Tele-rehabilitation in the Home With Gaming as a Method of Improving Upper Extremity Function After Stroke

NCT ID: NCT02494362

Last Updated: 2016-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2017-05-31

Brief Summary

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The purpose of the study is to determine whether a novel computer gaming hand exercise regimen would improve hand and arm function and be feasible in people with hemiplegia after Stroke affecting the hand.

Detailed Description

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A novel computer gaming hand exercise regimen has been designed for people with hemiplegia after Stroke affecting the hand. The design allows a broad range of common objects of daily life to be seamlessly transformed into 'therapeutic' input devices by instrumenting with a small motion sense mouse. Based on individual abilities and treatment needs, objects are selected to train specific fine/ gross dexterous functions. The object manipulations (therapeutic exercises) are then used to control and play any commercially available computer game, making practice challenging and engaging.

The study is of twelve weeks duration comparing the computer gaming and conventional hand exercises in ten people with hemiplegia after Stroke affecting the hand. The investigators hypothesize that the game based exercises will improve hand function and will be feasible. A mixed-effect repeated measures analysis of variance will be conducted to test pre to post treatment outcomes.

Conditions

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Stroke Hemiplegia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental Group

Computer gaming hand exercise regimen.

Group Type EXPERIMENTAL

Computer gaming hand exercise regimen.

Intervention Type OTHER

Computer gaming hand exercise regimen using common objects of daily life. The hand exercises are coupled with commercially available computer games and will be performed 30 minutes,four times per week for 12 weeks.

Interventions

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Computer gaming hand exercise regimen.

Computer gaming hand exercise regimen using common objects of daily life. The hand exercises are coupled with commercially available computer games and will be performed 30 minutes,four times per week for 12 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Time since stroke onset less than 1 year.
* Ability to actively extend at least 10 degrees at the Metacarpophalangeal and Interphalangeal joints and 10 degrees at the wrist. At least 30 degree of active flexion-extension at elbow and some active movements present at the shoulder joint.
* English speaking.
* No clinical evidence of cognitive impairment (screened by physician or therapist).
* Have a personal computer at home.
* Lives in Winnipeg.
* Able to provide informed consent.

Exclusion Criteria

* Patients having excessive spasticity, pain or contractures in the more affected limb will not be included in the study.
* Convulsive seizures preventing adequate attention to task.
* Problem with vision.
* Aphasia.
* Apraxia.
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Manitoba

OTHER

Sponsor Role lead

Responsible Party

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Dr. Tony Szturm

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tony Szturm, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Manitoba

Locations

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School of Medical Rehabilitation , University of Mantioba

Winnipeg, Manitoba, Canada

Site Status RECRUITING

Riverview Health Centre

Winnipeg, Manitoba, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Tony Szturm, PhD

Role: CONTACT

204-789-3897

Facility Contacts

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Sepideh Pooyania, MD

Role: primary

(204) 478-6219

References

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Szturm T, Peters JF, Otto C, Kapadia N, Desai A. Task-specific rehabilitation of finger-hand function using interactive computer gaming. Arch Phys Med Rehabil. 2008 Nov;89(11):2213-7. doi: 10.1016/j.apmr.2008.04.021.

Reference Type BACKGROUND
PMID: 18996252 (View on PubMed)

Lockery D, Peters JF, Ramanna S, Shay BL, Szturm T. Store-and-feedforward adaptive gaming system for hand-finger motion tracking in telerehabilitation. IEEE Trans Inf Technol Biomed. 2011 May;15(3):467-73. doi: 10.1109/TITB.2011.2125976.

Reference Type BACKGROUND
PMID: 21536526 (View on PubMed)

Andersen Hammond ER, Shay BL, Szturm T. Objective evaluation of fine motor manipulation-a new clinical tool. J Hand Ther. 2009 Jan-Mar;22(1):28-35; quiz 36. doi: 10.1197/j.jht.2008.06.006. Epub 2008 Aug 30.

Reference Type BACKGROUND
PMID: 18950989 (View on PubMed)

Other Identifiers

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H2015

Identifier Type: -

Identifier Source: org_study_id

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