Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Video Game Rehabilitation for Outpatient Stroke (VIGoROUS): A Multi-center Comparative Effectiveness Trial of In-home Gamified Constraint-induced Movement Therapy for Rehabilitation of Chronic Upper Extremity Hemiparesis.
Brief Summary: The current proposal aims to conduct a multi-site randomized controlled trial comparing virtual-reality gaming delivery of Constraint Induced Movement therapy (CI therapy) with (1) traditional clinic-based CI therapy of equal total active therapy duration and (2) a control group equating the dose of in-person therapy. Individuals with chronic stroke will be randomized to one of four different interventions: (1) traditional clinic-based CI therapy (35 therapist/client contact hours), (2) therapist-as-consultant virtual reality CI therapy (5 therapist/client contact hours in the clinic and 15 hours of independent game play at home), (3) therapist-as-consultant virtual reality CI therapy with additional therapist contact via telerehabilitation (5 therapist/client contact hours in the clinic, 2.6 therapist contact hours via teleconference, and 15 hours of independent game play in the home), and (4) 5 hours of standard occupational therapy (OT) / physical therapy (PT). After 6-month follow-up, individuals assigned to standard OT/PT will cross over to a modified gaming therapy condition (a stand-alone application of the rehabilitation game without additional therapist contact).


Options:
A: Arm Label: Hand Mentor Therapy; Type: EXPERIMENTAL; Interventions: Device: Hand Mentor (TM) robotic stroke therapy device | Arm Label: Control; Type: ACTIVE_COMPARATOR; Interventions: Device: Home Therapy Program | Intervention Type: DEVICE; Name: Hand Mentor (TM) robotic stroke therapy device; Assigned to Arm(s): Hand Mentor Therapy | Intervention Type: DEVICE; Name: Home Therapy Program; Assigned to Arm(s): Control
B: Arm Label: Aphasia telerehabilitation; Type: EXPERIMENTAL; Interventions: Other: Aphasia telerehabilitation, Other: Standard face-to-face aphasia rehabilitation | Arm Label: Control; Type: ACTIVE_COMPARATOR; Interventions: Other: Standard face-to-face aphasia rehabilitation | Intervention Type: OTHER; Name: Aphasia telerehabilitation; Assigned to Arm(s): Aphasia telerehabilitation | Intervention Type: OTHER; Name: Standard face-to-face aphasia rehabilitation; Assigned to Arm(s): Aphasia telerehabilitation, Control
C: Arm Label: Telerehabilitation Therapy; Type: EXPERIMENTAL; Interventions: Device: Telerehabilitation Therapy | Arm Label: In-Clinic Therapy; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: In-Clinic Therapy | Intervention Type: DEVICE; Name: Telerehabilitation Therapy; Assigned to Arm(s): Telerehabilitation Therapy | Intervention Type: BEHAVIORAL; Name: In-Clinic Therapy; Assigned to Arm(s): In-Clinic Therapy
D: Arm Label: Traditional CI Therapy; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Traditional CI Therapy | Arm Label: Gaming CI Therapy; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Gaming CI Therapy | Arm Label: Gaming CI Therapy with Additional Contact via Video Conference; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Gaming CI Therapy with Additional Contact via Video Conference | Arm Label: Traditional Occupational Therapy/Physical Therapy; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Traditional Occupational Therapy/Physical Therapy | Intervention Type: BEHAVIORAL; Name: Traditional CI Therapy; Assigned to Arm(s): Traditional CI Therapy | Intervention Type: BEHAVIORAL; Name: Gaming CI Therapy; Assigned to Arm(s): Gaming CI Therapy | Intervention Type: BEHAVIORAL; Name: Gaming CI Therapy with Additional Contact via Video Conference; Assigned to Arm(s): Gaming CI Therapy with Additional Contact via Video Conference | Intervention Type: BEHAVIORAL; Name: Traditional Occupational Therapy/Physical Therapy; Assigned to Arm(s): Traditional Occupational Therapy/Physical Therapy

Answer: D