimate how much a patient can do compared to his/her baseline in terms of ability to stand/ambulation/reaching out for objects based on the physiotherapist who first saw the patient.

Patients will be interviewed on admission by the physiotherapist to find out his/her baseline activities of daily living/strength and limb power. Physiotherapists will assess the patient again on day of discharge to find out how much the patient is able to return to his/her baseline post stroke. This is a descriptive outcome measure as it is only measured by 1 physiotherapist who has seen the patient on admission and then on discharge from hospital.

Time frame: 3 months

increase frequency and intensity of rehab activities in stroke patients

To increase frequency of rehab activities in patients in terms of percentage of patients who can do, time of each exercise

Time frame: 6 months

Secondary Outcomes

reduce length of stay in ICU

Reduce length of stay in ICU

Time frame: 3 months

Data from ClinicalTrials.gov

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