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StrokeNCT04333758

Outpatient and Home Advanced Rehabilitation Therapeutics Using Jintronix Virtual Reality Telerehabilitation System

A study testing Jintronix Virtual Reality Telerehabilitation System in people with Stroke, run by Tan Tock Seng Hospital at 1 site in Singapore.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The use of virtual reality technology in a telerehabilitation service is not well established in Singapore. This feasibility trial aims to evaluate the benefits of using Jintronix to deliver a clinic-to-home, caregiver-supervised and individualised exercise telerehabilitation program to complement outpatient services… Read more about this study

Who is it for?
Ages 21 to 75 years
Conditions the study is for
Stroke
What is being tested?
Jintronix Virtual Reality Telerehabilitation System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
1 siteSingapore
Study dates
5 Jan 2017to 14 Nov 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 21 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • patients with motor deficits due to stroke as diagnosed by CT or MRI, who are attending outpatient rehabilitation services at Tan Tock Seng Hospital Rehabilitation Centre and Centre for Advanced Rehabilitation Therapeutics
  • post stroke of at least 3 months with stable neurological status
  • 21-75 years old
  • able to perform at minimal level of assistance (i.e. carer provides only up to 25% of physical support) for sitting, standing and/or walking tasks
  • has a primary caregiver that must be present in all trial sessions
  • able to understand and participate in a 15 minutes Jintronix trial during screening

Who cannot join

  • has seizure history
  • has severe cognitive deficits, perceptual deficits, and/or emotional-behavioural issues
  • has unstable medical conditions which may affect participation (e.g unresolved sepsis, postural hypotension, end stage renal failure) or anticipated life expectancy of <1 year due to malignancy or neurodegenerative disorder
  • has pain score of >5
  • is pregnant or breastfeeding
  • has known poor cardiac ejection fraction (<30%) or lung function (FEV1<30%)
  • has non-weight bearing status in either lower extremities
  • has caregiver who is unable to meet competency requirements as assessed by study team

Trial locations and contacts

1 site in 1 country.

Singapore1 site
  • Centre for Advanced Rehabilitation Therapeutics, Tan Tock Seng Hospital

    Singapore

Other trials in Singapore

About this study

The use of virtual reality technology in a telerehabilitation service is not well established in Singapore. This feasibility trial aims to evaluate the benefits of using Jintronix to deliver a clinic-to-home, caregiver-supervised and individualised exercise telerehabilitation program to complement outpatient services and improve clinical outcomes for post-stroke users.

Read the detailed description

With the emphasis on improving population health, reducing the need for hospital care, and promoting self-management, it will be beneficial to make good use of current available technologies to complement centre-based therapy with cost effectiveness and efficiency.

One mode of such care delivery to a patient's home is through a telerehabilitation system that enables remote monitoring of patients' participation and performance in individualised home exercises. In addition, timely review and adjustments in the home programs to cater to progress or changes in patients' performance can be carried out by therapists remotely.

In the recent years, there has been an increased utilisation of virtual reality applications in physical rehabilitation for specific training objectives, such as, movement retraining, balance control and strength training. Virtual reality exercises when prescribed with defined training objectives and duration can potentially be valuable to increase patients' training intensity in the comfort of their own homes.

The majority of patients receiving outpatient and home based rehabilitation at Tan Tock Seng Hospital (TTSH) Rehabilitation Centre (RC) and Centre for Advanced Rehabilitation Therapeutics (CART) are patients who have had a stroke. Hence this group of outpatients that are at least 3 months post-stroke will be recruited for this trial. It is hypothesized that they will benefit from increased intensity of upper limb, balance and/or gait rehabilitation with Jintronix telerehabilitation system that facilitates them to further exercise at home and not just at the clinic.

The study is thus designed to evaluate the feasibility of a novel telerehabilitation service based on the Jintronix Virtual Reality Platform to complement existing outpatient therapy services of TTSH RC (including its outpatient service arm at CART).

Conditions
Stroke
Being tested
Jintronix Virtual Reality Telerehabilitation System
Keywords
Rehabilitation, Telerehabilitation, Virtual Reality
Medical subject headings
Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Jintronix Virtual Reality Telerehabilitation SystemDevice

    Also called Jintronix

    System consists of an internet-based rehabilitation software linked to a Microsoft Kinect camera for motion detection.

