Virtual Rehabilitation and Conventional Therapeutic Exercises in the Treatment of Individuals Post Stroke

NCT ID: NCT02715817

Last Updated: 2017-12-12

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2017-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine the effects of the use the Nintendo Wii® (NW) and conventional therapeutic exercises in the rehabilitation of balance and gait of the post-stroke patients and the impact on quality of life.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This Randomised clinical trial (RCT) has longitudinal and prospective feature, held at the Neurosciences Clinic located at the Clinic Professor Francisco Magalhães Neto the HUPES Complex / Federal University of Bahia from June 2015 until June 2017.

In the initial evaluation were obtained by a trained examiner and blinded to the allocation of participants, all personal data of all patients, as well as evaluations of balance, gait, and quality of life through specific validated scales:

1. Berg Balance Scale (BBS);
2. Tinetti Gait Scale (TGS)
3. Quality of Life Scale Specific for stroke (QLSSS) ;

The investigators employ a program of conventional therapeutic exercises and virtual rehabilitation with NW, for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Stroke Cerebrovascular Disorders

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Stroke Hemiparesis Physical Therapy Virtual Reality Exposure Therapy Video Games

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Virtual Rehabilitation - VR

A virtual rehabilitation program (G0) based on the use of the NW for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).All treatment groups prior to perform the study interventions,stretches of upper and lower limbs for 10 minutes.

The G0 treatment program consists of the following protocols: a) protocol 1 games (Balance Bubble Plus and Tennis); b) protocol 2 games (Rhythm Parade and Boxing).

Group Type ACTIVE_COMPARATOR

Virtual Rehabilitation

Intervention Type OTHER

It is the use of the NW games for rehabilitation of balance and gaite in post-stroke patients.

Conventional Therapeutic Exercises - CTE

A program of conventional therapeutic exercises (G1) for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).All treatment groups prior to perform the study interventions,stretches of upper and lower limbs for 10 minutes. The G1 treatment program consists of the following protocols: a) protocol 1: 30 minutes of upper limb PNF diagonal exercise (flexion-abduction-external rotation and extension-abduction-internal rotation), and 10 minutes of scapula PNF diagonal exercise (anterior and posterior elevation); b) protocol 2: 20 minutes of lower limb PNF diagonal exercise (flexion-abduction-external rotation and flexion-abduction-internal rotation),10 minutes of pelvis PNF diagonal exercise (anterior and posterior depression), and 10 minutes gait cycle training;

Group Type ACTIVE_COMPARATOR

Conventional therapeutic exercises

Intervention Type OTHER

It is the use of the conventional therapeutic exercises for rehabilitation of balance and gait in post-stroke patients.

VR and CTE

In G2 program will be performed 20 minutes G0 protocol (1 or 2, used alternately between sessions a week) and 20 minutes G1 protocol (1 or 2, used alternately between sessions a week), taking the time of the performed activities halved in both protocols.

Group Type EXPERIMENTAL

Virtual Rehabilitation and Conventional Therapeutic Exercise

Intervention Type OTHER

It is the use of the conventional exercises and of the NW for rehabilitation of balance and gait in post-stroke patients.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Virtual Rehabilitation

It is the use of the NW games for rehabilitation of balance and gaite in post-stroke patients.

Intervention Type OTHER

Conventional therapeutic exercises

It is the use of the conventional therapeutic exercises for rehabilitation of balance and gait in post-stroke patients.

Intervention Type OTHER

Virtual Rehabilitation and Conventional Therapeutic Exercise

It is the use of the conventional exercises and of the NW for rehabilitation of balance and gait in post-stroke patients.

Intervention Type OTHER

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

NW Non-immersive virtual reality Commercial Game Wii-rehabilitation Conventional physical therapy Conventional exercises to improve balance and gait Diagonals of PNF PNF method Non-immersive virtual reality Wii-rehabilitation Commercial Game Conventional exercises to improve balance and gait Diagonals of PNF

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* age between 18 and 80 years, of both sexes; clinical diagnosis of stroke confirmed by neurological assessment report or neuroimaging;
* a stroke at least 6 months prior to the study
* the ability to walk independently with or without an assistive device;
* absence of visual or auditory deficits as reported by the subject.

