Game-Based Home Exercise Programs in Chronic Stroke: A Feasibility Study
Chronic Stroke
About this trial
This is an interventional treatment trial for Chronic Stroke focused on measuring Upper Extremity Hemiparesis, Virtual Reality (VR)
Eligibility Criteria
Inclusion Criteria:
Stroke Subjects
- Have a cerebrovascular accident diagnosis at least 6 months prior to study enrollment
- Age 45-85
- Can comprehend English
- Have an internet connection in the home
- Mini Mental Status Examination score > 24 (no more than mild cognitive deficits)
- Mild to moderate motor deficits (range of motion screening- > 45 degrees shoulder flexion, some wrist movement, partial extension of the fingers)
- Functional balance (Berg Balance Scale score > 45)
Caregivers:
- Provide care or support to a subject that is participating in this research study. This person does not need to be related to the stroke subject.
- Over the age of 18
- Can comprehend English
Exclusion Criteria:
Stroke Subject:
- A medical condition that prevents interaction with a television or video games
- Receiving occupational or physical therapy services at the time of study involvement
- Caregiver: NONE
Sites / Locations
- University of Missouri
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Virtual Reality Mystic Isle Game
Standard Home Exercise Program
Subjects in the treatment arm will complete a prescribed 2-month treatment using the virtual reality program Mystic Isle. The OT will follow the "Treatment Arm Intervention Protocol", which provides standardized guidelines for grading the intensity, level of challenge, and types of games/activities of the intervention up or down. The OT will complete weekly phone calls with participant to discuss progress, answer any questions, and remotely make updates to the game as necessary. The total time on active treatment for a subject is 8 weeks. The maximum amount of time spent on the intervention will be 7 hours/week. The minimum amount of time spent on the intervention will be 3.5 hours/week.
Subjects assigned to the control arm will complete the prescribed 2-month treatment. The OT will follow the "Control Arm Intervention Protocol" to design and prescribe the home exercise program. The OT will complete weekly phone calls with the participant to check on progress, adherence, and update the exercises as necessary. The total time on active treatment for a subject is 8 weeks. The maximum amount of time spent on the control intervention will be 7 hours/week. The minimum amount of time spent on the control intervention will be 3.5 hours/week.