The Comparison of Virtual and Real Boxing Training in Hemiparetic Stroke Patients

NCT03651479 | Completed Results

• 1 other identifier: 2018/02(a)-08
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of virtual and real boxing training in addition to neurodevelopmental training on cognitive status, upper extremity functions, balance and activities of daily living in hemiparetic stroke patients.

Conditions

Stroke; Hemiparesis

Keywords

virtual reality; boxing; upper extremity function; cognitive function; balance

Outcome Measures

Primary Outcomes (1)

• Wolf Motor Function Test

  Wolf Motor Function Test (WFMT) quantifies upper extremity motor ability through the use of timed and functional tasks. The widely used version of the WMFT consists of 17 items, items 7 and 14 are related to subject strength and the other 15 to subject functional ability during various tasks. Performances are scored using a 6-point functional ability scale and the less affected upper extremity followed by the most affected side. The total score, also referred to as Functional Ability score (WMFT-FAS), is the sum of the 15 items score (with a 6-point ordinal score from 0 to 5). The maximum total score is 75 and minimum is 0. Lower scores indicating lower functional levels.

  8 weeks

Secondary Outcomes (5)

• Minnesota Manual Dexterity Test

  8 weeks

• Video Boxing Analysis of Punching

  8 weeks

• Fullerton Advanced Balance Scale

  8 weeks

• Addenbrooke's Cognitive Assessment

  8 weeks

• Frenchay Activities Index

  8 weeks

Study Arms (2)

real boxing group

EXPERIMENTAL

In the real boxing (RB) group in addition to the NDT program, real boxing training will be given.

Other: real boxing training

virtual boxing group

EXPERIMENTAL

In the virtual boxing (VB) group, in addition to the NDT program, virtual boxing training will be given by using Kinect Xbox Boxing.

Other: virtual boxing training

Interventions

real boxing training OTHER

In the real boxing (RB) group in addition to the NDT program, real boxing training will be given. Accordingly, the physiotherapist and the patient will wear boxing gloves and the patients will punch the physiotherapist's glove with a pre-specified treatment protocol. Resistance and frequencies between levels will be increased by the physiotherapist as the sessions progress. The RB group will have 30 minutes of real boxing training for 3 sessions per week for 8 weeks.

real boxing group

virtual boxing training OTHER

In the virtual boxing (VB) group, in addition to the NDT program, virtual boxing training will be given by using Kinect Xbox Boxing. For the VB group, virtual boxing training will be held for 3 weeks 30 minutes a week for 8 weeks.

virtual boxing group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients diagnosed with first time ever stroke
• Patients with hemiparesis
• Patients who are between the ages of 18-70
• Patients who has Mini Mental Test score above 23
• Patients whose functional level is less than 4 according to the Modified Rankin Scale
• Patients who has upper extremity spasticity lower than 3 on Modified Ashworth Scale

You may not qualify if:

• Hypertension
• Heart disease
• Subluxation and fracture at the shoulder
• Visual impairment
• Limitation in passive normal joint movement in hemiplegic side
• Botulinum toxin administration or surgical operation in the last 6 months patients

Sponsors & Collaborators

• Eastern Mediterranean University: lead

Study Sites (1)

Eastern Mediterranean University

Famagusta, North Cyprus Via Mersin 10 Turkey, 99450, Cyprus

Location

Related Publications (2)

• Park J, Gong J, Yim J. Effects of a sitting boxing program on upper limb function, balance, gait, and quality of life in stroke patients. NeuroRehabilitation. 2017;40(1):77-86. doi: 10.3233/NRE-161392.

  PMID: 27792020 BACKGROUND

• Sin H, Lee G. Additional virtual reality training using Xbox Kinect in stroke survivors with hemiplegia. Am J Phys Med Rehabil. 2013 Oct;92(10):871-80. doi: 10.1097/PHM.0b013e3182a38e40.

  PMID: 24051993 BACKGROUND

MeSH Terms

Conditions

Stroke; Paresis

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Limitations and Caveats

There were problems caused by technology in the virtual reality therapy group for example; Freezing the image while playing game and the patient's position to move out of the camera area can not be detected

Results Point of Contact

• Title: Asst. Prof. Dr. Gozde Iyigun
• Organization: Eastern Mediterranean University

gozde.iyigun@emu.edu.tr

+903926303011

Study Officials

• Gozde Iyigun, PhD

  Eastern Mediterranean University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Faculty member

Model Details: Randomized controlled study

Study Record Dates

• First Submitted: August 10, 2018
• First Posted: August 29, 2018
• Study Start: November 10, 2018
• Primary Completion: June 12, 2019
• Study Completion: June 12, 2019
• Last Updated: November 30, 2021
• Results First Posted: January 18, 2020

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

CY (1)