N/A
N=3
Effect of Constraint-Induced Gaming Therapy in an Acute Care Setting
Stroke
Bottom Line
View on ClinicalTrials.gov: NCT03578536 ↗Enrolled (actual)
3
Serious AEs
0.0%
Results posted
Jan 2024
Primary outcome: Primary: Action Research Arm Test (ARAT) — 37.5; 47 units on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Recovery Rapids (Device)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Action Research Arm Test (ARAT) |
37.5; 47 | — |
| PRIMARY Motor Activity Log (MAL) Change (Discharge MAL - Enrollment MAL) |
2.7 | — |
| SECONDARY Wolf Motor Function Test (WMFT) |
— | — |
Summary
Current protocols for therapy on a rehabilitation unit call for intensive rehabilitation composed of high intensity, long duration therapy. Evidence from brain healing and animal research, along with motor learning principles suggest that a treatment program composed of short duration therapy sessions distributed throughout the day may provide better rehabilitation outcomes for stroke patients. Such a program can be implemented using constraint-induced therapy in which the Veteran is provided with opportunities to use the affected limb while participating in a video game and completing complementary tasks in therapy. Additionally, rehabilitation outcomes may improve if Veterans are provided with regular opportunities to participate in gaming therapy at home after discharge from the hospital rather than having to travel to a clinic or receive limited or no follow-up in rural areas.
This project will develop a therapeutic model that promotes use of the impaired arm and hand. Researchers often call this type of therapy "constraint induced therapy". In this study, participants focus on using the impaired limb rather than the unaffected limb. A small group of patients will participate in a question and answer session about preferences for activities which make up transfer tasks. Up to twenty-four (24) Veterans inpatient with hemiparesis due to stroke in the brain will be recruited from the Minneapolis VA Health Care System. Study participants will only be able to play the game using the impaired limb. Participants may also receive automated reminders to use the impaired arm throughout the day. Gaming will occur in patient room and during occupational therapy. Participants will have the option of being discharged with the gaming system for continued gameplay. Outcome measures will include motor function tests that evaluate upper extremity function.
Eligibility Criteria
Inclusion Criteria
- Veteran between 18 and 88 years of age
- Inpatient at the Minneapolis VAHCS
- Willing and able to give Informed Consent or meets criteria for surrogate consent
- Upper extremity hemiparesis resulting from stroke in the brain (including brainstem) or tumor resection at the discretion of the therapist
- Lives within vicinity of the Minneapolis VA
Exclusion Criteria
- Complete loss of arm function
- No contact address or telephone
- Active substance use disorder or major uncontrolled psychiatric disorder
Data sourced from ClinicalTrials.gov (NCT03578536). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.