Effect of Virtual Reality on Cortical Reorganization and Upper Extremity Functional Recovery in Patients With Subacute Stroke

Официальное название

Effect Of Virtual Reality On Cortical Reorganization And Upper Extremity Functional Recovery In Patients With Subacute Stroke

Обзор

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.

Вмешательства

• Другое 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
• Другое 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

Первичные конечные точки

• Upper Extremity Functional Recovery [Срок оценки: 6 months]
• Cortical Reorganization [Срок оценки: 6 months]
• Gross manual dexterity [Срок оценки: 6 months]

Критерии участия

Критерии включения

• • 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).

Критерии исключения

• • 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Faculty of Physical Therapy, Cairo University, Egypt — Cairo

Публикации

• 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

Идентификаторы

NCT: NCT07520253 · P.T.REC/012/006118

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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