Virtual Reality for Post-Stroke Gait Rehabilitation

ConditionStroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-84
SponsorMcGill University

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 volunteers

Qualifiers

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

Design model

Single group

Treatments tested in this trial

  • Virtual Reality Training

    Other intervention

    The 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

40 Participants
are divided into 1 treatment group
Group A: VR trainingExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Feasibility: adherence to intervention - number of completed sessions

Training logbook filled by clinicians

Time frame
2x/week over the 4-week intervention
2

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.

Time frame
Post-Intervention (week4)
3

Feasibility: Number of participants recruited in each program

Number of early discharged participants vs. outpatient program participants

Time frame
Pre-intervention (week0)
4

Feasibility: Characteristics of stroke participants: age

Collected via medical charts

Time frame
Pre-intervention (week 0)

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

McGill University

Lead sponsor

Jewish Rehabilitation Hospital

Collaborator