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The aim of study is to determine whether the Virtual Reality training applied in addition to the exercises given inside and outside the parallel bar is effective on balance, daily living activities and knee control in stroke patients.
The hypotheses of the study are:
Hypothesis 1:
H0: Virtual reality training has no effect on balance in stroke patients. H1: Virtual reality training has an effect on balance in stroke patients.
Hypothesis 2; H0: Virtual reality training has no effect on activities of daily living in stroke patients.
H1: Virtual reality training has an effect on daily living activities in stroke patients.
Hypothesis 3; H0: Virtual reality training has no effect on knee control in stroke patients. H1: Virtual reality training has an effect on knee control in stroke patients
In recent years, virtual reality systems are widely preferred technology-assisted rehabilitation methods due to the many advantages they provide in stroke rehabilitation. Virtual reality increases the quality of movement and functional capacity both by providing a sensory environment and by motor learning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Rehabilitation Group | Experimental | In the conventional rehabilitation program, bed exercises, mat activities, balance exercises inside or outside the parallel bar and walking training will be given to the patients every weekday. |
|
| Virtual Reality Therapy Group | Experimental | The patients in this group will be able to play balance-based games with the Virtual Reality System for 20 minutes, 3 days a week, together with the conventional rehabilitation program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual Reality Therapy | Other | Patients in this group will play balance-based games with the Virtual Reality System. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Computerized Gait Assessment System (Zebris Rehawalk) | Participants will walk at a comfortable walking speed on the treadmill. During the walk, the walk will be recorded with the video camera system integrated into the device. With the help of the system, the knee hyperextension angle during walking will be calculated with the markers placed on the recorded video. | Baseline |
| Computerized Gait Assessment System (Zebris Rehawalk) | Participants will walk at a comfortable walking speed on the treadmill. During the walk, the walk will be recorded with the video camera system integrated into the device. With the help of the system, the knee hyperextension angle during walking will be calculated with the markers placed on the recorded video. | 6.week (at the end of the training) |
| Barthel Index | This scale consists of 10 items that evaluate nutrition, bathing, self-care, dressing, defecation control, urine control, going to the toilet, ability to move from bed to wheelchair, mobility status such as walking or being dependent on a wheelchair, and stair climbing functions. | Baseline |
| Barthel Index | This scale consists of 10 items that evaluate nutrition, bathing, self-care, dressing, defecation control, urine control, going to the toilet, ability to move from bed to wheelchair, mobility status such as walking or being dependent on a wheelchair, and stair climbing functions. | 6.week (at the end of the training) |
| Functional Reach Test | It is based on the principle of lifting the arm 90° upwards and reaching forward as far as possible while keeping the feet on the ground. 15 cm. and the risk of falling below 15 cm increases significantly, between 15 and 25 cm. indicates a moderate risk of falling. Values less than 25.4 cm indicate an increased risk of falling. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Özlem Yürük, Prof.Dr. | Baskent University | Study Chair |
| Süleyman Korkusuz, MSc | Atılım University | Principal Investigator |
| Gülşen Taşkın, Assist.Prof | Afyonkarahisar Sağlık Bilimleri University | Study Chair |
| Melike Sümeyye Cengiz, MSc | Bandırma Onyedi Eylül University | Study Chair |
| Büşra Seçkinoğulları, MSc | Hacettepe University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26265237 | Background | Palacios-Navarro G, Garcia-Magarino I, Ramos-Lorente P. A Kinect-Based System for Lower Limb Rehabilitation in Parkinson's Disease Patients: a Pilot Study. J Med Syst. 2015 Sep;39(9):103. doi: 10.1007/s10916-015-0289-0. Epub 2015 Aug 12. | |
| 28606661 | Background | Park DS, Lee DG, Lee K, Lee G. Effects of Virtual Reality Training using Xbox Kinect on Motor Function in Stroke Survivors: A Preliminary Study. J Stroke Cerebrovasc Dis. 2017 Oct;26(10):2313-2319. doi: 10.1016/j.jstrokecerebrovasdis.2017.05.019. Epub 2017 Jun 9. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D063367 | Virtual Reality Exposure Therapy |
| ID | Term |
|---|---|
| D003887 | Desensitization, Psychologic |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Conventional Rehabilitation | Other | In the conventional rehabilitation program, bed exercises, mat activities, balance exercises inside or outside the parallel bar and walking training will be given to the patients every weekday. |
|
| Baseline |
| Functional Reach Test | It is based on the principle of lifting the arm 90° upwards and reaching forward as far as possible while keeping the feet on the ground. 15 cm. and the risk of falling below 15 cm increases significantly, between 15 and 25 cm. indicates a moderate risk of falling. Values less than 25.4 cm indicate an increased risk of falling. | 6.week (at the end of the training) |
| Timed Up and Go Test | It is an objective, reliable and simple measure for assessing balance and functional mobility. It can also be used for assessment of fall risk. | Baseline |
| Timed Up and Go Test | It is an objective, reliable and simple measure for assessing balance and functional mobility. It can also be used for assessment of fall risk. | 6.week (at the end of the training) |
| 39466327 | Derived | Korkusuz S, Taskin G, Korkusuz BS, Ozen MS, Yuruk ZO. Examining the effects of non-immersive virtual reality game-based training on knee hyperextension control and balance in chronic stroke patients: a single-blind randomized controlled study. Neurol Sci. 2025 Mar;46(3):1267-1275. doi: 10.1007/s10072-024-07830-z. Epub 2024 Oct 28. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |