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Immersive Virtual Reality for Stroke Motor Rehabilitation

Primary Purpose

Chronic Stroke, Motor Disorders

Status
Completed
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
MindMotion PRO
Sponsored by
Mindmaze SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Stroke focused on measuring stroke, neurorehabilitation, virtual reality, rehabilitation dose, motor rehabilitation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Ischemic or hemorrhagic minor-to-moderate (0<NIHSS<16) stroke with hemiparesis and experiencing arm motor difficulties
  • At least 6 months after stroke incident
  • Maximum 4 on the Medical Research Council Scale (MRCS) for shoulder elevation and elbow flexion/extension
  • 18 years and older
  • First ever stroke

Exclusion Criteria:

  • Participating in another movement treatment study at the time of the present study
  • Severe cognitive impairment (Mini Mental Status Examination score < 18 points)
  • Orthopedic impairment or visual disorders limiting the treatment
  • Unable to give informed consent form
  • Risk of epileptic seizures

Sites / Locations

  • Center for Neuroprosthetics-Valais (EPFL) at Clinique Romande de Réadaptation

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

MindMotion PRO

Arm Description

The training sessions consist of virtual reality based rehabilitation exercises using the MindMotion PRO device.

Outcomes

Primary Outcome Measures

Rehabilitation dose: goal-directed movements (i.e. number of intended movements to achieve a task)
Rehabilitation dose: goal-directed movements (i.e. number of intended movements to achieve a task)
Training intensity: number of goal-directed movements per minute of effective training time.
Training intensity: number of goal-directed movements per minute of effective training time.
Change in Upper limb function assessed with Fugl-Meyer Assessment for Upper Extremity (FMA-UE)
Fugl-Meyer Assessment for Upper Extremity (FMA-UE)

Secondary Outcome Measures

Change in Functional Independence Measure (FIM)
Change in kinematic metrics/goniometry (active range of motion).
Change in Modified Medical Research Council Scale (mMRCS)
Change in Visual Analog Scale (VAS) for Pain
Safety and Acceptance of Technology assessed with a questionnaire
Participants will answer a questionnaire to evaluate following aspects: Tolerance to VR intervention Adverse event monitoring Self-evaluation Acceptance of technology Motivation

Full Information

First Posted
March 14, 2017
Last Updated
March 23, 2017
Sponsor
Mindmaze SA
Collaborators
Ecole Polytechnique Fédérale de Lausanne, Clinique Romande de Readaptation
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1. Study Identification

Unique Protocol Identification Number
NCT03094650
Brief Title
Immersive Virtual Reality for Stroke Motor Rehabilitation
Official Title
The Use of Immersive Virtual Reality for Upper Limb Neurorehabilitation in Stroke Survivors
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
February 2015 (Actual)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mindmaze SA
Collaborators
Ecole Polytechnique Fédérale de Lausanne, Clinique Romande de Readaptation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The present study aims at investigating (i) the feasibility in chronic stroke of using a dedicated virtual reality (VR) based system that embeds real-time 3D motion capture and embodied visual feedback to deliver functional exercises designed for training of impaired upper limb motor skills, (ii) whether chronic stroke survivors improve in functional outcomes in the upper limb when exposed to intensive VR-based therapy, and (iii) safety and tolerance to such a technology. The investigators hypothesize that intensive VR-based rehabilitation may lead to high rehabilitation doses and functional improvement in chronic stroke.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Stroke, Motor Disorders
Keywords
stroke, neurorehabilitation, virtual reality, rehabilitation dose, motor rehabilitation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MindMotion PRO
Arm Type
Experimental
Arm Description
The training sessions consist of virtual reality based rehabilitation exercises using the MindMotion PRO device.
Intervention Type
Device
Intervention Name(s)
MindMotion PRO
Intervention Description
Patients will receive five weeks of therapy with 2 sessions (minimum) per week lasting for 45-60 minutes each minimum. The training sessions are based on the MindMotion PRO's virtual reality exercises.
Primary Outcome Measure Information:
Title
Rehabilitation dose: goal-directed movements (i.e. number of intended movements to achieve a task)
Description
Rehabilitation dose: goal-directed movements (i.e. number of intended movements to achieve a task)
Time Frame
5 weeks
Title
Training intensity: number of goal-directed movements per minute of effective training time.
Description
Training intensity: number of goal-directed movements per minute of effective training time.
Time Frame
5 weeks
Title
Change in Upper limb function assessed with Fugl-Meyer Assessment for Upper Extremity (FMA-UE)
Description
Fugl-Meyer Assessment for Upper Extremity (FMA-UE)
Time Frame
At baseline, 5 weeks (post intervention) and 9 weeks (follow-up)
Secondary Outcome Measure Information:
Title
Change in Functional Independence Measure (FIM)
Time Frame
At baseline, 5 weeks (post intervention) and 9 weeks (follow-up)
Title
Change in kinematic metrics/goniometry (active range of motion).
Time Frame
At baseline, 5 weeks (post intervention) and 9 weeks (follow-up)
Title
Change in Modified Medical Research Council Scale (mMRCS)
Time Frame
At baseline, 5 weeks (post intervention) and 9 weeks (follow-up)
Title
Change in Visual Analog Scale (VAS) for Pain
Time Frame
At baseline, 5 weeks (post intervention) and 9 weeks (follow-up)
Title
Safety and Acceptance of Technology assessed with a questionnaire
Description
Participants will answer a questionnaire to evaluate following aspects: Tolerance to VR intervention Adverse event monitoring Self-evaluation Acceptance of technology Motivation
Time Frame
5 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Ischemic or hemorrhagic minor-to-moderate (0<NIHSS<16) stroke with hemiparesis and experiencing arm motor difficulties At least 6 months after stroke incident Maximum 4 on the Medical Research Council Scale (MRCS) for shoulder elevation and elbow flexion/extension 18 years and older First ever stroke Exclusion Criteria: Participating in another movement treatment study at the time of the present study Severe cognitive impairment (Mini Mental Status Examination score < 18 points) Orthopedic impairment or visual disorders limiting the treatment Unable to give informed consent form Risk of epileptic seizures
Facility Information:
Facility Name
Center for Neuroprosthetics-Valais (EPFL) at Clinique Romande de Réadaptation
City
Sion
State/Province
Valais
Country
Switzerland

12. IPD Sharing Statement

Citations:
PubMed Identifier
29149855
Citation
Perez-Marcos D, Chevalley O, Schmidlin T, Garipelli G, Serino A, Vuadens P, Tadi T, Blanke O, Millan JDR. Increasing upper limb training intensity in chronic stroke using embodied virtual reality: a pilot study. J Neuroeng Rehabil. 2017 Nov 17;14(1):119. doi: 10.1186/s12984-017-0328-9.
Results Reference
derived

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Immersive Virtual Reality for Stroke Motor Rehabilitation

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