Xbox Kinect Training on Upper Limb Motor Function in Stroke Patients

NCT04669431 | Completed DMC

• 1 other identifier: REC/00514 Sara khan
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

.To determine the effects of Xbox Kinect training on upper limb motor function with conventional physical therapy in stroke patients

Conditions

Stroke

Keywords

Xbox Kinect Training; Upper limb; Stroke

Outcome Measures

Primary Outcomes (5)

• Modified Ashworth Scale

  Changes from the base line, Primary tools for measuring spasticity in post stroke patients, is Modified Ashworth Scale. Modified Ashworth Scale (MAS) is a measuring tool for spasticity consisting on total of 6 points. Marks ranges from zero to four, where 0 indicates normal muscle tone while higher numbers signifies high resistance.

  6th week

• Montreal Cognitive Assessment

  Changes from the base line, The tool used for cognitive impairment is Montreal Cognitive Assessment (MoCA). As there is not at all, fairly effective measuring tool for the early diagnosis of cognitive impairments. MoCA is a successful screening test used for the screening of mild cognitive impairment. The MoCA test-retest intra-class relationship coefficient (ICC=0.79) and the inter-rater intra-class connection coefficient (ICC=0.81).The MoCA is a valid and reliable tool for cognitive assessment. Scores of MoCA ranges from 0-30.Interpretation of MoCA indicates that score of 26 and above normal, 18 -25 score indicates low cognitive impairments, 10 -18 score considered normal or moderate cognitive impairment while greater than 10 is considered to be severe cognitive impairments.

  6th week

• Test Box and Block

  Changes from the Baseline, Test Box and block (BBT) measuring tool is used for the motor function of upper extremity. In the apparatus of this tool, there are two compartments of a box, and test is performed by picking up equal sized blocks from one compartment to another during 60 seconds. 15 seconds are provided to subjects for practice and then total numbers of blocks, transferred within 60 seconds are recorded.

  6th week

• Wolf Motor Function Test

  Changes from the Baseline, Wolf Motor Function Test (WMFT) is considered as numerical catalogue for the assessment of upper extremity motor function. Motor skills of patients are assessed through time and well designed, practical and functional tasks.

  6th week

• Fugl Meyer assessment of physical performance

  Changes from the Baseline, Fugl meyer assessment tool is used for the evaluation of recovery extent in post stroke patients. It consists of 226 total points and is divided in 5 major domains including sensory function, motor function, joint range of motion, balance and pain each domain contain multiple sub items. Scoring is being recorded on a 3-points ordinal scale where zero means unable to perform, one means partially performs and two means performs fully. Movement, coordination, reflex activity of shoulders, elbows, forearm, wrist and hand are included in motor domain. Normal motor performance starts from 0 to maximum 100 points and sub divided into 66 points for upper extremity.

  6th week

Study Arms (2)

Xbox kinect Training

EXPERIMENTAL

X Box Games include Tennis Playing, Joy riding, Rally ball.

Other: Xbox kinect Training

Conservative Rehabilitation

ACTIVE COMPARATOR

Sustained Stretching, repetitive task training, activities of daily living

Other: Conservative Rehabilitation

Interventions

Xbox kinect Training OTHER

Xbox kinect 360, Tennis player, Joy riding, Rally ball. Tennis player in first 2 weeks, Joy riding in 3rd and 4th weeks, and all 3 games in 5th and 6th weeks 35 minute/3 days a week for 6 weeks with Conventional physical therapy, 25 minute

Xbox kinect Training

Conservative Rehabilitation OTHER

Sustained Stretching, repetitive task training, activities of daily living( eating, grooming, folding of towel, basket lifting, turn key into lock, reaching forward, sideways reach, ball grasping, picking up small blocks and lifting cane and pencil) 35 minute/3 days a week for 6 weeks

Conservative Rehabilitation

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Stroke\>6 months
• No prior stroke
• Modified Ashworth scale\<4
• Patients able to follow instructions

You may not qualify if:

• No previous deformity
• Severe spastic hemiplegic
• Patients with visual and cognitive impairment
• Patients suffering from arm pain
• Severe illness

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Railway General Hospital

Rawalpindi, Punjab Province, 44000, Pakistan

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Amna Yaseen, MSPT(NMPT)

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 9, 2020
• First Posted: December 16, 2020
• Study Start: June 18, 2018
• Primary Completion: February 1, 2019
• Study Completion: March 1, 2019
• Last Updated: December 16, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)