Post-stroke Upper Limb Rehabilitation Using Telerehabilitation Interactive Virtual Reality System in the Patient's Home
Stroke
About this trial
This is an interventional treatment trial for Stroke focused on measuring Virtual reality, telerehabilitation, Stroke rehabilitation
Eligibility Criteria
Inclusion Criteria:
- Ischemic or hemorrhagic stroke (does not have to be a first time stroke);
- Mild to moderate upper limb impairment (score 3-6 Chedoke-McMaster arm component or ability to perform VR tasks at least at the lowest setting according to clinician);
- At least 6 months post stroke;
- No longer receiving rehabilitation services; and (5) living in an area where high speed Internet access is available.
Exclusion Criteria:
- Being medically unstable;
- Severe cognitive or communication deficits;
- Visual impairments;
- Severe balance deficits limiting sitting safely independently;
- Shoulder pain;
- Previous upper limb impairment limiting potential recovery.
Sites / Locations
- University of Montreal
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual care
Telerehabilitation system
All study participants in the control group will receive a 4-week written home exercise program (e.g. GRASP) , i.e. the usual care discharge home program.
Participants in the experimental group will receive four weeks written home exercise program provided by a clinician, i.e. usual care discharge home program plus virtual reality (VR) and telerehabilitation system. The intensity and choice of game for the home program will be determined by the therapist based on the patient's abilities, interests, motivation and fatigue. The patient's performance for the VR home program will be monitored asynchronously and the program adapted to ensure it remains at an appropriate level for the patient.