RecruitingNot ApplicableNCT05875116

Virtual Reality Versus Constraint-induced Movement on Hemiparesis in Cerebrovascular Event

Effect of Different Therapeutic Modalities With Virtual Reality or Modified Constraint-induced Movement Therapy Compared With Usual Physical and Occupational Therapy on Motor Recovery of Paretic Limbs in Patients With Cerebrovascular Event

Sponsor

Coordinación de Investigación en Salud, Mexico

Enrollment

119 participants

Start Date

Aug 17, 2018

Study Type

INTERVENTIONAL

Conditions

Stroke Sequelae

Summary

The objective of this clinical trial is to measure the effect of Rehabilitation with Virtual Reality or Modified Constraint-Induced Movement Therapy on hemiparesis in patients with Cerebral Vascular Event. The question to be answered is: What is the effect of different therapeutic modalities supported by Virtual Reality or Modified Constraint-Induced Movement Therapy compared with usual Physical and Occupational Therapy on motor recovery of paretic limbs in patients with Cerebrovascular Event? The patients will carry out activities of: * Virtual reality or * Movement Restriction-Induction Therapy. The investigators will compare the changes in the functionality of the paretic hemibody with a group undergoing regular physical and occupational therapy, as well as language and treatment-related satisfaction.

Eligibility

Min Age: 35 YearsMax Age: 70 Years

Inclusion Criteria8

Adult patients between 35 and 70 years of age and with a clinically and tomographically proven diagnosis of a cerebral vascular event in the territory of the middle cerebral artery.
Patients with hemiparesis secondary to the cerebrovascular event
Patients with a maximum Ashworth of 2 and Brunnstrom of minimum 4
Patients with or without aphasia
Patients with evolution between 1 to 3 months from hospital discharge of the cerebrovascular event
Patients with cerebrovascular event of any sex
Patients with vascular event without cognitive deficit
Patients who agree to participate by signing an informed consent, by them or their family member or person in charge.

Exclusion Criteria4

Patients who develop dementia or neurological-psychomotor complications during the study.
Patients who present a new cerebrovascular event during the investigation
Patients who do not complete at least 90% of the program
Patients in whom a lack of family support or secondary gain is detected.

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Interventions

BEHAVIORALVirtual reality

The activities will be carried out with the Virtual Reality team, for 1 hour, twice a week, for 12 sessions (6 weeks). It will be indicated to repeat the activities at home, on similar equipment and with the same or similar software, at least 1 hour a day, at least 3 days a week.

BEHAVIORALModified constraint-induced movement therapy

Physical and occupational therapy activities will be carried out with the paretic upper limb, while the patient has the healthy upper limb "attached to the chest", for 1 hour, twice a week, for 12 sessions (6 weeks). It will be indicated to repeat the activities at home, 1 hour a day, at least 3 days a week. In addition, the participant will perform activities of daily living with the "free" paretic arm and the "fixed" healthy arm, for 5 hours a day.

BEHAVIORALUsual Physical and Occupational Therapy

The physical and occupational therapy activities that are usually practiced in the Medical Unit will be carried out for 1 hour, twice a week, for 12 sessions (6 weeks). It will be indicated to repeat the activities at home, for 1 hour a day, at least 3 days a week.