Virtual Reality Training Program for Ambulatory Patients With Chronic Gait Deficits After Stroke
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Status:
This study is currently recruiting participants.
Purpose:
To examine the feasibility and efficacy of a virtual reality program for ambulatory patients with mild-to-moderate chronic gait deficits after stroke.
Interventions:
Virtual reality (VR) system
Virtual reality (VR) systems enable the learning of simple and complex skills in a controlled virtual environment; i.e., one in which the different components (constraints) of the environment can be displayed, graded, changed and monitored in a quantitative manner.
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Year Started:
2008
Design:
Interventional, Treatment, Randomized, Open Label, Parallel Assignment.
Inclusion Criteria
Stroke within 3-72 months; mild-to-moderate residual gait deficits after the index stroke with preserved capacity for ambulation without or with an assistive device (e.g., walker, cane) or orthotics (e.g. AFO).
Exclusion Criteria
Unstable cardiac or other medical condition or aphasia, dementia or other significant neurological disease limiting ability to train.
Patient Involvement:
Community ambulation using Step Activity Monitor (SAM), Gait analysis (GaitRite system) including dual task, Body sway- displacement of center of pressure (CoP) as indicated by the reactive forces from platform, Timed Up and Go, Functional Reach, Four Stick Stepping Test (FSST), 3DGait Analysis system, 6 minute walk and self-induced perturbations and reaction to perturbations on platform completed at baseline X2, post training (week 9-10), retention (week 20-24). Virtual Reality training for an overall of 18 sessions 2/week + usual care for those in the experimental arm vs usual care for those in the control arm.
Primary Outcome:
Community ambulation using Step Activity Monitor (SAM), Gait analysis (GaitRite system) including dual task, Body sway- displacement of center of pressure (CoP) as indicated by the reactive forces from platform, and Timed Up and Go completed at baseline X2, post training (week 9-10), retention (week 20-24).
Secondary Outcome:
Functional Reach, Four Stick Stepping Test (FSST), 3DGait Analysis system, 6 minute walk and self-induced perturbations and reaction to perturbations on platform completed at baseline X2, post training (week 9-10), retention (week 20-24).
Source of Information:
ClinicalTrials.gov
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Web Links and Publications:
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This information last updated on: 5/25/2010
Reviewed on: 06/01/2010.
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