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Not yet recruitingNCT04828759Updated Apr 2, 2021

Virtual Reality in Aphasia Telerehabilitation

An interventional study of VR-treatment and Treatment as usual in Aphasia, Acquired, sponsored by University of Oulu. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-04-02.

Sponsored by University of Oulu · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 9 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

The main purpose of this study is to evaluate the use of the immersive 3D HMD VR technology in the language intervention with a home-based telerehabilitation approach for people with aphasia. The assessments will be conducted at the baseline (prior the intervention periods) and after each intervention period (i.e. after the VR-intervention period and the waitlist period).

Read the detailed description

The purpose of the present project is to study the effects, feasibility, and the participants' experiences of this novel kind of language intervention. The effects of the intervention will be studied with various outcome measures in terms of language performance, functional communication, and quality of life. The aim is to explore the VR-intervention on the group level and with a randomized waitlist control group design (or delayed crossover design). In this study, the people with aphasia will be practicing at their home with support of their relatives, and participants will also receive regular remote guidance by a speech and language therapist (SLT) during the intervention. The relatives are also involved in the assessment process.

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Conditions studied

  • Aphasia, Acquired

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Keywords

  • aphasia, virtual reality, head-mounted device, rehabilitation, telerehabilitation
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In context

Aphasia

365 studies on the registry are indexed under Aphasia; 89 are open to participants now.

This study's planned enrollment of 20 is below the median of 30 across 316 interventional studies indexed under Aphasia.

Browse Aphasia studies →

Lead sponsor

University of Oulu is the lead sponsor of 138 studies on the registry; 21 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Post-stroke aphasia ≥ 3 months from stroke
  • Age 18-75 years
  • Finnish as a native language
  • Relative have the motivation and willingness to support person with aphasia in rehabilitation process
  • At least some level of spoken output
  • Moderate-to-severe aphasia
  • Deficit in a word retrieval process

Exclusion criteria

Exclusion Criteria:

  • Participation in other intervention study during the study
  • Participation in other traditional speech and language therapy during the VR-intervention (i.e. 9-10 weeks period).
  • Severe and current psychotic disorder
  • Dementia/other neurodegenerative disease
  • History of previous stroke (/strokes) if not recovered, excluding TIAs (the criteria for the recovery: no residual aphasia or other disabilities caused by stroke which would affect in significant manner on everyday life)
  • Active epilepsy / migraine (\< 3 years)
  • Severe apraxia of speech
  • Inability to act according to given instruction
  • Severe neuropsychological disorder or the decline of cognitive / memory functions, which would significantly affect for training during the VR-intervention
  • Vision or hearing impairment which would prevent the use of VR HMD
  • if the participant's treatment or medication is unsuitable with the use of VR HMD device as assessed by the physician
  • if the participant has the pacemaker or implantable (electric) medical device
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Study design

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

Study arms

  • Experimental
    VR-treatment, then Treatment as usual

    Participants will receive 8 weeks of VR-treatment. Participants are allowed to practice as much as they wish during the VR-intervention. However, they are given a recommendation of the amount of practice (5 h / week). Before the VR-intervention, the participants will receive a guidance for using the VR-devices (i.e. orientation period) by the SLT. Participants will be able to contact the SLT freely during the 8 weeks VR-intervention period. After the orientation period, the participants will be practicing at their homes independently. However, they will receive remote guidance by the SLT. The guidance includes weekly remote guidance sessions by SLT (8 x 45 min) to ensure that training is fluent and unproblematic. Additionally, the content of exercises can be modified during these sessions. The SLT is also able to monitor the training of participants with the system. Devices: VR headset and controller, Tablet computer.

    Behavioral: VR-treatment

  • Experimental
    Treatment as usual, then VR-treatment

    Wait list control group: During the waitlist period the participants will receive the traditional speech and language therapy rehabilitation offered by (if offered) the general health care system in their own home municipality. The amount of rehabilitation is not controlled during the wait list period. However, the amount of received traditional speech and language rehabilitation in waitlist period will be documented. The waitlist control group will receive the same VR intervention period after the 8 weeks waitlist period.

