Efficacy of VR Based Sword Fighting Exercises to Improve Upper Body Movements in Hemiplegic Patients

NCT06459570 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall22/729
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

this thesis endeavors to shed light on the efficacy of VR-based sword-fighting exercises as a rehabilitation tool for improving upper body movement in hemiplegic patients.

Conditions

Hemiplegic Gait

Outcome Measures

Primary Outcomes (2)

• Fugl-Meyer Assessment of upper limb (FMA)

  This measures upper limb impairment and scores from 0 to 66, the higher the score, the less the impairment. The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation, and joint functioning in patients with post-stroke hemiplegia.

  12 Months

• Action Research Arm Test (ARAT)

  This measures arm and hand function and ranges from 0 to 57, the higher the score, the better the upper limb function. The ARAT is a 19-item measure divided into 4 sub-tests (grasp, grip, pinch, and gross arm movement). Performance on each item is rated on a 4-point

  12 months

Study Arms (2)

Virtual reality based exercises

EXPERIMENTAL

Behavioral: Virtual reality based exercises

standard physical therapy

OTHER

Other: standard physical therapy

Interventions

Virtual reality based exercises BEHAVIORAL

one experimental group with Virtual reality-based exercises. Subjects in the VR-based exercises will receive 12 sessions of the VR-based exercises treatment, administered four times a week over 3 weeks, with each session lasting approximately 60 minutes.

Virtual reality based exercises

standard physical therapy OTHER

"Second control group with standard physical therapy and occupational therapy treatment.Subjects in the control group will receive 12 sessions of physical therapy treatment involving passive and active range of motion exercises, muscle strengthening, and therapeutic stretching, administered four times a week over a span of 3 weeks, with each session lasting approximately 60 minutes.

standard physical therapy

Eligibility Criteria

• Age: 21 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 21-80 years
• First clinical stroke, ischemic or hemorrhagic, with diagnosis of stroke confirmed on CT/MRI brain scan.
• Less than 6 weeks after stroke onset
• Upper limb weakness of Medical Research Council (MRC) motor power of grade 2-4 motor power in either the shoulder, elbow or the fingers of the hemiplegic upper extremity
• Subject can understand simple instructions and learn

You may not qualify if:

• Recurrent stroke
• History of epilepsy
• Presence of arthritis or pain in the affected upper limb restricting repetitive exercises
• Severe aphasia or cognitive impairment, or other psychiatric illnesses that limit the ability to participate or give consent.

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Azra Naheed Medical College, Superior University

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Gait Disorders, Neurologic

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 10, 2024
• First Posted: June 14, 2024
• Study Start: October 1, 2023
• Primary Completion: May 1, 2024
• Study Completion: September 30, 2024
• Last Updated: June 14, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)