An Interactive Computer Game, Called Duck Duck Punch, for Stroke Rehabilitation at Home and in a Rehabilitation Clinic

NCT02882997 | Completed Phase 1

• 1 other identifier: Pro00029185
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study will determine the feasibility of using an interactive computer game to elicit repetitive practice of paretic arm movements in the homes of community dwelling stroke survivors and during non-therapy hours at an inpatient stroke rehabilitation hospital.

Conditions

Stroke

Outcome Measures

Primary Outcomes (1)

• Paretic arm use

  The amount of paretic arm use will be measured by wrist worn accelerometers. Subjects will be shown how to don/doff wristwatch sized triaxial Actigraph accelerometers (GT3X+ Activity Monitor; ActiGraph LLC) by securing a Velcro band on the dorsal aspect of each wrist proximal to the wrist joint. Subjects will be instructed to don the accelerometers each time they engaged in either the computer game or standard activity and wear them only for the duration of the activity. The accelerometers will be stored in a box during other times. Accelerometry data will be recorded in 1 minute epochs as the number of arm activity counts. At the final study evaluation session, data will be used to create a ratio of paretic to non-paretic arm activity counts. A value of 1 will indicate bilateral arm use, a value higher than 1 will indicate that the paretic arm was used more than the non-paretic arm, and a value less than 1 will indicate that the paretic arm was used less than the non-paretic arm.

  1 year

Secondary Outcomes (3)

• Fugl Meyer Upper Extremity Assessment

  up to 7 days

• Wolf Motor Function Test

  up to 7 days

• Stroke Impact Scale - Hand subtest

  up to 7 days

Study Arms (2)

Duck Duck Punch

EXPERIMENTAL

Community dwelling stroke survivors: Stroke survivors will install an interactive computer game in their home. Subjects will be instructed to play the computer game "as much as you want to every day for 7 days." Inpatient stroke patients: The interactive computer game will be installed at a local inpatient stroke rehabilitation hospital. Subjects will be instructed to "play this game as much as you want to during non-therapy hours (evenings and weekends) over the next 7 days."

Behavioral: an interactive computer game

Standard activities

ACTIVE COMPARATOR

Community dwelling stroke survivors: Subjects will receive a hard-copy handout of an arm home exercise program and given the instructions to "do these exercises as many times as you can daily." Inpatient stroke patients: Subjects will be encouraged to participate in standard evening/weekend recreational activities and to "remember to use the paretic arm as much as you can."

Behavioral: standard activities

Interventions

an interactive computer game BEHAVIORAL

Duck Duck Punch is an interactive computer game designed to elicit repetitive practice of paretic arm movements in stroke patients.

Duck Duck Punch

standard activities BEHAVIORAL

For community dwelling stroke survivors this is a hard copy, written/illustrated home exercise program for the paretic arm. For inpatient stroke patients this is standard recreational activities organized by the facility during non therapy hours (evenings and weekends).

Standard activities

Eligibility Criteria

• Age: 21 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• experienced uni-hemispheric ischemic or hemorrhagic stroke
• exhibit voluntarily shoulder flexion (affected UE) ≥20° with simultaneous elbow extension ≥10°. We reason that persons at this motor ability level have enough residual arm activation to engage in VE training
• passive range of motion in affected shoulder and elbow and within 20 degrees of normal values
• live at home
• no current rehabilitation therapy
• live within a 60 minute drive of the university
• medically stable
• expected to remain in the hospital for the next 7 days
• able to sit in a chair for 60 minutes without difficulty

You may not qualify if:

• lesion in brainstem or cerebellum
• presence of other neurological disease that may impair motor skills (e.g., Parkinson's Disease)
• pain in the paretic arm that would interfere with movement
• unable to understand and follow 3-step directions
• orthopedic condition or impaired corrected vision that would interfere with reaching.

Sponsors & Collaborators

• Medical University of South Carolina: lead
• University of Delaware: collaborator

Study Sites (1)

The Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Related Publications (1)

• Woodbury ML, Anderson K, Finetto C, Fortune A, Dellenbach B, Grattan E, Hutchison S. Matching Task Difficulty to Patient Ability During Task Practice Improves Upper Extremity Motor Skill After Stroke: A Proof-of-Concept Study. Arch Phys Med Rehabil. 2016 Nov;97(11):1863-1871. doi: 10.1016/j.apmr.2016.03.022. Epub 2016 Apr 23.

  PMID: 27117385 BACKGROUND

Related Links

• A paper presented at a conference on the initial development of the interactive computer game.

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Michelle L Woodbury, PhD, OTR/L

  Medical University of South Carolina

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: August 5, 2016
• First Posted: August 30, 2016
• Study Start: November 1, 2013
• Primary Completion: August 1, 2016
• Study Completion: August 1, 2016
• Last Updated: August 30, 2016

Record last verified: 2016-08

Data Sharing

• IPD Sharing: Will share

Locations

US (1)