"VRTierOne" as a Method Supporting the Post-stroke Rehabilitation
NCT ID: NCT03830372
Last Updated: 2020-06-23
Study Results
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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COMPLETED
NA
39 participants
INTERVENTIONAL
2019-05-06
2020-04-03
Brief Summary
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Detailed Description
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1. The evaluation of the influence of virtual therapeutic game on the mood and wellbeing of the patients undergoing post-stroke rehabilitation.
2. The evaluation of the influence of virtual therapeutic game on the acceptance of the illness and self-efficacy assessment of the patients undergoing post-stroke rehabilitation.
3. The evaluation of the influence of virtual therapeutic game on the effectiveness of post-stroke rehabilitation process in relation to locomotive function as well as basic and instrumental activities of daily living.
4. The analysis of possible side effects appearing while using virtual reality therapy.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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VR Tier One
Patients will receive:
* 10 sessions of 20 minutes of VR Tire One therapeutic game,
* 60 minutes of individual physiotherapy based on the Bobath and PNF concept with elements of manual therapy,
* 30 minutes individual aerobic training,
* 30 minutes balance exercises.
VR Tier One
10 sessions of 20 minutes virtual terapeutic game
Thanks to using VR googles and the phenomenon of total immersion VR Tier One terapy game allows to completely separate the patient from the hospital environment and provides an intense visual, auditory and kinesthetic stimulation. Depending on the stage of therapy it can have a calming and mood-improving effect or it can motivate and cognitively activate the patient. The additional aim of the game is to help the patients regain their emotional balance, let them recognize their resources in order to bring them to power in the rehabilitation process and trigger the natural recovery mechanisms.
Control
Patients will receive:
* 10 sessions of 20 minutes of Schultz Autogenic Training,
* 60 minutes of individual physiotherapy based on the Bobath and PNF concept with elements of manual therapy,
* 30 minutes individual aerobic training,
* 30 minutes balance exercises.
Control
10 sessions of 20 minutes of Schultz Autogenic Training
Interventions
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VR Tier One
10 sessions of 20 minutes virtual terapeutic game
Thanks to using VR googles and the phenomenon of total immersion VR Tier One terapy game allows to completely separate the patient from the hospital environment and provides an intense visual, auditory and kinesthetic stimulation. Depending on the stage of therapy it can have a calming and mood-improving effect or it can motivate and cognitively activate the patient. The additional aim of the game is to help the patients regain their emotional balance, let them recognize their resources in order to bring them to power in the rehabilitation process and trigger the natural recovery mechanisms.
Control
10 sessions of 20 minutes of Schultz Autogenic Training
Eligibility Criteria
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Inclusion Criteria
* depression symptoms scored 10 and more in Geriatric Depression Scale (GDS-30)
Exclusion Criteria
* epilepsy,
* vertigo,
* aphasia and a serious loss of sight or hearing that makes it impossible to assess cognitive functions based on MMSE,
* presence at the time of the examination or in the medical data: mental retardation, disturbances of consciousness or other serious mental disorders,
* patient's refusal at any stage of the research project
55 Years
75 Years
ALL
No
Sponsors
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National Center for Research and Development, Poland
OTHER
Przedsiębiorstwo Produkcyjno Usługowe STOLGRAF
UNKNOWN
IRCCS San Camillo, Venezia, Italy
OTHER
Foundation for Senior Citizen Activation SIWY DYM
OTHER
Wroclaw University of Health and Sport Sciences
OTHER
Responsible Party
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Joanna Szczepańska-Gieracha
Professor
Principal Investigators
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Joanna Szczepańska-Gieracha, prof
Role: PRINCIPAL_INVESTIGATOR
University School of Physical Education, Poland
Joanna Szczepańska-Gieracha, prof
Role: STUDY_DIRECTOR
University School of Physical Education, Poland
Pawel Kiper, PhD
Role: STUDY_CHAIR
Fondazione Ospedale San Camillo IRCCS
Locations
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Fondazione Ospedale San Camillo IRCCS
Venice, , Italy
University School of Physical Education
Wroclaw, Lower Silesian Voivodeship, Poland
Rehabilitation Centre "Repty"
Tarnowskie Góry, Silesian Voivodeship, Poland
Countries
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References
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Li J, Theng YL, Foo S. Game-based digital interventions for depression therapy: a systematic review and meta-analysis. Cyberpsychol Behav Soc Netw. 2014 Aug;17(8):519-27. doi: 10.1089/cyber.2013.0481. Epub 2014 May 8.
