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IRCT20211017052790N1 IRCT 2021-11-08 Shahid Beheshti University of Medical Sciences Effect of virtual reality on gait of post stroke patients Effect of virtual reality training compared with convectional physiotherapy on kinematics and spasticity of lower limb during gate of post stroke patients 2021-11-22 anticipated 48 Complete https://irct.ir/trial/59395 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Factorial, Purpose: Supportive, Randomization description: In each envelopes, we write number 1 or 2. If patient pick envelope with number 1, patient will allocate in experience group and if patient pick envelope with number 2, patient will allocate in control group, Blinding description: The initial and final evaluation is performed by a therapist who does not know the allocation of patients. The outcome analyzer has no knowledge of patient grouping. 3 Ischemic Cerebral Vascular accident. Intervention 1: Intervention group receive virtual reality treatment with Xbox 360 console. Every sessions of treatment have 40 minute virtual reality, using 2 games, 3 days per week for 3 weeks. Patients play each game for 20 minutes. The first game used is soccer. The game is that the patient is in the form of a football player who uses the movement of the lower limb in front of the Kinect camera to pass the ball to his teammates and finally enter the goal with a shot.The second game is track and field, which is a collection of athletics games. In this game, the patient must stand in front of the camera and raise his lower limbs in a running position with the sound of a whistle and the start of the race, so that the knees rise. The purpose of this game is to win the race. The faster this limb movement, the faster the avatar runs. Intervention 2: In the control group, patients receive ND-Bobath (Neuro developmental Therapy -Bobath) for 40 minutes per day, 3 sessions per week (every other day) and 3 weeks. The emphasis of the exercises is on the rehabilitation of the lower limbs and walking of these patients.parallel walking, balance exercises, weightlifting on the affected lower limb, isolated dorsi flexion and knee flexion control, pelvic control, bridging exercises, ankle mobilization and Gastrocnemius muscle stretching are some of the exercises for these patients. It is performed in each session in the clinic environment and under the supervision of the therapist. During the treatment of patients in the control group, the therapist accelerates the treatment process by providing appropriate feedback to correct incorrect patterns. Yes - There is a plan to make this available What will be shared: The file of the participants will be presented in general and in detail in the form of a dissertation. Also, the study protocol, statistical analysis map along with statistical methods used in the study and clinical study report will be presented in the form of a dissertation. The informed consent form of the patients will be made available to the public as an attachment along with the dissertation. When: Start of the access period 3 months after the publication of the results and the defense of the dissertation To whom: All researchers working in academic and scientific institutions Community Verified icon Conditions: In order to use the study to treat patients as well as the scientific development of the study, they will be allowed to access the study. Where to obtain: ِDr. Minoo Khalkhali (responsible for the study) Danial Sajjadi (Executor of plan) E-mail: danial199728@gmail.com School of rehabilitation of Shahid Beheshti medical university How to obtain: By providing the necessary documents for the reason for using or how to use the study, they can have full access to the study through the study manager and the project manager. Comments:
public Minoo Khalkhali
School of rehabilitation of shahid beheshti medical university, Damavand St., Imam Hossein Sq.
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7754 8496 minoo_kh@yahoo.com Shahid Beheshti University of Medical Sciences scientific Minoo Khalkhali
School of rehabilitation of Shahid Beheshti medical university, Damavand St., Imam Hossein Sq.
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7754 8496 minoo_kh@yahoo.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Age between 18-75 years with ischemic stroke Stroke occurred at least 3 month ago Patient just had 1 stroke Patient can independently walk at least 10 meters Patient didn't experience therapy with VR Complications of the limbs should be hemiplegia 18 years 75 years Both Patient have acute cardio respiratory disorders Patient have severe orthopedic or bio mechanical disorders in lower limb Patient have cognitive or vision disorders G81 Hemiplegia and hemiparesis Rehabilitation Rehabilitation Intervention group receive virtual reality treatment with Xbox 360 console. Every sessions of treatment have 40 minute virtual reality, using 2 games, 3 days per week for 3 weeks. Patients play each game for 20 minutes. The first game used is soccer. The game is that the patient is in the form of a football player who uses the movement of the lower limb in front of the Kinect camera to pass the ball to his teammates and finally enter the goal with a shot.The second game is track and field, which is a collection of athletics games. In this game, the patient must stand in front of the camera and raise his lower limbs in a running position with the sound of a whistle and the start of the race, so that the knees rise. The purpose of this game is to win the race. The faster this limb movement, the faster the avatar runs. In the control group, patients receive ND-Bobath (Neuro developmental Therapy -Bobath) for 40 minutes per day, 3 sessions per week (every other day) and 3 weeks. The emphasis of the exercises is on the rehabilitation of the lower limbs and walking of these patients.parallel walking, balance exercises, weightlifting on the affected lower limb, isolated dorsi flexion and knee flexion control, pelvic control, bridging exercises, ankle mobilization and Gastrocnemius muscle stretching are some of the exercises for these patients. It is performed in each session in the clinic environment and under the supervision of the therapist. During the treatment of patients in the control group, the therapist accelerates the treatment process by providing appropriate feedback to correct incorrect patterns. Hip flexion and extension, abduction and adduction Range of motion during gait. Timepoint: Before and after intervention. Method of measurement: Motion analysis system, cameras and markers. Knee flexion and extension range of motion during gait. Timepoint: Before and after intervention. Method of measurement: motion analysis system, cameras and markers. Ankle plantar flexion and dorsi flexion range of motion during gait. Timepoint: Before and after intervention. Method of measurement: Motion analysis system, cameras and markers. Spasticity of Adductors of hip, Quadriceps and Gastrocnemius muscles. Timepoint: Before and after intervention. Method of measurement: modify modify Ashworth scale. Vice-Chancellor's Office for Research of Shahid Beheshti medical university Approved 2021-10-11 Ethics committe of shahid beheshti medical university No. 26, West zayande rood alley, North shirazi St. Molla sadra Ave., Vanak Sq. Tehran Tehran Iran (Islamic Republic of)