A low cost virtual reality system for home based rehabilitation of the arm following stroke: a randomised controlled feasibility trial
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Le résumé fourni par la source
OBJECTIVE: To assess the feasibility of conducting a randomised controlled trial of a home-based virtual reality system for rehabilitation of the arm following stroke. DESIGN: Two group feasibility randomised controlled trial of intervention versus usual care. SETTING: Patients' homes. PARTICIPANTS: Patients aged 18 or over, with residual arm dysfunction following stroke and no longer receiving any other intensive rehabilitation. INTERVENTIONS: Eight weeks' use of a low cost home-based virtual reality system employing infra-red capture to translate the position of the hand into game play or usual care. MAIN MEASURES: The primary objective was to collect information on the feasibility of a trial, including recruitment, collection of outcome measures and staff support required. Patients were assessed at three time points using the Wolf Motor Function Test, Nine-Hole Peg Test, Motor Activity Log and Nottingham Extended Activities of Daily Living. RESULTS: Over 15 months only 47 people were referred to the team. Twenty seven were randomised and 18 (67%) of those completed final outcome measures. Sample size calculation based on data from the Wolf Motor Function Test indicated a requirement for 38 per group. There was a significantly greater change from baseline in the intervention group on midpoint Wolf Grip strength and two subscales of the final Motor Activity Log. Training in the use of the equipment took a median of 230 minutes per patient. CONCLUSIONS: To achieve the required sample size, a definitive home-based trial would require additional strategies to boost recruitment rates and adequate resources for patient support.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A low cost virtual reality system for home based rehabilitation of the arm following stroke: a randomised controlled feasibility trial
- Date Crossref
- 10/07/2016
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Nottingham Division of Rehabilitation and Ageing pays non établi dans la noticeUniversité ou école supérieure
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St. Oswald's Hospital pays non établi dans la noticeÉtablissement de santé
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Derbyshire Community Health Services NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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University of Lancashire pays non établi dans la noticeUniversité ou école supérieure
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Nottingham Trent University pays non établi dans la noticeUniversité ou école supérieure
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Sherwood Forest Hospitals NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Mansfield Community Hospital pays non établi dans la noticeÉtablissement de santé
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School of Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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St. Oswalds Hospital Integrated Community Therapy Team pays non établi dans la noticeÉtablissement de santé
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School of Nursing pays non établi dans la noticeUniversité ou école supérieure
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School of Science and Technology Computing and Technology Team pays non établi dans la noticeUniversité ou école supérieure
Division of Rehabilitation and Ageing — University of Nottingham, St. Oswald's Hospital et Derbyshire Community Health Services NHS Foundation Trust, avec 8 autres affiliations.
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