Not yet recruiting NCT07520253
Effect of Virtual Reality on Cortical Reorganization and Upper Extremity Functional Recovery in Patients With Subacute Stroke
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Virtual Reality, Conventional physical therapy program.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 50 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Effect Of Virtual Reality On Cortical Reorganization And Upper Extremity Functional Recovery In Patients With Subacute Stroke
Overview
The purposes of the study are: 1. To investigate the effect of virtual reality in patients with subacute stage of Stroke on cortical reorganization. 2. To investigate the effect of virtual reality in patients with subacute stage of Stroke on upper extremity functional recovery.
Interventions
- Other Virtual Reality
Twenty patients with subacute stroke will receive conventional physical therapy program and virtual reality through Nintendo Wii The patient will hold the Wii remote in his hand to move the Avatar on the screen and practice the exercise Figure.6. If the patient cannot hold the Wii remote in his hand it will be strapped to his hand. A full instruction according to every game will be explained to the patients explaining every game rules and how to perform and what is the goal of each game. The pat - Other Conventional physical therapy program
Patients will have conventional physical therapy program as follow : Range of motion (ROM) and stretching begin with passive ROM to all joints of the upper limb (10 repetitions × 2 sets), followed by active-assisted ROM using a stick or the unaffected limb. Stretching is performed for 30-60 seconds, 3-5 repetitions.Strengthening exercises focus on isometric contractions of scapular stabilizers, deltoid, and biceps/triceps, holding 5-10 seconds × 10 repetitions, along with isotonic exercises usi
Primary outcome measures
- Upper Extremity Functional Recovery [Time frame: 6 months]
- Cortical Reorganization [Time frame: 6 months]
- Gross manual dexterity [Time frame: 6 months]
Eligibility criteria
Inclusion criteria
- • Age ranges from 50 to 65 years.
- Both sexes (male and female).
- First stroke ever (ischemic or hemorrhagic) within the last three months.
- Clinical diagnosis of subacute stroke confirmed by neuroimaging (CT / MRI).
- Hemiparetic shoulder power more than three according to Medical Research Council Scale (MRC) (James, 2007).
- Patients who are able to manipulate the Wii remote control.
- Muscle tone grade 1 to 1+ (Mild to Moderate) spasticity for shoulder joint according to Modified Ashworth Scale (Meseguer et al., 2018).
- Participants are in normal cognitive and psychological status according to Montreal Cognitive Assessment screening (Hawkins et al., 2014).
Exclusion criteria
- • Patients having severe arm or shoulder pain or symptomatic shoulder sublaxation.
- Contractures or shoulder deformities.
- Patients who have previous experience in using Wii.
- Patients with problems that may interfere with using Wii suchas epilepsy, visual impairments, apraxia and/or spatial neglect
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Faculty of Physical Therapy, Cairo University, Egypt — Cairo
Publications
- Sood I, Injety RJ, Farheen A, Kamali S, Jacob A, Mathewson K, Buck BH, Kate MP. Quantitative electroencephalography to assess post-stroke functional disability: A systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2024 Dec;33(12):108032. doi: 10.1016/j.jstrokecerebrovasdis.2024.108032. Epub 2024 Sep 30. PMID 39357611
- Wu J, Zeng A, Chen Z, Wei Y, Huang K, Chen J, Ren Z. Effects of Virtual Reality Training on Upper Limb Function and Balance in Stroke Patients: Systematic Review and Meta-Meta-Analysis. J Med Internet Res. 2021 Oct 12;23(10):e31051. doi: 10.2196/31051. PMID 34636735
Identifiers
NCT: NCT07520253 · P.T.REC/012/006118