A Virtual Reality and Field Training Toolkit to Enhance Community Ambulation and Participation in Stroke Survivors

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

While stroke survivors discharged from rehabilitation present with some recovery in mobility, their ability to ambulate in the community remains limited. The investigators propose to test a novel, low-cost, intensive and individually tailored intervention that combines virtual reality (VR) and field training to enhance community ambulation and participation in stroke survivors discharged from rehabilitation. The aims are to: (1) Assess feasibility, acceptability, safety and adherence of the intervention in stroke survivors; and (2) Examine the extent to which post-intervention changes in functional walking and participation to community walking vary according to walking, cognitive and visual-perceptual abilities. The investigators will use a virtual environment prototype simulating a shopping mall and surrounding streets, in which participants will interact using VR goggles and game controllers. Scenarios of increasing levels of complexity will be introduced. This intervention study involves a single group, multiple pre- multiple post- study design where chronic stroke participants will engage in a 4-week training program. The program will include VR training sessions performed in the clinical setting (3/week) and practice of community ambulation skills while supervised by family/caregivers (2/week). Participants will be assessed on measures of functional walking, balance \& mobility and participation to community walking. Adherence, safety and acceptability will be documented. This study will generate foundation knowledge on the response to the intervention based on individual capacities.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 40
Maximum Age: 74
Healthy Volunteers: f
View:

⁃ People with chronic stroke and persistent deficits in walking / visual-perceptual / cognitive capacities. They can be male or female, aged from 40 to 74 years, with normal/corrected visual and auditory acuity, and present with:

• First-ever supratentorial unilateral stroke 9-24 months ago (such chronicity will ensure steady-state mobility without long-term disuse-related changes

• Mild-to-moderate hemiparesis (Chedoke McMaster Stoke Assessment stages 4/7-6/7 on postural control, leg \& foot)

• Ability to walk independently with/without walking aids for at least 1 min at 0.4-0.9 m/s (such a speed range indicates mobility not sufficient for functional community ambulation: shopping \

• 1m/s, street crossing \

• 2 m/s)

• Intact or mildly affected cognitive function (Montreal Cognitive Assessment scores ≥ 22/30)

• Intact to moderately affected visual-perceptual function (positive scores on a maximum of 3/6 tasks on the Behavioural Inattention Test)

Locations
Other Locations
Canada
Jewish Rehabilitation Hospital
RECRUITING
Laval
Institut de réadaptation en déficience physique de Québec
NOT_YET_RECRUITING
Québec
Contact Information
Primary
Anouk Lamontagne, PhD
anouk.lamontagne@mcgill.ca
514-938-4397
Backup
Andréanne Blanchette, PhD
andreanne.blanchette@fmed.ulaval.ca
418-656-2131
Time Frame
Start Date: 2021-04-01
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 40
Treatments
Experimental: Virtual Reality and Field Practice Training (VRFT)
Participants will engage in a 4-week VRFT intervention that comprises of 1-hour training sessions, 3 times/week.
Related Therapeutic Areas
Sponsors
Collaborators: Jewish Rehabilitation Hospital, Integrated University Health and Social Services Center of the Capitale-Nationale, Laval University
Leads: McGill University

This content was sourced from clinicaltrials.gov