    Study team therapist prescribed a list of guided exercises and therapeutic activities (games) for training of whole body, lower and upper extremities. These can be done in sitting or standing, depending on individual participant's capacity.

    Telemonitoring is done by study team therapist during each of the training day (Mondays-Fridays) of the home-based training phase. Training performance results are reviewed and training games are adjusted or changed to optimise home training.

Study groups in NCT04333758
Study groupRoleWhat they receive
Jintronix InterventionExperimental2 consecutive phases of intervention for all participants using Jintronix virtual reality telerehabilitation software. Phase 1 consisted of 9 (3/week for 3 weeks) 45-min/session clinic-based sessions conducted by study team therapist, with concurrent caregiver training. Phase 2 consisted of 20 (5/week for 4 weeks) 45min/session home-based sessions supervised by trained caregiver, with telemonitoring by study team therapist.
Receives: Device: Jintronix Virtual Reality Telerehabilitation System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fugl Meyer Upper Limb Motor Assessment

    Measures motor impairment of upper limb recovery from a neurological insult. Range of scores from 0-66 points. Total score of 66 points with higher scores indicating better arm motor functions.

    Measured: Week 0

  2. Fugl Meyer Upper Limb Motor Assessment

    Measures motor impairment of upper limb recovery from a neurological insult. Range of scores from 0-66 points. Total score of 66 points with higher scores indicating better arm motor functions.

    Measured: Week 3

  3. Fugl Meyer Upper Limb Motor Assessment

    Measures motor impairment of upper limb recovery from a neurological insult. Range of scores from 0-66 points. Total score of 66 points with higher scores indicating better arm motor functions.

    Measured: Week 7

  4. Fugl Meyer Upper Limb Motor Assessment

    Measures motor impairment of upper limb recovery from a neurological insult. Range of scores from 0-66 points. Total score of 66 points with higher scores indicating better arm motor functions.

    Measured: Week 11

  5. Berg Balance Scale

    Measures static and dynamic balance abilities. Range of scores from 0-56 points. Total score of 56 points with higher scores indicating better balance functions.

    Measured: Week 0

  6. Berg Balance Scale

    Measures static and dynamic balance abilities. Range of scores from 0-56 points. Total score of 56 points with higher scores indicating better balance functions.

    Measured: Week 3

  7. Berg Balance Scale Score

    Measures static and dynamic balance abilities. Range of scores from 0-56 points. Total score of 56 points with higher scores indicating better balance functions.

    Measured: Week 7

  8. Berg Balance Scale

    Measures static and dynamic balance abilities. Range of scores from 0-56 points. Total score of 56 points with higher scores indicating better balance functions.

    Measured: Week 11

  9. 6 Minute Walk Test

    Measures endurance inferred from distance measured directly via distance markers placed on ground, as the participant walked up and down repeatedly on a flat ground walking track for a duration of 6 minutes.

    Higher distance covered by participant in this 6 minutes indicates a better outcome of higher endurance. There is no lower and upper distance limits set for this measure.

    Measured: Week 0

  10. 6 Minute Walk Test

    Measures endurance inferred from distance measured directly via distance markers placed on ground, as the participant walked up and down repeatedly on a flat ground walking track for a duration of 6 minutes.

    Higher distance covered by participant in this 6 minutes indicates a better outcome of higher endurance. There is no lower and upper distance limits set for this measure.

    Measured: Week 3

  11. 6 Minute Walk Test

    Measures endurance inferred from distance measured directly via distance markers placed on ground, as the participant walked up and down repeatedly on a flat ground walking track for a duration of 6 minutes.

    Higher distance covered by participant in this 6 minutes indicates a better outcome of higher endurance. There is no lower and upper distance limits set for this measure.

    Measured: Week 7

  12. 6 Minute Walk Test

    Measures endurance inferred from distance measured directly via distance markers placed on ground, as the participant walked up and down repeatedly on a flat ground walking track for a duration of 6 minutes.

    Higher distance covered by participant in this 6 minutes indicates a better outcome of higher endurance. There is no lower and upper distance limits set for this measure.

