VIrtual Reality Glasses Use to Improve Lateropulsion and the Post-stroke Postural Vertical (VIRGIL)
Stroke, Brain Diseases, Cerebrovascular Disorders
About this trial
This is an interventional treatment trial for Stroke focused on measuring Lateropulsion, Verticality representation, Virtual reality, Rehabilitation
Eligibility Criteria
Inclusion Criteria:
20 stroke participants
- Hospitalized in neurorehabilitation
- Hemisphere stroke (Right or left)
- Stroke delay < 6 months
- Presence of lateropulsion assessed by the Scale for Contraversive Pushing (SCP) > 0.5
20 healthy participants
- No history of stroke or others neurological pathologies
- No balance disorders
- No history of vestibular or dizzissness disorders
Exclusion Criteria:
All
- History of psychiatric disorders
- Nyctophobia
- Advanced heart failure
- Severe trunk deformation with C7 lateral > 30 mm due to a independant cause beyond the stroke (i.e., scoliosis) or history of postural disorder
20 Stroke participants
- Medical instability making the assessment impossible
- Comprehension deficits with Boston Diagnostic Aphasia Examination gravity score ≥3
- History of vestibular or dizzissness disorders
- No previous neurological history interfering with balance
- Inability to understand and execute simple orders
- Severe untreated depression (Aphasic Depression Rating Scale (ADRS) score >15)
Sites / Locations
- University Hospital GrenobleRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Plane A for the cross-over (Immersion in a virtual tilted room)
Plane B for the cross-over (Immersion in a virtual tilted room)
Half of participants will perform the experiment according the plane A, which corresponds to the following order: verticality perception (Baseline, effect during the intervention, post-effect), then active vertical body orientation (Baseline, effect during the intervention). The intervention is an immersion in a virtual static and tilted environnement (18°). During the intervention, participants will be immersed in a virtual tilted room for 15 minutes (after 5 minutes of pre -installation adjustments), then verticality perception or active body orientation assessments are performed while the participant is still virtually immersed (approximately 25 minutes). Participants will be immersed in a tilted virtual room for 45 minutes each day.
Half of participants will perform the experiment according the plane B, which corresponds to the following order: active vertical body orientation (Baseline, effect during the intervention), then verticality perception (Baseline, effect during the intervention, post-effect). The intervention is an immersion in a virtual static and tilted environnement (18°). During the intervention, participants will be immersed in a virtual tilted room for 15 minutes (after 5 minutes of pre -installation adjustments), then verticality perception or active body orientation assessments are performed while the participant is still virtually immersed (approximately 25 minutes). Participants will be immersed in a tilted virtual room for 45 minutes each day.