Effects of Virtual Reality Based Rehabilitation in Acute Stroke Patients in an Inpatient Rehab Setting
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - 90 |
| Updated: | 9/29/2018 |
| Start Date: | April 30, 2018 |
| End Date: | September 1, 2019 |
| Contact: | Gary Inwald, MD |
| Email: | ginwald@montefiore.org |
| Phone: | 718-920-9393 |
The Comparison Study of Virtual Reality Rehabilitation With Standard Occupational Therapy Versus Standard Occupational Therapy
To evaluate the effects of virtual reality-based rehabilitation (Neofect Glove) for newly
diagnosed cognitively intact adult dominant hemisphere stroke patients with paresis of their
hand in supplementation with conventional occupational therapy to assess whether it improves
motor function and speed recovery during inpatient rehabilitation versus conventional
occupational therapy alone. Also, what impact does this have on quality of life.
diagnosed cognitively intact adult dominant hemisphere stroke patients with paresis of their
hand in supplementation with conventional occupational therapy to assess whether it improves
motor function and speed recovery during inpatient rehabilitation versus conventional
occupational therapy alone. Also, what impact does this have on quality of life.
The American Stroke Association states that stroke is 5th leading cause of death in the
United States and one of the leading causes of disability and loss of motor function.
Approximately 80% of stroke survivors have upper extremity limitations where the distal upper
extremity motor function is severely affected and is the last body part to recover.
Restoration of arm function is essential to regaining activities of daily living (ADL) such
as holding objects like utensils, turning a doorknob, writing or telephone use. Literature
search shows that intensive and repetitive training may be necessary to modify neural
organization and recover functional motor skills. Along with traditional rehabilitation
methods, virtual reality (VR) based rehabilitation has emerged in recent years. VR-based
rehabilitation is more intensive, of longer duration and more repetitive. Using VR
rehabilitation, repetitive dull exercises can turn into a more challenging and motivating
tasks such as games. Moreover, VR-based rehabilitation can provide a quantitative measure of
the rehabilitation progress.
The investigators propose a study comparing conventional occupational services versus virtual
reality-based rehabilitation intervention for participants during acute phase of stroke in
the inpatient rehabilitation setting. The investigators hypothesize that by using VRA, will
see a significant increase in the overall motor function, shorter hospital course and
improved quality of life for the participants.
United States and one of the leading causes of disability and loss of motor function.
Approximately 80% of stroke survivors have upper extremity limitations where the distal upper
extremity motor function is severely affected and is the last body part to recover.
Restoration of arm function is essential to regaining activities of daily living (ADL) such
as holding objects like utensils, turning a doorknob, writing or telephone use. Literature
search shows that intensive and repetitive training may be necessary to modify neural
organization and recover functional motor skills. Along with traditional rehabilitation
methods, virtual reality (VR) based rehabilitation has emerged in recent years. VR-based
rehabilitation is more intensive, of longer duration and more repetitive. Using VR
rehabilitation, repetitive dull exercises can turn into a more challenging and motivating
tasks such as games. Moreover, VR-based rehabilitation can provide a quantitative measure of
the rehabilitation progress.
The investigators propose a study comparing conventional occupational services versus virtual
reality-based rehabilitation intervention for participants during acute phase of stroke in
the inpatient rehabilitation setting. The investigators hypothesize that by using VRA, will
see a significant increase in the overall motor function, shorter hospital course and
improved quality of life for the participants.
Inclusion Criteria
- Minimum age of 18 years' old
- Unilateral upper extremity functional deficits after stroke
- First ever clinical diagnosis of stroke in the dominant hemisphere
- Diagnosis of ischemic or hemorrhagic stroke with unilateral paresis of dominant hand
Exclusion Criteria:
- Age less than 18 years' old
- Cognitive impairment resulting in inability to participate
- Severe aphasia resulting in inability to communicate to give consent or participate.
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