    Measured: Week 11

  13. 10 Meter Walk Test

    Measures walking speed as participant walked on a flat ground walking track of 10 metres. Walking speed is calcuated by dividing 10 metres over time taken by a stopwatch.

    Faster walking speed indicates a better outcome. There is no lower and upper walking speed limits set for this measure.

    Measured: Week 0

  14. 10 Meter Walk Test

    Measures walking speed as participant walked on a flat ground walking track of 10 metres. Walking speed is calcuated by dividing 10 metres over time taken by a stopwatch.

    Faster walking speed indicates a better outcome. There is no lower and upper walking speed limits set for this measure.

    Measured: Week 3

  15. 10 Meter Walk Test

    Measures walking speed as participant walked on a flat ground walking track of 10 metres. Walking speed is calcuated by dividing 10 metres over time taken by a stopwatch.

    Faster walking speed indicates a better outcome. There is no lower and upper walking speed limits set for this measure.

    Measured: Week 7

  16. 10 Meter Walk Test

    Measures walking speed as participant walked on a flat ground walking track of 10 metres. Walking speed is calcuated by dividing 10 metres over time taken by a stopwatch.

    Faster walking speed indicates a better outcome. There is no lower and upper walking speed limits set for this measure.

    Measured: Week 11

  17. Numerical Pain Score

    Measures pain subjectively from participant's rating. Scale is from 0 (indicating no pain experienced) to 10 (indicating worst pain experienced).

    Measured: Week 0

  18. Numerical Pain Score

    Measures pain subjectively from participant's rating. Scale is from 0 (indicating no pain experienced) to 10 (indicating worst pain experienced).

    Measured: Week 3

  19. Numerical Pain Score

    Measures pain subjectively from participant's rating. Scale is from 0 (indicating no pain experienced) to 10 (indicating worst pain experienced).

    Measured: Week 7

  20. Numerical Pain Score

    Measures pain subjectively from participant's rating. Scale is from 0 (indicating no pain experienced) to 10 (indicating worst pain experienced).

    Measured: Week 11

  21. Stroke Self-Efficacy Questionnaire

    Measures a stroke survivor's perceived level of confidence in functional performance.

    Each of the 13 questions is scored on a 10-point scale (i.e. 0-10) with 0 indicating "Not At All Confident" and 10 indicating "Very Confident".

    The points from the 13 questions are then added to get a total score, with a minimum score of 0 and a maximum score of 130. Higher score reflects a better outcome.

    Measured: Week 0

  22. Stroke Self-Efficacy Questionnaire

    Measures a stroke survivor's perceived level of confidence in functional performance.

    Each of the 13 questions is scored on a 10-point scale (i.e. 0-10) with 0 indicating "Not At All Confident" and 10 indicating "Very Confident".

    The points from the 13 questions are then added to get a total score, with a minimum score of 0 and a maximum score of 130. Higher score reflects a better outcome.

    Measured: Week 7

  23. Stroke Self-Efficacy Questionnaire

    Measures a stroke survivor's perceived level of confidence in functional performance.

    Each of the 13 questions is scored on a 10-point scale (i.e. 0-10) with 0 indicating "Not At All Confident" and 10 indicating "Very Confident".

    The points from the 13 questions are then added to get a total score, with a minimum score of 0 and a maximum score of 130. Higher score reflects a better outcome..

    Measured: Week 11

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Apr 2020
  2. Study start5 Jan 2017
  3. Primary completion14 Nov 2018
  4. Study completion14 Nov 2018

Resources

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
Not applicable
Intervention model
Single group
Model description
Prospective open label study.
Masking
None (open label)
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04333758
Sponsor's protocol ID
NHG DSRB 2016/00442
Status last verified
May 2024
First submitted
17 Mar 2020
Last updated
18 Jun 2024
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Jintronix Virtual Reality Telerehabilitation System in people with Stroke, run by Tan Tock Seng Hospital at 1 site in Singapore.

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 6 inclusion and 8 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: finished, as of the sponsor's last update on 18 Jun 2024. 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 Singapore. 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?

Yes. Results are posted in the registry (first posted 18 Jun 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fugl Meyer Upper Limb Motor Assessment (time frame: Week 0). The study lists 23 primary outcomes in all. 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 18 Jun 2024.

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