Virtual Reality and Manual Dexterity in in Patients With Multiple Scle
Effects of a Game-based Virtual Reality Video Capture Training Program Plus Occupational Therapy on Manual Dexterity in Patients With Multiple Sclerosis: a Randomizaed Controlled Trial
What it found
We found no results in the registry or in papers.
What was tested
Treatment tested
- OT+VR intervention with videogames for the upper limb (dexterity)
What it measured
Main measures
Manual dexterity, gross dexterity and coordination
2 mothns and 15 days between assessments. The "change" that it is being assessed is fine manual dexterity
Arm and hand functionHand´s functional capacity
2 mothns and 15 days between assessments. The "change" that it is being assessed is hand's functional status
Arm and hand functionManipulative dexterity
2 mothns and 15 days between assessments. The "change" that it is being assessed is manipulative dexterity
Arm and hand function
Who could take part
MS (type not specified) · 18 to 70
Show the full criteria
Inclusion criteria
* a diagnosis of MS according to the McDonald criteria with over two years evolution; * a score of between 3.5 (moderate incapacity, although totally ambulant and able to be self-sufficient and active during 12 hours of a day) and six (requires constant help, either unilateral or intermittently with a walking stick or crutches, in order to walk approximately 100 meters with, or without, a rest) on the Kurtzke Expanded Disability Status Score (EDSS) with; * stable medical treatment during, at least the six months prior to the intervention; * muscle tone in the upper limbs not greater than two points on the modified Ashworth Scale (moderate hypertonia, increased muscle tone through most of the range of movement, but affected part easily moved); * as well as a score of four points or less in the "Pyramidal Function" section of the EDSS functional scale; * absence of cognitive decline; with the ability to understand instructions and obtaining a score of 24 or more in the Minimental Test; * as well as a score of two points or less in the "Mental Functions" section of the EDSS.
Exclusion criteria
* the diagnosis of another neurological illness or musculoskeletal alteration different to MS; * the diagnosis of a cardiovascular, respiratory or metabolic illness, or other conditions which may interfere with the study; * suffering a flare-up or hospitalization in the last three months prior to commencement of the assessment protocol, or during the process of the therapeutic intervention; * receiving a cycle of steroids, either intravenously or oral, six months prior to the commencement of the assessment protocol and within the study period of intervention; * receiving treatment with botulinum toxin in the six months prior to the beginning of the study; or the presence of visual disorders non-corrected by optical devices.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
Introduction. Multiple sclerosis (MS) is the most common neurological disease causing disability in young adults. Neurorehabilitation is a fundamental aspect in the treatment approach for MS, in which new technologies have gained popularity, especially the use of virtual reality (VR), thanks to the therapeutic possibilities offered for patients with MS presenting cognitive, sensitive and motor dysfunctions. Aim. To analyze and compare an occupational therapy intervention (OT) compared with OT + VR (OT+VR) on the manual dexterity of patients with MS. Material and methods. 26 patients will be recruited. The control group (n=8) will recieve 20 conventional OT sessions distributed in two sessions per week. The experimental group OT+VR (n=8) will recieve 20 sessions of VR interventions, twice weekly and lasting 30 minutes, consisting of VR games accessed via the online webpage motiongamingconsole.com, including Flip Out, Air Hockey, Partículas, Dunkit, Cuenta peces and Robo Maro, in addition to the conventional OT sessions. Pre and post-intervention assessments will be based on the Purdue Pegboard Test, the Jebsen Taylor Hand Function Test and the Grooved Pegboard Test.
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History
Started
Mar 2016
Main results due
Dec 2017
Finished
Dec 2017