Sub-acute StrokeNCT06892886
Using Immersive Virtual Reality for the Upper Limb Rehabilitation of Post-stroke Subjects
A study testing Virtual Reality in people with Sub-acute Stroke, run by University Hospital of Ferrara at 1 site in Italy.
Trial summary
Stroke produces brain damages that results in sensory, motor, and cognitive impairments which reduce the patient's quality of life and social participation. Upper limb recovery is a complex process whose goal is to allow the patients to gain, in part or completely, independence in daily living activities, for that it… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Sub-acute Stroke
- What is being tested?
- Virtual Reality
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 1 siteItaly
- Study dates
- 1 Mar 2023to 31 Dec 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- diagnosis of first, ischemic or hemorrhagic, stroke verified by brain imaging within 4 week
- upper limb motor impairment defined by an upper extremity score <55 on the Fugl-Meyer Assessment
Who cannot join
- neurological conditions in addition to stroke that may affect motor function
- other medical conditions likely to interfere with the ability to safely complete the study protocol
- impaired cognitive functioning that influences the ability to give informed consent
- severe neuropsychological disorders
- visual impairment
- severe upper-limb pain defined as > 7 on the Visual Analogue Scale
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Italy1 site, 1 recruiting
- Recruiting
Ferrara University Hospital
Ferrara, 44124
Sofia Straudi, MD, PhD, 0532238720, sofia.straudi@unife.it
Sofia Straudi, MD, PhD
About this study
Official title: Using Immersive Virtual Reality for the Upper Limb Rehabilitation of Post-stroke Subjects: a Multicenter Randomized Control Trial
Stroke produces brain damages that results in sensory, motor, and cognitive impairments which reduce the patient's quality of life and social participation. Upper limb recovery is a complex process whose goal is to allow the patients to gain, in part or completely, independence in daily living activities, for that it represents one of the most important rehabilitation focus. Virtual reality is a fairly recent approach able to simulate concrete movements and functional tasks in a higher dosage compared to other therapies. It seems that the use of VR could improve limb function, however, the amount of this gain is still unclear because of insufficient evidence. This study aims at quantitatively investigating the effectiveness of an HMD immersive virtual reality system on the upper limb functioning in subacute stroke survivors.
- Conditions
- Sub-acute Stroke
- Being tested
- Virtual Reality
- Keywords
- stroke, rehabilitation, upper limb, immersive virtual reality, head-mounted display, subacute stroke
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Virtual RealityDevice
Also called Head-mounted display
Four tasks, uni and bi-manuals, will be proposed for the treatment of the patient's paretic upper limb in virtual-apartment for improving the relevance and the transferability of the movements requested.
| Study group | Role | What they receive |
|---|---|---|
| VR group | Experimental | All participants will receive an hour of VR training 5 times/week for 4 weeks within the daily rehab routine. Receives: Device: Virtual Reality |
| Control group | No intervention | Participants will receive the usual rehabilitation activities due to their clinical needs (physical therapy, speech therapy, etc) for 5 times/week over 4 weeks. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in upper limb impairment
Motor recovery will be assessed through the Fugl Meyer Assessment - Upper Extremity
Measured: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Secondary outcomes (8)
Change in Spasticity
Spasticity grade at the paretic upper limb will be measured with the Ashworth Scale (0-5), in which higher scores are related to more severe muscle hypertonia
Measured: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Change in Activities of Daily Living
Patient's independence will be quantified with the Barthel Index
Measured: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Change in perceived quality of life
Stroke Impact Scale 2.0 will be performed for investigating the perceived quality of life, higher scores indicate better quality of life perceived
Measured: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Kinematic data
Instrumental data of hand movements registered during the sessions (relevant kinematic indexes will be recorded and offline analyzed such as hand trajectories and peak velocity)
Measured: Parameters changes (e.g. hand peak velocities) before (T0) and after (T1) the 4 weeks of treatment
Electroencephalogram
The EEG signals will be measured by means of a 32-channel cap, according to the International 10-20 system, recorded and monitored by computerized devices.
