- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03845855
Effects of Virtual Reality on Dual Task Performance
The Investigation of the Effects of Virtual Reality Training on Dual Task Performance, Balance and Gait on Patients With Chronic Stroke
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Following stroke, motor disorders, balance disorders, falls, gait disturbances and cognitive disorders are frequently seen. In stroke rehabilitation, with the use of robots and virtual reality systems with conventional methods, it is aimed to increase patient's motivation, to check if exercise is effective, to provide objective evaluation data and to support the motor learning process and the use of these methods in the field of neurological rehabilitation is increasing.
Multi-task evaluations can be made with the virtual environments created by virtual reality applications and complex tasks.
The traditional approach to stroke rehabilitation is mainly focused on balance and gait training under single task conditions. In everyday life, people should not only have balance and mobility skills, but also have the ability to perform other cognitive and motor tasks with these skills. Therefore, traditional approaches are not sufficient for the individual to return to society after a stroke.
In this respect, this study was planned in order to examine the effects of frequently used virtual reality treatment in addition to robotic gait therapy on the dual task, balance and gait performance.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Kozaklı
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Nevşehir, Kozaklı, Turkey
- Kozakli Fizik Tedavi Ve Rehabilitasyon Hastanesi
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Volunteer to participate in the research
- Stroke for the first time
- To be able to walk independently before the disease
- To score 3 or above in the functional ambulation classification
- 6 months after stroke diagnosis
- Not having open wounds
- Severity of spasticity of the lower extremities to be 3 and below according to the Modified Asworth Scale
- To score 24 or more in the Mini Mental State Examination
Exclusion Criteria:
- Acute internal problems, additional neurological diseases, or orthopedic problems that might limit walking
- To have received botulinum toxin treatment during 6 months before treatment or during treatment
- To have stroke on both sides
- To have neglect
Study Plan
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 with robotic gait
virtual reality treatment with robotic gait therapy 2 times for week by 6 weeks.
|
Virtual reality with a game
robotic gait therapy
|
Active Comparator: Robotic gait therapy only
only robotic gait therapy 2 times for week by 6 weeks
|
robotic gait therapy
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
10 meter walk test
Time Frame: change from baseline time at the end of 6 week
|
The time is measured after 10 meter walk completed
|
change from baseline time at the end of 6 week
|
10 meter walk test with cognitive task
Time Frame: change from baseline time at the end of 6 week
|
The time is measured after 10 meter walk with a cognitive task completed
|
change from baseline time at the end of 6 week
|
10 meter walk test with motor task
Time Frame: change from baseline time at the end of 6 week
|
The time is measured after 10 meter walk with a motor task completed
|
change from baseline time at the end of 6 week
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mini Mental State Examination
Time Frame: change from baseline score at the end of 6 week
|
Mini Mental State Examination can be used to assess the mental status.
Mini Mental State Examination is an 11-question measure that tests five areas of cognitive function: orientation, registration, attention and calculation, recall, and language.
The maximum score is 30.
The minimum score is 0. Getting 24 point is cut point.
If a person get 24 points from examination, his/her mental status is fine.
The higher scores represent better mental status.
|
change from baseline score at the end of 6 week
|
Functional Ambulation Classification
Time Frame: change from baseline score at the end of 6 week
|
This 6-point scale assesses ambulation status by determining how much human support the patient requires when walking, regardless of whether or not they use a personal assistive device.
Level 0 is the minimum level and level 5 is the maximum level.
Higher levels represent better function.
|
change from baseline score at the end of 6 week
|
Rivermead Mobility Index
Time Frame: change from baseline score at the end of 6 week
|
Rivermead Mobility Index assesses functional mobility in gait, balance and transfers after stroke.
14-self-reported items and 1 direct observation item are calculated.
Items are coded as either 0 or 1, depending on whether the patient can complete the task according to specific instructions.
Items receive a score of 0 for a "No" response and 1 for a "Yes" response.A maximum of 15 points is possible; higher scores indicate better mobility performance.
|
change from baseline score at the end of 6 week
|
Berg Balance Scale
Time Frame: change from baseline score at the end of 6 week
|
The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks.
It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function.
|
change from baseline score at the end of 6 week
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Falls Efficacy Scale - International
Time Frame: change from baseline score at the end of 6 week
|
The Falls Efficacy Scale International are measures of "fear of falling" or, more properly, "concerns about falling".
Minimum 16 (no concern about falling) to maximum 64 (severe concern about falling) can be obtained.
|
change from baseline score at the end of 6 week
|
Functional Gait Assessment
Time Frame: change from baseline score at the end of 6 week
|
The Funcitonal Gait Assessment is used to assess postural stability during various walking tasks.
The highest score is 30/30.
Higher scores represent better functional gait performance.
|
change from baseline score at the end of 6 week
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Büşra Kayabınar, MSc, Hacettepe University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018.09.97
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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