Clinical trial NCT03845855: Effects of Virtual Reality on Dual Task Performance
Official title: The Investigation of the Effects of Virtual Reality Training on Dual Task Performance, Balance and Gait on Patients With Chronic Stroke
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: virtual reality
stroke
dual task
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2019-02-19
Enrollment: 30
Sex: ALL
Minimum age (years): 40
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study evaluates the effects of virtual reality treatment in addition to robotic gait therapy on dual task performance, balance and gait in chronic stroke patients. Half of participants will attend virtual reality treatment in addition to robotic gait therapy for 12 sessions, while the other half will attend only robotic gait therapy for 12 sessions.

Detailed description: Following stroke, motor disorders, balance disorders, falls, gait disturbances and cognitive disorders are frequently seen. In stroke rehabilitation, with the use of robots and virtual reality systems with conventional methods, it is aimed to increase patient's motivation, to check if exercise is effective, to provide objective evaluation data and to support the motor learning process and the use of these methods in the field of neurological rehabilitation is increasing.

Multi-task evaluations can be made with the virtual environments created by virtual reality applications and complex tasks.

The traditional approach to stroke rehabilitation is mainly focused on balance and gait training under single task conditions. In everyday life, people should not only have balance and mobility skills, but also have the ability to perform other cognitive and motor tasks with these skills. Therefore, traditional approaches are not sufficient for the individual to return to society after a stroke.

In this respect, this study was planned in order to examine the effects of frequently used virtual reality treatment in addition to robotic gait therapy on the dual task, balance and gait performance.

Eligibility criteria: Inclusion Criteria:

* Volunteer to participate in the research
* Stroke for the first time
* To be able to walk independently before the disease
* To score 3 or above in the functional ambulation classification
* 6 months after stroke diagnosis
* Not having open wounds
* Severity of spasticity of the lower extremities to be 3 and below according to the Modified Asworth Scale
* To score 24 or more in the Mini Mental State Examination

Exclusion Criteria:

* Acute internal problems, additional neurological diseases, or orthopedic problems that might limit walking
* To have received botulinum toxin treatment during 6 months before treatment or during treatment
* To have stroke on both sides
* To have neglect

Primary outcomes:
measure: 10 meter walk test
timeFrame: change from baseline time at the end of 6 week
measure: 10 meter walk test with cognitive task
timeFrame: change from baseline time at the end of 6 week
measure: 10 meter walk test with motor task
timeFrame: change from baseline time at the end of 6 week
Secondary outcomes:
measure: Mini Mental State Examination
timeFrame: change from baseline score at the end of 6 week
measure: Functional Ambulation Classification
timeFrame: change from baseline score at the end of 6 week
measure: Rivermead Mobility Index
timeFrame: change from baseline score at the end of 6 week
measure: Berg Balance Scale
timeFrame: change from baseline score at the end of 6 week
measure: Falls Efficacy Scale - International
timeFrame: change from baseline score at the end of 6 week
measure: Functional Gait Assessment
timeFrame: change from baseline score at the end of 6 week
Other outcomes:
Locations:
city: Nevşehir
country: Turkey
facility: Kozakli Fizik Tedavi Ve Rehabilitasyon Hastanesi
state: Kozaklı
Study officials:
affiliation: Hacettepe University
name: Büşra Kayabınar, MSc
role: PRINCIPAL_INVESTIGATOR
References: