Virtual Reality Rehabilitation in Patients With Acquired Brain Injury

June 14, 2019 updated by: Sandro Iannaccone, IRCCS San Raffaele

Effectiveness of Virtual Environment Rehabilitation in Patients With Acquired Brain Injury: Clinical Randomized Controlled Trial

The aim of the study is to investigate the effectiveness of motor and cognitive virtual environment rehabilitation on upper limb function in sub-acute patients after an acquired brain injury.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Anticipated)

90

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Italy
    • MI
      • Milan, MI, Italy, 20132

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Acquired Brain Injury within 1 month before the recruitment;
  • Score between 0 and 3 at the Motor Arm subscore of the Italian version of the National Institutes of Health Stroke Scale (it-NIHSS);
  • Score between 9 and 15 at the Glasgow Coma Scale for the traumatic brain injury Acquired Brain Injury.

Exclusion Criteria:

  • Denial of informed consent;
  • Visual deficits that interfere with the virtual reality rehabilitation;
  • Score under 18 at the Mini Mental State Examination;
  • Severe orthopedic deficit;
  • Patients with pace maker;
  • Patients with contraindication to undergo magnetic resonance;
  • Pregnant women.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Virtual Reality rehabilitation group
The Virtual Reality group will perform upper extremity motor rehabilitation and neurocognitive rehabilitation based on virtual reality training.
Other: Virtual Reality rehabilitation group

Three hours rehabilitation sessions every day that will consist in two hours of physiotherapy and one hour of neurocognitive rehabilitation, for 15 consecutive working days (3 weeks).

1 hour: conventional physiotherapy

1 hour: virtual reality upper extremity motor rehabilitation

1 hour: virtual reality neurocognitive training
Active Comparator: Control group
The Control group will perform the same motor and neurocognitive rehabilitation but with the virtual reality turned off.
Other: Control group rehabilitation

Three hours rehabilitation sessions every day that will consist in two hours of physiotherapy and one hour of neurocognitive rehabilitation, for 15 consecutive working days (3 weeks).

1 hour: conventional physiotherapy

1 hour: upper extremity motor rehabilitation

1 hour: neurocognitive training

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Fugl-Meyer Upper Extremity (FMUE)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)

Items are scored on a 3-point ordinal scale

0 = cannot perform; 1 = performs partially; 2 = performs fully.

Maximum Score = 66 points
From Baseline (T0) to 3 weeks of rehabilitation (T1)

Secondary Outcome Measures

Outcome Measure
Time Frame
Change in Action Research Arm Test (ARAT)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)
From Baseline (T0) to 3 weeks of rehabilitation (T1)
Change in Functional Independence Measures (FIM)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)
From Baseline (T0) to 3 weeks of rehabilitation (T1)
Change in Mini Mental State Examination (MMSE)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)
From Baseline (T0) to 3 weeks of rehabilitation (T1)
Change in Montreal Cognitive Assessment (MoCA)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)
From Baseline (T0) to 3 weeks of rehabilitation (T1)
Change in Beck Depression Inventory (BDI)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)
From Baseline (T0) to 3 weeks of rehabilitation (T1)
Change in 36-Item Short Form Survey (SF-36)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)
From Baseline (T0) to 3 weeks of rehabilitation (T1)

Other Outcome Measures

Outcome Measure
Time Frame
Change in Resting state functional MRI (fMRI)
Time Frame: From Baseline (T0) to 3 weeks of rehabilitation (T1)
From Baseline (T0) to 3 weeks of rehabilitation (T1)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

IRCCS San Raffaele

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

November 1, 2019

Primary Completion (Anticipated)

April 30, 2022

Study Completion (Anticipated)

April 30, 2022

Study Registration Dates

First Submitted

January 9, 2018

First Submitted That Met QC Criteria

January 17, 2018

First Posted (Actual)

January 18, 2018

Study Record Updates

Last Update Posted (Actual)

June 17, 2019

Last Update Submitted That Met QC Criteria

June 14, 2019

Last Verified

June 1, 2019

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • VR-ABI

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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