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IRCT20210507051203N1 IRCT 2021-07-05 Madina Teaching Hospital EFFECTS OF VIRTUAL REHABILITATION ON UPPER EXTREMITY MOTOR RECOVERY IN PATIENTS WITH SUBACUTE STROKE EFFECTS OF VIRTUAL REHABILITATION ON UPPER EXTREMITY MOTOR RECOVERY IN PATIENTS WITH SUBACUTE STROKE 2021-03-05 anticipated 48 Complete https://irct.ir/trial/57053 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Health service research, Randomization description: The randomization will be generated by Online Randomizer, Blinding description: The assessor will not have any information about the treatment given in both groups. N/A Subacute Stroke. Intervention 1: Intervention Group 1: In this group patients will be treated with routine physiotherapy combined with virtual rehabilitation. The exercise program consists of stretching, strengthening and isometric exercises. Virtual rehabilitation consists of 30 minutes session 5 days per week for 4 weeks. Intervention 2: Intervention Group 2 In this group patients will be treated with routine physiotherapy program. Routine physiotherapy will be performed 30 minutes 10 repetitions, twice a day 5 days per week for 4 weeks. Yes - There is a plan to make this available What will be shared: It will depend upon the journal where it will be published When: It will depend upon the journal where it will be published To whom: Researchers , Scholars, Physiotherapist Conditions: None Where to obtain: Direct Contact with Responsible How to obtain: Access as per policy Comments:
public Osama Saeed
West Canal Road, Faisal Town
Faisalabad Pakistan 36000 +92 41 8750971 osama.saeed@tuf.edu.pk The University of Faisalabad scientific Muhammad Mohsin Hussain
West Canal Road, Faisal Town
Faisalabad Pakistan 38000 +92 41 8750971 m.mohsinhussain@tuf.edu.pk Madina Teaching Hospital Pakistan • Ischemic or hemorrhagic stroke • Stroke onset with less than 2 weeks and more than 6 months • First-ever ischemic or hemorrhagic stroke confirmed by MRI or CT • Patients with more than 25 years and less than 65 years Old • Unilateral upper extremity weakness, • Patients who could perform the reaching activity with their hemiparetic arm. • Both genders will be included • Voluntary shoulder, elbow and wrist movement which is able to perform In-game commands. • Subjects willing to participate in the study. 25 years 65 years Both • Patients with co-morbidities or neurodegenerative diseases, • Uncontrolled medical condition (e.g., active infection, pulmonary embolism, unstable angina), • Patients who are unable to follow verbal commands due to cognitive impairment or aphasia • Patients who are unable to participate Kinect-based VR due to any reason (e.g., visual impairment, hemi spatial neglect, apraxia) • History of seizures/fits, • Psychological illness, • Bony deformities • Prior history of drugs that could alter balance will be excluded from the study I63.9 Cerebral infarction, unspecified Rehabilitation Rehabilitation Intervention Group 1: In this group patients will be treated with routine physiotherapy combined with virtual rehabilitation. The exercise program consists of stretching, strengthening and isometric exercises. Virtual rehabilitation consists of 30 minutes session 5 days per week for 4 weeks Intervention Group 2 In this group patients will be treated with routine physiotherapy program. Routine physiotherapy will be performed 30 minutes 10 repetitions, twice a day 5 days per week for 4 weeks. Fugl Meyer Assessment. Timepoint: Before Intervention, 2 Weeks and 4 Weeks. Method of measurement: 226 points multi-item questionnaire used for the evaluation of recovery from stroke. • Brunnstrom Recovery Stages. Timepoint: Baseline, 2 Weeks and after 4 Weeks. Method of measurement: Brunnstrom recovery stages or BRS is 6-stage evaluation tool indicating the recovery after stroke. Modified Ashworth Scale. Timepoint: Baseline, 2 Weeks and after 4 Weeks. Method of measurement: It is 6 points scale ranging from 0-4 and lower reading indicates the normal tone of muscle and higher score means more resistance to passive movement or spasticity. NA Approved 2021-02-10 UIPT Ethical Review Committee Defence Road, Near Bhuptian Chowk Lahore Punjab Pakistan