Alternative Therapies for Improving Motor Impairment, Fall-risk and Overall Physical Function

Completed · Not applicable

Conditions studied: Chronic Stroke, Healthy Aging

In brief

Neurological impairment such as stroke and aging is a leading cause of adult disability. Traditional rehabilitative therapies can help regain motor function and ameliorate disability. There are increasing community and other facilities offering rehabilitation in the form of conventional, recreational and alternative (Yoga, Tai-chi) therapy. However, the implementation of these conventional therapy techniques in individuals with a neurological disorder like stroke and the elderly population is tedious, resource-intensive, and costly, often requiring transportation of patients to specialized facilities. Based on recent evidence suggesting significant benefits of repetitive, task-orientated training, investigators propose to evaluate the feasibility of an alternative therapies such as exergaming based therapy to improve overall physical function of community-dwelling individuals with neurological impairments and the elderly, compared to conventional therapeutic rehabilitation. This pilot study aims to systematically obtain pilot data on compliance and efficacy as well as performing power analysis and sample size calculation for developing it into a randomized controlled trial for extramural funding purposes. The objective of the study is to determine the safety, feasibility, compliance and efficacy of exergaming therapy to improve overall physical function of community-dwelling chronic stroke individuals and the elderly population.

Key facts

Study ID

NCT03758846

Run by

University of Illinois at Chicago

People needed

65

Starts

2014-12-04

Expected to finish

2016-10-25

Last updated by the study team

2019-11-08

Who can join

Age: 18 and older, up to 90. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Participants should be 18 to 90 years of age.
• Presence of Chronic stroke (onset of stroke more than six months) confirmed by a physician
• Ability to stand independently for 5 minutes without an assistive device or any physical assistance
• Ability to understand English

You may not qualify if…

• A Score of less than 25 on Mini-mental state examination
• Heel bone density with T-score less than <-2.0
• Self-reported metal implants due to any orthopedic conditions
• Presence of any other neurological impairments such as Parkinsons disease, Alzheimers disease, vestibular dysfunction, peripheral neuropathy or unstable epilepsy
• Inclusion/Exclusion criteria for Older adults
• Inclusion Criteria:
• Participants should be 50 to 90 years of age.
• Able to follow instructions provided in English.
• No history of neurological impairment (Stroke, Parkinson's disease and Multiple Sclerosis).
• Able to stand and walk with or without assistive device or braces as part of their activities of daily living (self-report).
• Cognitive skills to actively participate (score of < 26 on Montreal cognitive assessment indicates cognitive impairment).
• Exclusion Criteria:
• Significant cognitive or communicative impairment indicated by a score of > 26 on Montreal cognitive assessment indicates cognitive impairment.
• In neurologically impaired individuals, for cognitive impairment a score of <25 on Mini Mental State Exam Score; for aphasia <71% on Mississippi Aphasia Screening Test and >15 on Geriatric Depression Scale.
• Heel bone density with T-score less than <-2.0
• Participants unavailable for 6 weeks of participation.
• Uncontrolled pain >3/10 on VAS. Complains of shortness of breath.
• Uncontrolled hypertension (systolic blood pressure (SBP) > 165 mmHg and/or diastolic blood pressure (DBP) > 110 mmHg during resting).

Where it is running

• University of Illinois at Chicago — Chicago, Illinois, United States

Full record on ClinicalTrials.gov

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