Virtual reality gaming program (VR-gaming program) for Stroke

Phase-Based Estimates
1
Effectiveness
1
Safety
Kelowna General Hospital, Kelowna, Canada
Stroke+4 More
Virtual reality gaming program (VR-gaming program) - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Stroke

Study Summary

This study is evaluating whether a virtual reality program can improve mood and reduce sedentary behavior in stroke survivors.

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Eligible Conditions

  • Stroke
  • Stroke, Lacunar
  • Wake-up Stroke
  • Hemorrhagic Stroke
  • Ischemic Stroke
  • Stroke, Ischemic

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Virtual reality gaming program (VR-gaming program) will improve 1 primary outcome, 6 secondary outcomes, and 8 other outcomes in patients with Stroke. Measurement will happen over the course of Rehabilitation discharge (generally 4-6 weeks).

Week 6
Anxiety symptoms
Depressive symptoms
Feasibility indicator - perceived benefit of the VR Training Program
Feasibility indicator - recruitment rate
Feasibility indicator - retention rate
Feasibility indicators - ease of using equipment
Feasibility indicators - participant and tester burden
Feasibility indicators - safety
Feasibility indicators - trainer burden
Feasibility indicators - treatment fidelity
Happiness
Motivation
Sedentary time
Stress
Stroke severity (functional disability)

Trial Safety

Trial Design

2 Treatment Groups

Control
VR Group

This trial requires 30 total participants across 2 different treatment groups

This trial involves 2 different treatments. Virtual Reality Gaming Program (VR-gaming Program) is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

VR Group
Behavioral
Receives the VR protocol
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: rehabilitation discharge (generally 4-6 weeks)
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly rehabilitation discharge (generally 4-6 weeks) for reporting.

Who is running the study

Principal Investigator
B. S.
Prof. Brodie Sakakibara, Assistant Professor
University of British Columbia

Closest Location

Kelowna General Hospital - Kelowna, Canada

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There is one eligibility criterion to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Have had a stroke (confirmed by CT scan or MRI); are an inpatient receiving stroke rehabilitation for an expected length of stay of 14 days or longer; are at least 19 years of age or older; are able to provide informed consent; have clearance from a physician to participate in the study; are able to understand English.

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many people get stroke a year in the United States?

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The American Stroke Association estimates that there will be around 81,000 new strokes a year in the United States. The age distribution of stroke cases is similar to that of ischemic heart disease.

Unverified Answer

Can stroke be cured?

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Sudden death seems to be unaffected by treatment of stroke patients. The survival from stroke is not significantly different from that of age- and sex-matched controls. The risk for recurrent stroke is similar for both cohorts. Despite recent advances, treatment of stroke does not seem to be a reasonable approach in contemporary practice.

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What causes stroke?

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Stroke has numerous causes and causes varied according to the particular site of insult to the brain and the age of the person. It is known at present that stroke can occur from cardiac, vascular, and embolic (not emboli but solid material such as thrombus) mechanisms. Strokes can also occur from multiple mechanisms, that is, from more than one cause such as from a combination of cardiac and embolic mechanisms. Moreover, strokes are often multi-stage processes—they may progress from one type of mechanism to another and so on.

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What is stroke?

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Stroke is a complex and rare disorder leading to various disabilities and often fatal consequences. Stroke can occur in children and has high morbidity rates. There is limited information available on the prevalence, risk factors, pathology and treatment of pediatric stroke.

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What are common treatments for stroke?

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Data from a recent study from our qualitative interviews are consistent with results of an extensive literature review that included treatment use in 3- to 9-month follow-up studies of stroke, and may help other practitioners think more carefully about interventions in stroke settings.

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What are the signs of stroke?

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The signs and symptoms of strokes include weakness or numbness of the affected side of the body (hemisyisis), vomiting, vision changes and/or speech disturbance due to decreased blood flow to the brain. Other signs of stroke include changes in personality, mood, movement, vision and hearing.

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Have there been other clinical trials involving virtual reality gaming program (vr-gaming program)?

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Currently there is not a sufficient body of literature that has addressed whether or not a VR-gaming program could be used as an effective training tool for neuro-rehabilitation programmes. Only a small number of studies have shown favourable outcome for training in VR-games\n

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What is the average age someone gets stroke?

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Most strokes (51%) happen in people aged 60 and older, with a decreasing frequency as you go younger. In 2010, over 1.5 million strokes occurred in the US and 25,000—27,000 died of strokes each year.\n

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What are the latest developments in virtual reality gaming program (vr-gaming program) for therapeutic use?

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The authors found the results of Vr-Games to be promising as they have been found to increase patients' motivation and increase the overall effectiveness of the VR therapy, even at the expense of short-term adverse effects. We have concluded from these results that Vr-Games should be considered as a possible adjunct to current clinical treatment for chronic neurological conditions by enhancing the therapeutic effects and allowing control over the level of therapy exerted on the patient's brain state using the game's control console.

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How does virtual reality gaming program (vr-gaming program) work?

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The present study proved that VR-gaming program is a safe training method for motor recovery of the upper extremities. The present findings suggest that VR-gaming program may be a useful tool in rehabilitation of stroke.

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How serious can stroke be?

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As most experts believe that stroke can be very serious, it requires the patient to be taken to the hospital immediately after acute stroke phase has been stabilized, in order to find the cause and treat the cause early. Stroke is known to be the third leading cause of death and cause of disability worldwide as well as in India. Therefore, the prevention of stroke is important. The major causes of stroke in India are diabetes mellitus and hypertensive heart disease, the use of the right medicines, tobacco smoke, alcohol.

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Who should consider clinical trials for stroke?

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The following variables are strongly associated with trial use: having a recent stroke; having a previous trial experience; having a spouse/spouse/partner willing to participate in a trial; and being a Caucasian.

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