Implementing Technology Enhanced Real Time Action Observation Therapy in Persons With Chronic Stroke

Study Overview
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Brief Summary
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This is a feasibility study to alter the Microsoft Kinect software to be used as a rehabilitation tool. The prototype used is still in the early developing stage. The purpose of this research study is to develop a prototype of altered Microsoft Kinect Software and determine its use in improving the function of the study subjects' weaker extremities. The altered software will allow a viewing of the mirror image of the involved limb as it is moved. However, the image that is viewed will reflect normal movement even if the limb cannot move normally. By viewing normal movement of the weaker limbs the mirror neuron network in the brain will become activated and will ultimately improve the function of the weaker side.

Official Title
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Implementing Technology Enhanced Real Time Action Observation Therapy in Persons With Chronic Stroke

Conditions
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Chronic Stroke, Hemiplegia, Hemiparesis, Paralysis

Intervention / Treatment
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* Device: Real-time action observation with augmented Kinect


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Adults 40 years of age and older having had a stroke greater than 6-months post onset Able to follow commands in English Medically stable and without acute illness, such as infection, inflammation, ongoing chest pain, or short of breath with walking and light activities Able to stand up off of a standard height chair (16-18 inches) Exclusion Criteria: - Cognitive impairment as measured by a score below 24/30 on Mini Mental State Examination A diagnoses of cancer involving the nervous or musculoskeletal system Severe pain in arms, legs, or spine measured by >6/10 using Verbal Numerical Pain Rating Scale that prevents them from standing or walking independently Diagnoses of other neurological diseases except for stroke, such as spinal cord injury or Parkinson's disease etc. Individuals at the advanced stage of a disease and with less than 12 months to live.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Device Feasibility
Intervention Model: Single Group Assignment
Interventional Model Description: Single group pre-test/post-test design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Real-Time Action Observation with augmented Kinect<br>Participants will receive 30 minutes of the augmented kinect software in real-time undergoing an exercise protocol involving seated upper extremity exercises, seated lower extremity exercises and standing upper extremity exercises. | Device: Real-time action observation with augmented Kinect<br>* Participants will receive 30 minutes of the augmented kinect software in real-time undergoing an exercise protocol involving seated upper extremity exercises, seated lower extremity exercises and standing upper extremity exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Motor Activity Log (MAL) | MAL measures participants overall use or increased use and quality of use of affected upper limb | 5 months | 
| Change in 9 Hole Peg Test (9HPT) | 9 HPT is a timed standardized measure participants overall function of dexterity. | 5 months | 
| Change in 10 Meter Walk Test (10mWT) | The 10mWT is a standardized measure used to assess participants timed walking speed in meters per second over a short distance | 5 months | 
| Change in Functional Reach Test (FRT) | The functional reach test is a standardized measure assessing the participants ability to reach forward with unaffected arm | 5 months | 
| Change in Timed Up and Go (TUG) | The TUG is a standardized measure which assesses participants mobility, balance, walking ability, and fall risk in older adults | 5 months | 
| Change in 5 Time Sit to Stand (5xSS) | This is a standardized measure assessing participants functional lower limb strength. | 5 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Kinect, Rehabilitation, Virtual reality, Mirror therapy