Effectiveness of a Rehabilitation Exercise Plan at Home to Treat Post-stroke Patients in the Chronic Phase

Launched by UNIVERSITAT POLITÈCNICA DE CATALUNYA · Apr 25, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how effective a home rehabilitation exercise program using virtual reality can be for individuals who have had a stroke more than six months ago. The goal is to see if this innovative approach can help improve movement, balance, and overall quality of life for stroke survivors, making their rehabilitation more engaging and accessible. Participants will be divided into two groups: one will follow traditional rehabilitation methods, while the other will use a new app called Muvity to guide their exercises at home.

To join the study, participants should be between 18 and 85 years old, have experienced a stroke at least six months prior, and have a moderate level of physical disability. They should also be able to stand safely for a short time and have basic skills to use a mobile phone or computer. Throughout the trial, participants can expect to engage in exercises and provide feedback on their experience. This research could lead to new and effective ways to support stroke recovery, ultimately helping more people regain their independence and improve their daily lives.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age: between 18 and 85 years old.
• • Stroke duration of more than six months + Discharge from post-stroke rehabilitation.
• • Moderate physical disability: scoring between 1-3 on the Modified Rankin Scale.
• • Standing: able to stand safely for 2 minutes without support (maximum score -4- on item 2 of the Berg Scale).
• • Vision: capable of correctly visualizing a screen at a distance of 2 meters.
• • Cognitive status: No cognitive impairment or mild cognitive impairment (Mini-Mental State Examination score ≥ 24). Ability to understand and follow verbal instructions in Catalan or Spanish.
• • Technological skills: capable of basic use of a mobile phone and computer (keyboard, mouse, screen).
• • Glenohumeral joint mobility: minimum of 30º flexion, abduction, horizontal abduction; and 15º internal and external rotation.
• • Elbow joint mobility: minimum of 45º flexion.
• Exclusion Criteria:
• • Engaging in intense physical therapies.
• • Severe aphasia: inability or difficulty communicating through speech.
• • Cognitive impairments affecting short and mid-term memory.
• • Vision: having visual deficits in either eye that may impair screen visualization.
• • Vision: experiencing hemispatial neglect, meaning difficulty processing stimuli on the side opposite to the injury.