About this trial
Rehabilitation after stroke is essential to minimize permanent disability. Gamification of exercises has emerged as a promising strategy for increasing motivation and rehabilitation efficacy in people with stroke. However, there is a gap in understanding how exercise gamification can aid in pain management among people with stroke who are experiencing shoulder pain difficulties.
This study aims to evaluate the short-term effect of using gamified non-immersive exercises on shoulder pain level, upper limb range of motion, and shoulder and elbow muscle activities while doing different activities in people with chronic stroke. The study will be conducted using an observational study design. Various lab assessments include measuring the ROM of the shoulder (MOCAP), EMG, FNIRS, pain intensity using VAS scale, and muscles activities patterns across upper limb joints.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Experiencing motor difficulties in using the paretic arm, with some use of hand/arm as determined by therapist
Not participating any other intervention studies
Male/female ≥18 years old
Had a stroke requiring with any degree of arm mobility.
Disqualifiers
Any medical condition compromising the safety or the ability to take part to the study as determined by the therapist (such as insufficient vision or hearing, upper limb condition not linked to stroke, uncontrolled blood pressure, uncontrolled diabetes, co-morbidity)
History of more than one epileptic seizures since stroke onset or uncontrolled epileptic seizure
Unable to follow two stage command
Moderate to severe hemi-spatial neglect compromising the ability to take part to the study, as determined by rehab team
Trial population
The study population will include 30 individuals of both genders experiencing shoulder pain. The inclusion criteria require participants to be over the age of 18, experiencing motor difficulties, have a stroke requiring upper/limb mobility rehabilitation, and be able to consent and communicate. Participants should not have other medical conditions that compromise the safety or ability to take part in the study.
Trial design
Case-only
Cross-sectional
Treatments tested in this trial
Gamified NON-IMMERSIVE VIRTUAL REALITY EXERCISES
Other interventionThe game phase lasts for 2 minutes. These targets are challenging for the participant.
video-based exercises
Other interventionThe participant will exercise by replicating the exercises demonstrated in a 2-minute video, recorded with the same movement patterns that they will find in the gamified intervention.
Treatment groups
Trial outcomes
Primary outcomes
Pain level
Pain levels will be measured using VAS (visual analog scale).
Range Of Motion
This will be measured by doing Arm Abduction, Arm Flexion, Hand to Mouth, and Hand to Head. They will be measured by using a specific questionnaire of how well the participant can do each of them.
Brain Activity using fNIRS (Functional near-infrared spectroscopy)
Muscle activity using EMG (Electromyography)
Sponsors and contacts
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