    Behavioral: Treatment as usual

Interventions

  • BehavioralVR-treatment

    The participants will be randomized either to group which receives the VR-intervention immediately (A) or to the waitlist control group (B). After the baseline assessment, the participants in the group A participate VR-intervention lasting for 8 weeks, and the participants in the group B will receive 8 weeks waitlist period. After the 8 weeks, the groups switch their places

  • BehavioralTreatment as usual

    The participants will be randomized either to group which receives the VR-intervention immediately (A) or to the waitlist control group (B). After the baseline assessment, the participants in the group A participate VR-intervention lasting for 8 weeks, and the participants in the group B will receive 8 weeks waitlist period. After the 8 weeks, the groups switch their places

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What researchers measure

Primary outcomes

  1. Change in language abilities from baseline to week 9 and to week 18

    Language abilities are assessed using language quotient LQ score of Western Aphasia Battery (WAB), performed at the baseline (prior the intervention periods) and after each intervention period (i.e. after the VR-intervention period and the waitlist period)

    Time frame: Change from baseline to week 9 and to week 18

  2. Change in naming abilities from baseline to week 9 and to week 18

    Naming abilities for nouns and verbs are assessed with Boston Naming Test (BNT) and TNT-test (action naming test in Finnish) performed at the baseline (prior the intervention periods) and after each intervention period (i.e. after the VR-intervention period and the waitlist period)

    Time frame: Change from baseline to week 9 and to week 18

  3. Change in verbal fluency from baseline to week 9 and to week 18

    Verbal fluency is assessed using multiple categories (produced words per one minute in each category), performed at the baseline (prior the intervention periods) and after each intervention period (i.e. after the VR-intervention period and the waitlist period)

    Time frame: Change from baseline to week 9 and to week 18

  4. Change in functional communication skills from baseline to week 9 and to week 18

    Functional communication skills are assessed with Communication Effectiveness Index (CETI), performed at the baseline (prior the intervention periods) and after each intervention period (i.e. after the VR-intervention period and the waitlist period)

    Time frame: Change from baseline to week 9 and to week 18

  5. Change in quality of life from baseline to week 9 and to week 18

    Quality of life is assessed with Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39), performed at the baseline (prior the intervention periods) and after each intervention period (i.e. after the VR-intervention period and the waitlist period)

    Time frame: Change from baseline to week 8 and to week 18

Secondary outcomes

  1. Attrition rates during the study.

    Amount of drop outs of participants during the study,

    Time frame: Through study completion, up to 18 weeks

  2. Participants' experiences of the VR-intervention

    The structural survey of participants' experiences of the VR-intervention.

    Time frame: After VR-intervention period, at the week 9 or at the week 18, depending of the group the patient has been randomized

  3. Data collected by VR-devices regarding the performance of participants during the VR-intervention

    Amounts of training (in minutes) and e.g. naming speed and range of head movements collected automatically by VR-devices

    Time frame: Through the VR-intervention up to 8 weeks or through the weeks 10-17, depending of the group the patient has been randomized

  4. Date collected by remote sessions regarding the experiences of participants and feasibility of VR-intervention

    Data collected with semi-structural interview during remote guidance sessions (8 times during the VR-period) by the researcher. In addition, participants will be able to contact the researcher freely during the 8 weeks VR-intervention period.

    Time frame: Weekly during the VR-intervention up to 8 weeks or through the weeks 10-17, depending of the group the patient has been randomized

  5. Participants' experiences of the waitlist period

    The structural survey of participants' experiences of the waitlist period

    Time frame: After waitlist period, at the week 9 or at the week 18, depending of the group the patient has been randomized

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04828759
Lead sponsor
University of Oulu
Collaborators
Peili Vision Oy, Verve Oulu, City of Oulu
Responsible party
Matti Lehtihalmes (Professor, University of Oulu) — Principal investigator
First posted
Apr 2, 2021
Start date
Apr 1, 2021 (estimated)
Primary completion
Dec 31, 2024 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Apr 2, 2021

Study contacts

Matti Lehtihalmes, Professor
Contact
matti.lehtihalmes@oulu.fi
+358407024320
Emilia Malinen, MA
Contact
emilia.malinen@oulu.fi
+358407194250

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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