Effect of Virtual Reality on Cortical Reorganization and Upper Extremity Functional Recovery in Patients With Subacute Stroke

Effect Of Virtual Reality On Cortical Reorganization And Upper Extremity Functional Recovery In Patients With Subacute Stroke

The purposes of the study are:

1. To investigate the effect of virtual reality in patients with subacute stage of Stroke on cortical reorganization.
2. To investigate the effect of virtual reality in patients with subacute stage of Stroke on upper extremity functional recovery.

Inclusion Criteria:

• • Age ranges from 50 to 65 years.

  • Both sexes (male and female).
  • First stroke ever (ischemic or hemorrhagic) within the last three months.
  • Clinical diagnosis of subacute stroke confirmed by neuroimaging (CT / MRI).
  • Hemiparetic shoulder power more than three according to Medical Research Council Scale (MRC) (James, 2007).
  • Patients who are able to manipulate the Wii remote control.
  • Muscle tone grade 1 to 1+ (Mild to Moderate) spasticity for shoulder joint according to Modified Ashworth Scale (Meseguer et al., 2018).
  • Participants are in normal cognitive and psychological status according to Montreal Cognitive Assessment screening (Hawkins et al., 2014).

Exclusion Criteria:

• • Patients having severe arm or shoulder pain or symptomatic shoulder sublaxation.

  • Contractures or shoulder deformities.
  • Patients who have previous experience in using Wii.
  • Patients with problems that may interfere with using Wii suchas epilepsy, visual impairments, apraxia and/or spatial neglect