No registrations found.
ID
Source
Health condition
Stroke
CVA
chronic
beroerte
chronische fase
Sponsors and support
Intervention
Outcome measures
Primary outcome
Before and after the training (including follow-up after 1 month) changes in general arm function (Action Research Arm test and Fugl-Meyer assessment) and in motivation (Intrinsic Motivation Inventory) are quantified.
Secondary outcome
Besides clinical measures of arm function, additionally changes in reach performance are determined (during a maximal reach test).
Background summary
To stimulate restoration of arm function after stroke, intensive and task-specific training is essential. To implement this, the application of virtual reality (VR) in rehabilitation is promising. Integration of stimuli and feedback in a rehabilitation game, taking principles of motor relearning into account, allows high motivation for patients during training. Additionally, VR can automate and intensify treatment, since patients can practice more independently, without the need for one-to-one supervision. This is an important issue in coming years with respect to the ageing of the population, leading to increased demand, but decreased availability of physical and occupational therapists.
Previous research of this group showed that arm training using a specifically developed game for rehabilitation (FurballHunt), combined with arm support, can improve reaching. However, this pilot study did not discern between the effect of arm support and the added value of training with a rehabilitation game. When training using a rehabilitation game proves (at least) as effective as conventional therapy, this already is promising for applying VR in rehabilitation, regarding independency during training.
Study objective
Chronic stroke subjects who will be trained in a stimulus rich context, specifically developed for rehabilitation (rehab game) will show similar or improved restoration of their arm function in comparison with chronic stroke subjects who will be trained in a less rich context (conventional reach exercises).
Study design
Evaluation of arm function takes place once before and twice after training (within 1 week and follow-up after 1 month), totaling the duration to 12 weeks for each participant.
Intervention
Twenty stroke patients receive reach training for the affected arm during 6 weeks, 3 times 30 minutes per week. The intervention group (10 persons, randomized) will train using the FurballHunt game and the control group (10 persons, randomized) will perform standardized reaching exercises in a conventional physical therapy setting, with equal intensity.
Roessinghsbleekweg 33b
A.I.R. Kottink-Hutten
Roessinghsbleekweg 33b
Enschede 7522 AH
The Netherlands
+31 (0)53 4875733
a.kottink@rrd.nl
Roessinghsbleekweg 33b
A.I.R. Kottink-Hutten
Roessinghsbleekweg 33b
Enschede 7522 AH
The Netherlands
+31 (0)53 4875733
a.kottink@rrd.nl
Inclusion criteria
1. At least 6 months post-stroke;
2. First ever stroke;
3. Stroke affecting the medial cerebral artery region (MCA);
4. Demonstrable motor limitations in upper proximal extremity (Fugl-Meyer< 45), with reach(-like) movement ability;
5. Ability to understand and follow instructions;
6. Ability to complete measurement and training sessions.
Exclusion criteria
1. Co-morbidity of disorders affecting use of the upper extremity;
2. Additional training/therapy of the affected arm during participation to the study.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL704 |
| NTR-old | NTR2247 |
| Other | METC : P10-09, VR1_prt |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
Summary results
Prange GB, Jannink MJA, Stienen AHA, Van der Kooij H, IJzerman MJ, Hermens HJ. Influence of gravity compensation on muscle activation patterns during different temporal phases of arm movements of stroke patients. Neurorehab Neural Rep 2009b;23(5):478-485.<br> Prange GB, Jannink MJA, Stienen AHA, Van der Kooij H, IJzerman MJ, Hermens HJ. An explorative, cross-sectional study into abnormal muscle synergies during functional reach in chronic stroke patients. accepted for publication in J NeuroEng Rehab 2009c.<br>
Prange GB, Krabben T, Renzenbrink GJ, IJzerman MJ, Hermens HJ, Jannink MJA. Changes in muscle activation after reach training with gravity compensation in chronic stroke patients. submitted 2009d.