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Trial registered on ANZCTR
Registration number
ACTRN12612001129875
Ethics application status
Approved
Date submitted
19/10/2012
Date registered
23/10/2012
Date last updated
23/10/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Investigation of Wii System Effectiveness on Stroke in Taiwan
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Scientific title
In patients who have suffered a stroke, is virtual reality treatment (Wii) more effective than conventional rehabilitation in improving muscle electromyography performance?
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Secondary ID [1]
281414
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
stroke
287662
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Condition category
Condition code
Stroke
288001
288001
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0
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Ischaemic
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Stroke
288002
288002
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0
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Haemorrhagic
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Physical Medicine / Rehabilitation
288011
288011
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0
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Occupational therapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Group 1): the virtual reality group. Participants in the Wii group played publicly available software packages, such as Wii Sport Resort. Games were preselected according to each participant’s motor level, and the movement patterns used in the games were compatible with their conventional occupational therapy. The equipment used in the Wii group consisted of standard gadgets, including the Nintendo Wii console, four Wii controllers, four motion-plus controllers, a home projector and a screen. The virtual reality treatment is supervised by an experienced occupational therapist.
Treatment duration: three weeks (three sessions per week, one hour per session)
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Intervention code [1]
285905
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Treatment: Other
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Intervention code [2]
285917
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Rehabilitation
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Comparator / control treatment
Group 2) the conventional group: standard occupational therapy ;
Group 3) the placebo board game group: mahjong, cards, and checkers;
Group 4) the no treatment control group.
Treatment duration: three weeks (three sessions per week, one hour per session)
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Control group
Active
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Outcomes
Primary outcome [1]
288213
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The electromyography performance of time-to-peak (TTP) contractions in biceps, triceps, deltoid, flexor carpi radialis and externsor carpi radialis muscles
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Assessment method [1]
288213
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Timepoint [1]
288213
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The baseline, outcome and follow-up measurements were performed prior to treatment (week 0), immediately after treatment (week 4), and four weeks after treatment (week 8).
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Secondary outcome [1]
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motivation by using the Intrinsic Motivation Inventory
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Assessment method [1]
299613
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Timepoint [1]
299613
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The baseline, outcome and follow-up measurements were performed prior to treatment (week 0), immediately after treatment (week 4), and four weeks after treatment (week 8).
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Eligibility
Key inclusion criteria
1) age 20 to 80 years; 2) evidence of a unilateral and first cerebral vascular accident confirmed either by a CT or an MRI head scan (ischemic or hemorrhagic); 3) onset of symptoms for at least six months; 4) ability to follow simple instructions with a Mini-Mental State Examination score greater than 24; 5) ability to produce active shoulder movements on the side of hemiparesis (Fugl-Meyer Assessment Scale greater than or equal to 21); 6) no obvious pain in the affected limb (visual analog scale less than 4); 7) minimal spasticity in the affected limb (Modified Ashworth Scale less than or equal to 2); 8) signed written informed consent before participation.
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Minimum age
20
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) uncontrolled hypertension (greater than 190/110 mm Hg); 2) unstable angina; 3) any history of seizure, except for febrile seizures during childhood; 4) carrying or having an implanted artificial pacemaker; 5) participation in other clinical trials; 6) inability to cooperate with research team due to cognitive or personal factors
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Nil
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4613
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Taiwan, Province Of China
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State/province [1]
4613
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Funding & Sponsors
Funding source category [1]
286177
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Hospital
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Name [1]
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E-Da Hospital
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Address [1]
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1 E-Da Road, Yan-Chao Dist, Kaohsiung 824, Taiwan.
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Country [1]
286177
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Taiwan, Province Of China
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Primary sponsor type
Hospital
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Name
E-Da Hospital
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Address
1 E-Da Road, Yan-Chao Dist, Kaohsiung 824, Taiwan.
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
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University
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Name [1]
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I-Shou University
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Address [1]
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8 E-Da Road, Yan-Chao Dist, Kaohsiung 824, Taiwan.
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Country [1]
284989
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Taiwan, Province Of China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288247
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E-DA Hospital Institutional Review Board
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Ethics committee address [1]
288247
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E Da Hospital, 1 E-Da Road, Yan-Chao Dist, Kaohsiung 824, Taiwan.
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Ethics committee country [1]
288247
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
288247
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17/08/2010
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Approval date [1]
288247
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08/10/2010
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Ethics approval number [1]
288247
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EMRP-099-046
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Summary
Brief summary
This study was a randomized, single blind and placebo-controlled trial with four parallel groups receiving three-week treatments. Participants were assigned to one of four groups: 1) VR via Wii gaming; 2) conventional occupational therapy; 3) a placebo board game; 4) no treatment. The training effects were evaluated immediately after and four weeks after treatment. Electromyography activity and motivation inventory were the main and secondary outcome measurements. The hypothesis of the current study is that off-the-shelf virtual reality treatment imrpoves muscle activation perofrmance and treatment motivation.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
34851
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Address
34851
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Country
34851
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Phone
34851
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Fax
34851
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Email
34851
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Contact person for public queries
Name
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Shih-Chen Fan
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Address
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College of Medicine, I-Shou University, 8 E-Da Road, Yan-Chao Dist, Kaohsiung 824, Taiwan
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Country
18098
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Taiwan, Province Of China
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Phone
18098
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886-76151100#7514
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Fax
18098
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Email
18098
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[email protected]
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Contact person for scientific queries
Name
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Shih-Chen Fan
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Address
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College of Medicine, I-Shou University, 8 E-Da Road, Yan-Chao Dist, Kaohsiung 824, Taiwan
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Country
9026
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Taiwan, Province Of China
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Phone
9026
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886-76151100#7514
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Fax
9026
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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