About this trial
The goal of this clinical trial is to: (1) implement and test the feasibility of a new VR-ODT intervention offered as part of usual therapy time of patients with a sub-acute stoke; (2) explore the acceptability of the intervention from the perspective of clinicians and patients and; (3) implement measures to optimize the uptake and sustainability of the intervention within the clinical setting.
Participants will engage in a personalized VR-ODT training for 4 weeks (2X 1hr/week) targeting six well-established community walking demands related to (1) walking speed and (2) distance; (3) postural transitions; (4) obstacle avoidance; (5) dual-task walking and; (6) a combination of demands 1-5. For each demand, patients will progress through levels of increasing difficulty according to personalized goals and success criteria.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
be aged between 40 and 74 years;
have normal/corrected visual and auditory acuity present;
present a first-ever supratentorial unilateral stroke of 1-24 weeks duration;
present the ability to walk independently with/without walking aids for at least 1 min at a speed of 0.4-0.9 m/s;
Disqualifiers
Subjects with comorbidities interfering with walking
Subjects with comorbidities interfering with visual perception
Subjects without medical clearance for exercise
Trial design
Single group
Treatments tested in this trial
Virtual Reality Training
Other interventionThe VR intervention involves the intensive practice of community ambulation skills. The training sessions will be performed in a virtual environment. During the intervention, stroke participants will be invited to practice different dimensions of community ambulation, such as postural transitions, avoiding other pedestrians, dual-task walking, etc.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility: adherence to intervention - number of completed sessions
Training logbook filled by clinicians
Feasibility: presence of adverse or undesirable effects during the intervention
Assesses by systematically collecting any occurrence of adverse/unwanted events (falls, injuries, fatigue, etc). Collected with open-ended questions.
Feasibility: Number of participants recruited in each program
Number of early discharged participants vs. outpatient program participants
Feasibility: Characteristics of stroke participants: age
Collected via medical charts
Sponsors and contacts
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McGill University
Lead sponsor
Jewish Rehabilitation Hospital
Collaborator