Measured: Data changes before (T0) and after (T1) the 4 weeks of treatment (4 weeks) and at 6-month follow-up (T2)
Treatment satisfaction
The satisfaction related to the virtual training will be investigated through a specific questionnaire
Measured: After 4 weeks
Embodiment
The embodiment feeling will be analyzed with the Gonzalez-Franco questionnaire
Measured: After 4 weeks
Cybersickness
For monitoring undesirable events the Simulator Sickness Questionnaire will be used
Measured: After 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Mar 2025
- Study start1 Mar 2023
- Primary completion31 Dec 2025 (estimated)
- Study completion31 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Sub-acute StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized Controlled Trial
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 48 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University Hospital of Ferrara
- Sponsor type
- University, hospital or other
- Collaborators
- Ospedale Accreditato Villa Bellombra, Casa di Cura Città di Rovigo, IRCCS Centro Neurolesi Bonino Pulejo
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06892886
- Sponsor's protocol ID
- VR_STROKE_MULTICENTER
- Status last verified
- Nov 2024
- First submitted
- 30 Jan 2023
- Last updated
- 25 Mar 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Using Immersive Virtual Reality for the Upper Limb Rehabilitation of Post-stroke Subjects: a Multicenter Randomized Control Trial
- ClinicalTrials.gov ID
- NCT06892886
- Acronym / sponsor ID
- VR_STROKE_MULTICENTER
- Conditions
- Sub-acute Stroke
- Keywords
- stroke, rehabilitation, upper limb, immersive virtual reality, head-mounted display, subacute stroke
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 48 participants (estimated)
- Lead sponsor
- University Hospital of FerraraUniversity, hospital or other
- Collaborators
- Ospedale Accreditato Villa Bellombra, Casa di Cura Città di Rovigo, IRCCS Centro Neurolesi Bonino Pulejo
- Study start
- 1 Mar 2023 (actual)
- Primary completion
- 31 Dec 2025 (estimated)
- Study completion
- 31 Dec 2025 (estimated)
- First posted
- 25 Mar 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Stroke produces brain damages that results in sensory, motor, and cognitive impairments which reduce the patient's quality of life and social participation. Upper limb recovery is a complex process whose goal is to allow the patients to gain, in part or completely, independence in daily living activities, for that it represents one of the most important rehabilitation focus. Virtual reality is a fairly recent approach able to simulate concrete movements and functional tasks in a higher dosage compared to other therapies. It seems that the use of VR could improve limb function, however, the amount of this gain is still unclear because of insufficient evidence. This study aims at quantitatively investigating the effectiveness of an HMD immersive virtual reality system on the upper limb functioning in subacute stroke survivors.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Randomized Controlled Trial
| Arm | Type | Receives |
|---|---|---|
| VR group | Experimental | Device: Virtual RealityAll participants will receive an hour of VR training 5 times/week for 4 weeks within the daily rehab routine. |
| Control group | No intervention | –Participants will receive the usual rehabilitation activities due to their clinical needs (physical therapy, speech therapy, etc) for 5 times/week over 4 weeks. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- diagnosis of first, ischemic or hemorrhagic, stroke verified by brain imaging within 4 week
- upper limb motor impairment defined by an upper extremity score <55 on the Fugl-Meyer Assessment
Key exclusion criteria (6 listed)
- neurological conditions in addition to stroke that may affect motor function
- other medical conditions likely to interfere with the ability to safely complete the study protocol
- impaired cognitive functioning that influences the ability to give informed consent
- severe neuropsychological disorders
- visual impairment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Virtual RealityAlso: Head-mounted displayFour tasks, uni and bi-manuals, will be proposed for the treatment of the patient's paretic upper limb in virtual-apartment for improving the relevance and the transferability of the movements requested. | Device | VR group |
Primary outcome
Changes in upper limb impairment
Time frame: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Motor recovery will be assessed through the Fugl Meyer Assessment - Upper Extremity
8 secondary outcomes
Change in Spasticity
Time frame: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Change in Activities of Daily Living
Time frame: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Change in perceived quality of life
Time frame: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)
Kinematic data
Time frame: Parameters changes (e.g. hand peak velocities) before (T0) and after (T1) the 4 weeks of treatment
Electroencephalogram
Time frame: Data changes before (T0) and after (T1) the 4 weeks of treatment (4 weeks) and at 6-month follow-up (T2)
Treatment satisfaction
Time frame: After 4 weeks
Embodiment
Time frame: After 4 weeks
Cybersickness
Time frame: After 4 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Mar 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Virtual Reality in people with Sub-acute Stroke, run by University Hospital of Ferrara at 1 site in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 25 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sofia Straudi, MD, PhD (+390532238720, sofia.straudi@unife.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in upper limb impairment (time frame: Score changes before (T0) and after (T1) the 4 weeks of treatment and at 6-month follow-up (T2)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Mar 2025.