Virtual Reality Versus Mental Practice On Balance And Gait In Patients With Multiple Sclerosis
This study is conducted to:
- Investigate the effect of virtual reality based training on balance and risk of falling.
- Investigate the effect of virtual reality based training on gait.
- Investigate the effect of mental practice on balance and risk of falling.
- Investigate the effect of mental practice on gait.
- Compare between the effect of virtual reality based training and mental practice on balance and gait
調査の概要
詳細な説明
Background: Multiple sclerosis affects the central integration of sensory afferents that causes disturbance of balance, postural control and gait. Exercise interventions performed through VR applications encourage participants to engage in challenging tasks that integrate motor and cognitive demands, enhance patients' sensory processing and integration systems and allows them to receive information feedback and improve the motivation of training. Mental Practice is a complex cognitive operation that is possible thanks to the use of sensory and perceptive processes that allow an individual to reactivate specific motor actions in the working memory.
Purpose: This study is conducted to Investigate the effect of virtual reality based training on balance and risk of falling, Investigate the effect of virtual reality based training on gait, Investigate the effect of mental practice on balance and risk of falling, Investigate the effect of mental practice on gait and to compare between the effect of virtual reality based training and mental practice on balance and gait.
Methods: Fifty four patients of both sexes with relapsing remitting MS (RRMS). The patients will be diagnosed as having RRMS based on careful clinical examination by neurologist and diagnosis will be confirmed by radiological investigations as magnetic resonance imaging (MRI). Patients will be recruited from the outpatient clinic of Faculty of Physical Therapy, Pharos University in Alexandria and private clinics. Patients in this study will be randomly divided into three groups.
- Group (I) which will include 18 patients who will receive mental practice in addition to selected physical therapy .
- Group (II) which will include 18 patients who will receive virtual reality based training in addition to selected physical therapy.
- Group (III) which will include 18 patients who will receive selected physical therapy.
The treatment will be conducted 3 sessions per week for 6 weeks for 45 minutes.
Results: Data analysis with 2-way mixed Design MANOVA will be used to compare the groups for normally distributed data and Kruskal Wallis and Mann-Whitney tests will be used to compare the groups for non-parametric and not normally distributed data.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Ola Z Asal, BSc
- 電話番号：00201023830508
- メール：ola25jan@gmail.com
研究連絡先のバックアップ
- 名前：Nagwa I Rehab, PhD
- 電話番号：00201008124920
- メール：Nagwa1102010@yahoo.com
研究場所
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Giza Governorate
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Giza、Giza Governorate、エジプト
- 募集
- Faculty of Physical Therapy, Cairo University
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-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Patients with RRMS.
- Patient's age will be range from 20 - 35 years..
- Patients are able to walk 10 meter with or without assistance.
- Patients with ≤ 6 according to an Expanded Disability Status Scale (EDSS).
- Patients are cognitively able to follow instructions.
- Patient's body mass index (BMI) will be ranged from 18.5 to 29.99 Kg/m2.
Exclusion Criteria:
- Patients with MS relapse in the last 30 days.
- Visual impairments interfering with VR.
- Severe spasticity or orthopaedic deformity.
- Recent musculoskeletal injury.
- History of epilepsy or motion sickness with VR.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：バーチャルリアリティ
|
The virtual environment presented via Head Mounted Display (HMD) has three-dimensional presentation and the panoramic view that covers the users' field of view, it facilitates immersion in the virtual and distraction from the real world |
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実験的：Mental Practice
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Mental Practice is among the recommended strategies to enhance performance. MP is a symbolic exercise, involving repeated mental imagery in the absence of any visible muscle contraction. |
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実験的：Selected Physical Therapy Program
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Dual tasking and Task oriented training in static and dynamic forms |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Gait
時間枠：6 weeks
|
spatial, temporal and angular parameters as cadence, step length and range of motion of hip, knee and ankle will be measured using software analysis "Kinovea" Kinovea is a free, open-source 2D video analysis software. It does not generate a single composite "score". Instead, it measures quantitative biomechanical and kinematic metrics from recorded video. |
6 weeks
|
|
Gait
時間枠：6 weeks
|
"10 minutes walk test" will be performed pre and post treatment by asking the patient to walk through a 12 meter walkway and calculate the time for 10 meters in tha walkway in two walking speeds( normal - fast) for 2 or 3 trials of each speed Speed > 1.2 m/s: Normal / Community AmbulatorAble to safely cross street intersections and navigate crowded environments. 0.8 - 1.2 m/s: Limited Community Ambulator/ Able to walk outdoors independently 0.4 - 0.8 m/s: Household Ambulator/ Mostly restricted to indoor walking; requires assistance or equipment outdoors. < 0.4 m/s: Severe Functional Limitation |
6 weeks
|
|
Balance
時間枠：6 weeks
|
static and dynamic balance will be assessed using "Berg Balance Scale" The Berg Balance Scale (BBS) is a 14-item clinical assessment scale designed to measure static balance and dynamic functional mobility, Point Scale: Each of the 14 tasks is rated on a 0 to 4 ordinal scale based on safety, independence, time held, or distance reached, Scores are summed across all items for a overall score ranging from 0 to 56 points (higher scores reflect better balance and mobility). |
6 weeks
|
|
Balance
時間枠：6 weeks
|
"Timed Up and Go" test giving numerical data pre and post treatment about balance and risk of falling Test is scored entirely by time (in seconds): Time < 10 seconds: Normal / Completely IndependentFreely mobile; minimal to no fall risk 10 - 19 seconds: Mostly Independent, Reasonable balance and gait speed, generally low fall risk 20 - 29 seconds: Variable MobilityImpaired mobility, slower gait speed > 30 seconds: Severely Impaired, high fall risk |
6 weeks
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター：Nagwa I Rehab, PhD、Cairo University
- スタディディレクター：Rania M Tawfik, PhD、Cairo University
- スタディディレクター：Ebtesam M Fahmy, PhD、Cairo University
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- P.T.REC/012/006172
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
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