Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Serviço de Saúde da Região Autónoma da Madeira (SESARAM), E.P.E. | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Virtual Reality allows the integration of both cognitive and motor rehabilitation in a more ecologically valid context. The purpose of this study is to determine whether this methodology has more impact on stroke rehabilitation than a paper and pencil personalised program and conventional therapy, which is motor-focused.
Cognitive impairments after stroke are not always given sufficient attention despite its limitations in activities-of-daily- living (ADL's). Current cognitive rehabilitation methods mostly rely on paper-and-pencil tasks targeting isolated domains, which is not consistent with everyday-life. Besides limited ecological-validity, paper-and-pencil tasks are not accessible for most stroke patients whose dominant arm is paretic. Virtual Reality (VR) has shown to be a solution for the development of accessible and ecologically valid systems, but, does it have more impact than a paper and pencil personalised intervention?
Through a participatory design approach, with health professionals, the investigators have developed:
The investigators objective is to have a sample of 60 stroke patients between 40 and 70 years old, randomly allocated in three groups: the experimental group 1 were participants will perform 30 minutes of the VR training with Reh@City; the experimental group 2 were participants will perform 30 minutes of the paper and pencil training with the Task Generator, and the control group were participants will perform 30 minutes of conventional therapy (occupational therapy).
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virtual Reality | Experimental | The Virtual Reality group will perform personalised activities of daily living in the context of a simulated city (Reh@City). The interaction with the virtual environment will be through a natural user interface. |
|
| Paper and Pencil | Active Comparator | The paper and pencil group will perform a set of cognitive paper and pencil tasks personalised to their deficits and generated automatically through a Task Generator. |
|
| Conventional Therapy | Active Comparator | The Conventional Therapy group will perform the activities offered by the public health system, which are motor-focused. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual Reality | Procedure | Intervention of 30 minutes, 3 times a week until reaching 12 sessions. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in the Montreal Cognitive Assessment | Baseline, End (4-6 weeks) and 8-weeks follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in the Trail Making Test A and B | Baseline, End (4-6 weeks) and 8-weeks follow-up | |
| Change from baseline in the Verbal Paired Associates (WMS III) | Baseline, End (4-6 weeks) and 8-weeks follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Crystallised Intelligence as assesed by Comprehension from the WAIS III | Baseline |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Sergi Bermudez i Badia, PhD | Universidade da Madeira | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Serviço de Saúde da Região Autónoma da Madeira | Funchal | Madeira | 9004-514 | Portugal |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Faria, A. L., & Bermúdez i Badia, S. (2015). Development and evaluation of a web-based cognitive task generator for personalized cognitive training: a proof of concept study with stroke patients. In REHAB 2015: 3rd Workshop on ICTs for improving Patients Research Techniques. ACM. | ||
| Background | Faria, A. L., Vourvopoulos, A., Cameirão, M. S., Fernandes, J. C., & Bermúdez i Badia, S. (2014). An integrative virtual reality cognitive-motor intervention approach in stroke rehabilitation: a pilot study. In 10th ICDVRAT, Gothenburg, Sweden, Sept. 2-4, 2014. | ||
| Background | Vourvopoulos, A., Faria, A. L., Ponnam, K., & Bermúdez i Badia, S. (2014). RehabCity: Design and Validation of a Cognitive Assessment and Rehabilitation Tool through Gamified Simulations of Activities of Daily Living. In 11th International Conference on Advances in Computer Entertainment Technology. Funchal, Portugal. | ||
| 32546251 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Paper and Pencil | Procedure | Intervention of 30 minutes, 3 times a week until reaching 12 sessions. |
|
| Conventional Therapy | Procedure | Intervention of 30 minutes, 3 times a week until reaching 12 sessions. |
|
| Change from baseline in the Digit Span (WAIS III) | Baseline, End (4-6 weeks) and 8-weeks follow-up |
| Change from baseline in the Symbol Search and Coding (WAIS III) | Baseline, End (4-6 weeks) and 8-weeks follow-up |
| Derived |
| Faria AL, Pinho MS, Bermudez I Badia S. A comparison of two personalization and adaptive cognitive rehabilitation approaches: a randomized controlled trial with chronic stroke patients. J Neuroeng Rehabil. 2020 Jun 16;17(1):78. doi: 10.1186/s12984-020-00691-5. |
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D010209 | Paper |
| ID | Term |
|---|---|
| D008420 | Manufactured Materials |
| D013676 | Technology, Industry, and Agriculture |
Not provided
Not provided