A Pilot Study on Tolerance and Ease of Implementation of Intensive Visual Stimulation (IVS3) in Daily Practice for Upper Limb Motor Recovery in Outpatient Rehab Center
Weill Medical College of Cornell University
Summary
This study measures participant satisfaction and upper extremity function in outpatients with chronic stroke when exposed to the IVS3 device. Investigators hypothesize that treatment with the IVS3 device will be feasible and tolerable for use in the outpatient setting.
Description
This study will investigate the implementation of the intensive visual stimulation three (IVS3) device in the outpatient rehabilitation setting. This is a phase I/II open label study that will assess participant satisfaction and upper extremity function in outpatients with chronic stroke (10 with hemi spatial neglect and 15 without), when exposed to IVS3 for 30 minutes and conventional treatment for 15 minutes, across 12 sessions in 4-6 weeks at Weill Cornell medicine outpatient rehabilitation (single site).
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Age ≥ 18 years old 2. English speaking 3. History of ischemic or hemorrhagic stroke ≥ 6 months prior to study enrolment 4. FMA-UE: 20 \< x \< 50 (moderate impairments) 5. With or without hemi spatial neglect Exclusion Criteria: 1. Spasticity or increased tone with MAS ≥3 in the upper extremity 2. Unable to communicate effectively or provide informed consent 3. Significant visual impairments 4. Concurrent occupational therapy being received outside of the study 5. Pregnant or incarcerated individuals
Interventions
- DeviceIntensive Visual Stimulation Device
The therapist installs the patient in front of the device. First, patient puts the healthy side on the table and the therapist records several movements. The software of the device flips the video in order to create a mirrored image of the movement (pretty close to the mirror therapy approach). When all the movements are recorded, patient installs the affected side on the table and the screen is placed over the hand. Likewise, patient has the impression the hand is moving again. Thanks to this action observation principle, therapist can encourage the patient in trying to move again and increase brain plasticity.
Location
- Weill Cornell Medicine, 525 E. 68th St, Baker Pavilion, F-2106New York, New York