Short-term Effect of Using Non-immersive Gamified Exercises on Chronic Pain in People With Stroke.

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Exeter

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 volunteers

Qualifiers

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

Design model

Case-only

Time perspective

Cross-sectional

Treatments tested in this trial

  • Gamified NON-IMMERSIVE VIRTUAL REALITY EXERCISES

    Other intervention

    The game phase lasts for 2 minutes. These targets are challenging for the participant.

  • video-based exercises

    Other intervention

    The 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

30 Participants
are divided into 1 treatment group
Group A: chronic people with stroke2 interventions

Trial outcomes

Primary outcomes

1

Pain level

Pain levels will be measured using VAS (visual analog scale).

Time frame
Pain levels will be measured on the same day, immediately before and immediately after the intervention.
2

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.

Time frame
ROM will be measured immediately before starting the interventions
3

Brain Activity using fNIRS (Functional near-infrared spectroscopy)

Time frame
Brain acticities will be measured when participants are asked to do the interventions. It means the time frame will be same as duration of the interventions, approximately 20 minutes.
4

Muscle activity using EMG (Electromyography)

Time frame
Muscle activities will be measured when participants are asked to do the interventions and assessemnts. It means the time frame will be same as duration of the interventions and assessemnts, approximately one and half hours.

Secondary outcomes

Other outcomes

Sponsors and contacts

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