Exclusion Criteria

* score \<24 on the Mini Mental State Examination;
* other associated neurological conditions;
* other orthopedic injuries that could impair mobility and make the execution of the proposed activity impossible;
* participation in other physical rehabilitation programs.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Federal University of Bahia

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Luan Rafael Aguiar dos Santos

Master's Degree student

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Ailton S Melo, PhD

Role: STUDY_DIRECTOR

Federal University of Bahia

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Complex Hospital Professor Edgard Santos, Federal University of Bahia

Salvador, Estado de Bahia, Brazil

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Brazil

References

Explore related publications, articles, or registry entries linked to this study.

da Silva Ribeiro NM, Ferraz DD, Pedreira E, Pinheiro I, da Silva Pinto AC, Neto MG, Dos Santos LR, Pozzato MG, Pinho RS, Masruha MR. Virtual rehabilitation via Nintendo Wii(R) and conventional physical therapy effectively treat post-stroke hemiparetic patients. Top Stroke Rehabil. 2015 Aug;22(4):299-305. doi: 10.1179/1074935714Z.0000000017. Epub 2015 Feb 25.

Reference Type BACKGROUND
PMID: 26258455 (View on PubMed)

Saposnik G, Teasell R, Mamdani M, Hall J, McIlroy W, Cheung D, Thorpe KE, Cohen LG, Bayley M; Stroke Outcome Research Canada (SORCan) Working Group. Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle. Stroke. 2010 Jul;41(7):1477-84. doi: 10.1161/STROKEAHA.110.584979. Epub 2010 May 27.

Reference Type BACKGROUND
PMID: 20508185 (View on PubMed)

Saposnik G, Mamdani M, Bayley M, Thorpe KE, Hall J, Cohen LG, Teasell R; EVREST Steering Committee; EVREST Study Group for the Stroke Outcome Research Canada Working Group. Effectiveness of Virtual Reality Exercises in STroke Rehabilitation (EVREST): rationale, design, and protocol of a pilot randomized clinical trial assessing the Wii gaming system. Int J Stroke. 2010 Feb;5(1):47-51. doi: 10.1111/j.1747-4949.2009.00404.x.

Reference Type BACKGROUND
PMID: 20088994 (View on PubMed)

Dos Santos LR, Carregosa AA, Masruha MR, Dos Santos PA, Da Silveira Coelho ML, Ferraz DD, Da Silva Ribeiro NM. The Use of Nintendo Wii in the Rehabilitation of Poststroke Patients: A Systematic Review. J Stroke Cerebrovasc Dis. 2015 Oct;24(10):2298-305. doi: 10.1016/j.jstrokecerebrovasdis.2015.06.010. Epub 2015 Aug 21.

Reference Type BACKGROUND
PMID: 26303792 (View on PubMed)

Kim K, Lee DK, Jung SI. Effect of coordination movement using the PNF pattern underwater on the balance and gait of stroke patients. J Phys Ther Sci. 2015 Dec;27(12):3699-701. doi: 10.1589/jpts.27.3699. Epub 2015 Dec 28.

Reference Type BACKGROUND
PMID: 26834335 (View on PubMed)

Seo K, Park SH, Park K. The effects of stair gait training using proprioceptive neuromuscular facilitation on stroke patients' dynamic balance ability. J Phys Ther Sci. 2015 May;27(5):1459-62. doi: 10.1589/jpts.27.1459. Epub 2015 May 26.

Reference Type BACKGROUND
PMID: 26157240 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

http://www.who.int/topics/cerebrovascular_accident/en/

World Health Organization. Health topics: Stroke, Cerebrovascular accident.

http://www.ebrsr.com/

Evidence-Based Review of Stroke Rehabilitation (EBRSR)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

943.738

Identifier Type: -

Identifier Source: org_study_id