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CompletedNCT03062345Updated Jun 10, 2021

In Home VR Therapy

An interventional study of Single-User Virtual Reality Upper Extremity Therapy and Multi-User Virtual Reality Upper Extremity Therapy in Stroke, sponsored by Shirley Ryan AbilityLab. Completed at 1 site in United States. Open to participants aged 21 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-06-10.

Sponsored by Shirley Ryan AbilityLab · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
21 Years to 80 Years
Sex
All
01

Study summary

Virtual reality is a video game in which a person and their real-time movements are represented on a screen in a virtual environment. This study will compare the use of multi-user virtual reality (VR) to single-user VR to determine if either provides superior engagement in upper extremity therapy and greater motivation to perform repetitive training.

Stroke survivors will participate in a longitudinal study in which they will have the opportunity to perform rehabilitative training with multi-user VR and single-user VR modes in their homes. They will use each mode for 2 weeks, completing 4 session per week, each session is 1 hour long. Upper extremity motor control, level of engagement, and active range of motion will be assessed at time points during the intervention period.

Subject evaluations will take place before the intervention, at the midpoint of intervention (between switching from multi-user to single-user modes, or vice versa), and at the end of the intervention.

The investigators hope to address two aims:

Aim 1: To determine if the use in-home multi-user virtual reality treatment results in greater engagement in therapy compared with in-home single user virtual reality treatment.

Aim 2: To determine if in-home virtual reality treatment results in greater practice

The investigators hypothesize that stroke survivors will be more engaged in therapy when training with the multi-user VR system and this will translate into greater practice.

02

Conditions studied

  • Stroke

Keywords

  • Stroke
  • Virtual Reality Therapy
  • Rehabilitation
  • Upper Extremity
  • Arm
  • Telerehabilitation
03

In context

Lead sponsor

Shirley Ryan AbilityLab is the lead sponsor of 177 studies on the registry; 43 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 4 (40%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Are between the ages of 21 and 80
  • Experienced a single stroke at least 6 months prior to enrollment
  • Have moderate arm impairment as indicated by a score between 4 and 6 on the Chedoke-McMaster Stroke Assessment, arm subscale
  • Live within 20 miles of the Rehabilitation Institute of Chicago (as study personnel will need to travel to their home)

Exclusion criteria

Exclusion Criteria:

  • Other neurological, neuromuscular, or orthopedic disease
  • Pain in the upper extremity with movements required in the treatment
  • Contracture that limits use of the VR system
  • Vision problems which would preclude the ability to use the VR system
  • Cognitive or language deficits that would prevent them from understanding the tasks
  • Concurrent enrollment in another intervention study involving the affected arm or hand
  • Botox injection in the arm within the previous 6 months
05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Single-User Mode first, Multi-User Mode second

    Other: Single-User Virtual Reality Upper Extremity Therapy · Other: Multi-User Virtual Reality Upper Extremity Therapy

  • Experimental
    Multi-User Mode first, Single-User Mode second

    Other: Single-User Virtual Reality Upper Extremity Therapy · Other: Multi-User Virtual Reality Upper Extremity Therapy

Interventions

  • OtherSingle-User Virtual Reality Upper Extremity Therapy

    Virtual Reality games with the user as the only person required for participation

    Also known as: Single-User Mode, Single-User Mode first, Multi-User Mode second, Multi-User Mode first, Single-User Mode second

  • OtherMulti-User Virtual Reality Upper Extremity Therapy

    Virtual reality games in which more than one user is required for participation. Users interact in the virtual environment.

    Also known as: Multi-User Mode, Single-User Mode first, Multi-User Mode second, Multi-User Mode first, Single-User Mode second

06

What researchers measure

Primary outcomes

  1. Hand displacement during each session

    total distance hand moves during all therapy sessions divided by the number of sessions in which a subject participates.

    Time frame: Distance hand moves on average per session during each 2-week treatment phase (each subject will complete 2, 2-week phases of treatment. One 2-week phase being the Single-user mode and the other 2-week phase being the Multi-user mode)

Secondary outcomes

  1. Therapy mode amount of use

    Total amount of time subject spends in their assigned therapy mode during the 2-week treatment phase.

    Time frame: 2 week treatment phase

  2. Change in Active Range of Motion

    Change from baseline in angle of upper extremity movement (shoulder and elbow)

    Time frame: First measure taken at baseline, then also at the end of the first 2-week treatment phase and finally at the end of the second 2-week treatment phase.

  3. Comparison of Intrinsic Motivation Inventory Score between therapy modes

    Difference in Intrinsic Motivation Inventory score between single-user and multi-user modes

    Time frame: First measure taken at the end of the first 2-week treatment phase; Second measure taken at the end of the second 2-week treatment phase.

07

Study locations

1 site
  • Rehabilitation Institute of Chicago
    Chicago, Illinois 60601, United States
08

References and documents

Publications

  • Thielbar KO, Triandafilou KM, Barry AJ, Yuan N, Nishimoto A, Johnson J, Stoykov ME, Tsoupikova D, Kamper DG. Home-based Upper Extremity Stroke Therapy Using a Multiuser Virtual Reality Environment: A Randomized Trial. Arch Phys Med Rehabil. 2020 Feb;101(2):196-203. doi: 10.1016/j.apmr.2019.10.182. Epub 2019 Nov 9. PubMed 31715140 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 10, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03062345
Lead sponsor
Shirley Ryan AbilityLab
Responsible party
James Patton (Co-Director, Robotics Laboratory, Sensory Motor Performance Program, Rehabilitation Institute of Chicago, Shirley Ryan AbilityLab) — Principal investigator
First posted
Feb 23, 2017
Start date
Jan 26, 2017
Primary completion
May 31, 2018
Completion
May 30, 2020
Last update
Jun 10, 2021

Study contacts

James Patton, PhD
principal investigator · Shirley Ryan AbilityLab

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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