McCann RA, Armstrong CM, Skopp NA, Edwards-Stewart A, Smolenski DJ, June JD, Metzger-Abamukong M, Reger GM. Virtual reality exposure therapy for the treatment of anxiety disorders: an evaluation of research quality. J Anxiety Disord. 2014 Aug;28(6):625-31. doi: 10.1016/j.janxdis.2014.05.010. Epub 2014 Jun 7.
Maples-Keller JL, Bunnell BE, Kim SJ, Rothbaum BO. The Use of Virtual Reality Technology in the Treatment of Anxiety and Other Psychiatric Disorders. Harv Rev Psychiatry. 2017 May/Jun;25(3):103-113. doi: 10.1097/HRP.0000000000000138.
Freeman D, Reeve S, Robinson A, Ehlers A, Clark D, Spanlang B, Slater M. Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychol Med. 2017 Oct;47(14):2393-2400. doi: 10.1017/S003329171700040X. Epub 2017 Mar 22.
Botella C, Serrano B, Banos RM, Garcia-Palacios A. Virtual reality exposure-based therapy for the treatment of post-traumatic stress disorder: a review of its efficacy, the adequacy of the treatment protocol, and its acceptability. Neuropsychiatr Dis Treat. 2015 Oct 3;11:2533-45. doi: 10.2147/NDT.S89542. eCollection 2015.
Diemer J, Muhlberger A, Pauli P, Zwanzger P. Virtual reality exposure in anxiety disorders: impact on psychophysiological reactivity. World J Biol Psychiatry. 2014 Aug;15(6):427-42. doi: 10.3109/15622975.2014.892632. Epub 2014 Mar 25.
Motraghi TE, Seim RW, Meyer EC, Morissette SB. Virtual reality exposure therapy for the treatment of posttraumatic stress disorder: a methodological review using CONSORT guidelines. J Clin Psychol. 2014 Mar;70(3):197-208. doi: 10.1002/jclp.22051. Epub 2013 Sep 24.
Valmaggia LR, Latif L, Kempton MJ, Rus-Calafell M. Virtual reality in the psychological treatment for mental health problems: An systematic review of recent evidence. Psychiatry Res. 2016 Feb 28;236:189-195. doi: 10.1016/j.psychres.2016.01.015. Epub 2016 Jan 12.
Tsirlin I, Dupierrix E, Chokron S, Coquillart S, Ohlmann T. Uses of virtual reality for diagnosis, rehabilitation and study of unilateral spatial neglect: review and analysis. Cyberpsychol Behav. 2009 Apr;12(2):175-81. doi: 10.1089/cpb.2008.0208.
Rizzo A', Shilling R. Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD. Eur J Psychotraumatol. 2017 Jan 16;8(sup5):1414560. doi: 10.1080/20008198.2017.1414560. eCollection 2017.
Negut A, Matu SA, Sava FA, David D. Virtual reality measures in neuropsychological assessment: a meta-analytic review. Clin Neuropsychol. 2016 Feb;30(2):165-84. doi: 10.1080/13854046.2016.1144793. Epub 2016 Feb 29.
Juszko K, Kiper P, Wrzeciono A, Cieslik B, Gajda R, Szczepanska-Gieracha J. Factors associated with the effectiveness of immersive virtual therapy in alleviating depressive symptoms during sub-acute post-stroke rehabilitation: a gender comparison. BMC Sports Sci Med Rehabil. 2023 Oct 20;15(1):137. doi: 10.1186/s13102-023-00742-z.
Kiper P, Przysiezna E, Cieslik B, Broniec-Siekaniec K, Kucinska A, Szczygiel J, Turek K, Gajda R, Szczepanska-Gieracha J. Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial. Clin Interv Aging. 2022 Nov 23;17:1673-1685. doi: 10.2147/CIA.S375754. eCollection 2022.
Other Identifiers
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POIR.01-02.00-00-0134/16
Identifier Type: -
Identifier Source: org_study_id
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