- Background : The general experience with the Virtual Reality application approach suggests that this treatment concept is promising in stroke rehabilitation
- Purpose : In shopping activity in a real supermarket and in simulated with the investigators virtual shopping simulation (VAP-S = virtual action planning supermarket), the investigators will compare people who had undergone a stroke who receive conventional rehabilitation or virtual training in VAP-S.
The objective of this study is firstly to examine the effectiveness of using virtual reality-based training VAP-S on the ability to run errands in a real supermarket in individuals with stroke. Virtual environment provide useful way to explore planning and secondly to examine the effectiveness of using VR in the assessment of cognitive planning for patients. A virtual supermarket was designed in which participants carried out a task close to daily activities: a test of shopping list. Of the 70 subjects (7 centres), 35 randomly allocated to the control group, and the other 35 subjects randomly allocated to the experimental group. Subjects will be evaluated by a therapist who will not be involved in the training program and did not know about the subject's group assignment.
Statistical analysis : We will calculate descriptive statistics for the clinical characteristics of each group. We will use to compare the baseline demographic characteristics, the pretraining and posttraining variables between groups, independent-samples t-tests for means and Chi-square tests for frequencies. A significance level of 0.05 is set for all analyses.
- Rehabilitation Other
Other Names: botulinum toxin injection for post stroke spasticity Intervention Desc: The experimental group patients receive rehabilitation by training "Virtual Action Planning - Supermarket" on a computer 45 minutes 5 times a week during a 2-week period. The control group will receive similar duration cognitive rehabilitation (no extra computer training) during this period (problem solving and occupational therapy). ARM 1: Kind: Experimental Label: Virtual reality-based cognitive training ARM 2: Kind: Experimental Label: Cognitive rehabilitation (without extra computer training)
- Allocation: Randomized
- Masking: Single Blind (Outcomes Assessor)
- Intervention: Single Group Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Ability to perform shopping test in real supermarket (all items collected and all actions needed done)||After rehabilitation (day 16)||No|
|Secondary||Time to perform all actions in real shop; performance in virtual shopping simulation (number of items, time, inappropriate actions); user and caregiver satisfaction.||Before (day 1) and after (day16) rehabilitation||No|