An Interactive Computer Game, Called Duck Duck Punch, for Stroke Rehabilitation at Home and in a Rehabilitation Clinic (DDPHme/Hsp)
Stroke
About this trial
This is an interventional treatment trial for Stroke
Eligibility Criteria
Inclusion Criteria:
- experienced uni-hemispheric ischemic or hemorrhagic stroke
- exhibit voluntarily shoulder flexion (affected UE) ≥20° with simultaneous elbow extension ≥10°. We reason that persons at this motor ability level have enough residual arm activation to engage in VE training
- passive range of motion in affected shoulder and elbow and within 20 degrees of normal values
Additional inclusion criteria for community dwelling stroke survivors
- live at home
- no current rehabilitation therapy
- live within a 60 minute drive of the university
Additional inclusion criteria for inpatient stroke patients
- medically stable
- expected to remain in the hospital for the next 7 days
- able to sit in a chair for 60 minutes without difficulty
Exclusion Criteria:
- lesion in brainstem or cerebellum
- presence of other neurological disease that may impair motor skills (e.g., Parkinson's Disease)
- pain in the paretic arm that would interfere with movement
- unable to understand and follow 3-step directions
- orthopedic condition or impaired corrected vision that would interfere with reaching.
Sites / Locations
- The Medical University of South Carolina
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Duck Duck Punch
Standard activities
Community dwelling stroke survivors: Stroke survivors will install an interactive computer game in their home. Subjects will be instructed to play the computer game "as much as you want to every day for 7 days." Inpatient stroke patients: The interactive computer game will be installed at a local inpatient stroke rehabilitation hospital. Subjects will be instructed to "play this game as much as you want to during non-therapy hours (evenings and weekends) over the next 7 days."
Community dwelling stroke survivors: Subjects will receive a hard-copy handout of an arm home exercise program and given the instructions to "do these exercises as many times as you can daily." Inpatient stroke patients: Subjects will be encouraged to participate in standard evening/weekend recreational activities and to "remember to use the paretic arm as much as you can."