Rehabilitation exercise plan at home for post-stroke patients

Effectiveness of a Rehabilitation Exercise Plan at Home to Treat Post-stroke Patients in the Chronic Phase

This study is testing a virtual reality exercise program at home to see if it helps stroke survivors improve their movement and abilities better than regular rehab methods.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 50 (estimated)
• Ages: 18 Years to 85 Years
• Sex: All
• Sponsor: Universitat Politècnica de Catalunya (other)
• Locations: 2 sites (Vic, Barcelona and 1 other locations)
• Trial ID: NCT06392802 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of a non-immersive virtual reality program, Muvity, in providing telerehabilitation for individuals who have experienced a stroke more than six months ago. It aims to compare the outcomes of this gamified therapy with conventional rehabilitation methods. The study will observe changes in joint range of motion and functional abilities of participants, utilizing a prospective longitudinal design with single blinding. The goal is to enhance rehabilitation access and effectiveness for stroke survivors in the chronic phase.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 85 who have had a stroke for over six months and have moderate physical disabilities.

Not a fit: Patients with severe cognitive impairments or those engaged in intense physical therapies may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve functional outcomes and reduce long-term disabilities for post-stroke patients.

How similar studies have performed: Previous studies have shown promise in using telerehabilitation and virtual reality for rehabilitation, suggesting potential success for this approach.

Eligibility criteria

Inclusion Criteria:

* Age: between 18 and 85 years old.
* Stroke duration of more than six months + Discharge from post-stroke rehabilitation.
* Moderate physical disability: scoring between 1-3 on the Modified Rankin Scale.
* Standing: able to stand safely for 2 minutes without support (maximum score -4- on item 2 of the Berg Scale).
* Vision: capable of correctly visualizing a screen at a distance of 2 meters.
* Cognitive status: No cognitive impairment or mild cognitive impairment (Mini-Mental State Examination score ≥ 24). Ability to understand and follow verbal instructions in Catalan or Spanish.
* Technological skills: capable of basic use of a mobile phone and computer (keyboard, mouse, screen).
* Glenohumeral joint mobility: minimum of 30º flexion, abduction, horizontal abduction; and 15º internal and external rotation.
* Elbow joint mobility: minimum of 45º flexion.

Exclusion Criteria:

* Engaging in intense physical therapies.
* Severe aphasia: inability or difficulty communicating through speech.
* Cognitive impairments affecting short and mid-term memory.
* Vision: having visual deficits in either eye that may impair screen visualization.
* Vision: experiencing hemispatial neglect, meaning difficulty processing stimuli on the side opposite to the injury.

Where this trial is running

Vic, Barcelona and 1 other locations

• Associació Disminuïts Físics d'Osona — Vic, Barcelona, Spain (RECRUITING)
• Universitat Politècnica de Catalunya — Barcelona, Spain (NOT_YET_RECRUITING)

Study contacts

• Principal investigator: Gil Serrancolí, PhD — Universitat Politècnica de Catalunya
• Study coordinator: Gil Serrancolí, PhD

Conditions: Stroke, Motor Disorders, Physical Disability, post-stroke, telerehabilitation, non-immersive virtual reality