Effects of virtual reality combined with balance training on upper limb function, balance, and activities of daily living in persons with acute stroke: a preliminary study

Jeon, Min-Jae; Moon, Jong-Hoon; Cho, Hwi-Young

doi:10.14474/ptrs.2019.8.4.187

Cited by 7 publications

(3 citation statements)

References 28 publications

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“…Posttreatment balance in the VR group had a mean value of 36.62 (SD 7.76), as compared to the routine physical therapy group (mean 26.94, SD 6.46). Similar results were seen in a study conducted by Jeon et al [ 23 ] that suggested that VR in combination with balance training had significant improvement in patients with stroke as compared to the VR alone. Another study conducted by Aramaki et al [ 24 ] showed that VR training improved balance and upper limb function, and improved the quality of life in patients with stroke, who also reported that VR is more effective in improving dynamic balance as compared to conventional treatment.…”

Section: Discussionsupporting

confidence: 89%

Virtual Reality Training Using Nintendo Wii Games for Patients With Stroke: Randomized Controlled Trial

Anwar¹,

Karimi²,

Ahmad³

et al. 2022

JMIR Serious Games

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Background Stroke is a leading cause of disability. It is difficult to devise an optimal rehabilitation plan once stroke survivors are back home. Conventional rehabilitative therapies are extensively used in patients with stroke to recover motor functioning and disability, but these are arduous and expensive. Virtual reality (VR) video games inspire patients to get involved in their therapeutic exercise routine in a fun way. VR in the form of games provides a fruitful, secure, and challenging learning environment for motor control and neural plasticity development in rehabilitation. The effects of upper limb sensorimotor functioning and balance are the main focus of this trial. Objective The aim of this study is to compare the effects of VR training and routine physical therapy on balance and upper extremity sensorimotor function in patients with stroke. Methods It was a single assessor-blinded randomized clinical trial. A total of 74 participants with their first chronic stroke were included and rehabilitated in a clinical setting. The lottery method was used to randomly assign patients to either the VR group (n=37) or the routine physical therapy group (n=37). The VR group received a 1-hour session of VR training for 3 weekdays over 6 weeks, and the routine physical therapy group received different stretching and strengthening exercises. The outcome measuring tools were the Berg Balance Scale for balance and the Fugl-Meyer Assessment (upper extremity) scale for sensorimotor, joint pain, and range assessment. The assessment was done at the start of treatment and after the 6 weeks of intervention. Data analysis was done using SPSS 22. Results The trial was completed by 68 patients. A significant difference between the two groups was found in the Berg Balance Scale score (P<.001), Fugl-Meyer Assessment for motor function (P=.03), and Fugl-Meyer Assessment for joint pain and joint range (P<.001); however, no significant difference (P=.19) in the Fugl-Meyer Assessment for upper extremity sensation was noted. Conclusions VR training is helpful for improving balance and function of the upper extremities in the routine life of patients with stroke; although, it was not found to be better than conventional training in improving upper limb sensation. VR training can be a better option in a rehabilitation plan designed to increase functional capability. Trial Registration Iranian Registry of Clinical Trials RCT20190715044216N1; https://www.irct.ir/user/trial/40898/view

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Section: Discussionsupporting

confidence: 89%

Virtual Reality Training Using Nintendo Wii Games for Patients With Stroke: Randomized Controlled Trial

Anwar¹,

Karimi²,

Ahmad³

et al. 2022

JMIR Serious Games

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“…The mean age of the participants ranged from 45.91 to 65.26 yrs in the VR-based exercise group 19,20 and 49.16 to 63.50 yrs in the control group. 19,21 Three studies included patients with acute/subacute stroke (<3 mos) [22][23][24] and 11 targeted patients with chronic stroke (≥6 mos). [19][20][21][25][26][27][28][29][30][31][32] Comparison were made before and after interventions in 11 studies, and comparisons were conducted before, after interventions, and at follow-up of patients by Morone et al, 23 de Rooij et al, 24 and Yatar and Yildirim.…”

Section: Resultsmentioning

confidence: 99%

Effects of virtual reality-based exercise on balance in patients with stroke: a systematic review and meta-analysis

Shen

Yao

et al. 2022

Am J Phys Med Rehabil

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The aim of the study is to quantify the effects of virtual reality-based exercise on balance after stroke. Design: The PubMed, Embase, Cochrane Library, Cumulative Index of Nursing and Allied Health Literature, and Web of Science databases were searched until December 31, 2021. Independent investigators abstracted data, assessed the quality of the evidence, and rated the certainty of the evidence. The intergroup differences were determined by calculating mean difference and 95% confidence interval by RevMan 5.3 software. Results: Fourteen randomized controlled trials involving 423 stroke patients were included. Patients who received virtual reality-based exercise illustrated marked improvements in the Berg Balance Scale (mean difference, 1.35; 95% confidence interval, 0.58 to 1.86; P < 0.00001; I 2 = 44%), Timed Up and Go test (mean difference, −0.81; 95% confidence interval, −1.18 to −0.44; P < 0.0001; I 2 = 0%), Functional Reach Test (mean difference, 3.06; 95% confidence interval, 1.31-4.80; P = 0.0006; I 2 = 0%), 10-Meters Walking Test (mean difference, −1.53; 95% confidence interval, −2.92 to −0.13; P = 0.03; I 2 = 33%), and Modified Barthel Index (mean difference, 5.26; 95% confidence interval, 1.70 to 8.82; P = 0.004; I 2 = 0%) compared with the control group. Conclusions: Existing low-evidence analyses showed that virtual reality-based exercise could effectively and safely improve balance in chronic stroke. Longer-term virtual reality-based exercise was more effective on functional ability of stroke.

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“…The score ranged from 0 to 100. A high score indicated high ADL ability [ 18 ]. The intertester and intratester reliabilities of this index were in the ranges of 0.93–0.98 and 0.87–1.00, respectively [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of an Eye-Tracking Linkage Attention Training System on Cognitive Function Compared to Conventional Computerized Cognitive Training System in Patients with Stroke

et al. 2022

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Objective: The purpose of the study was to investigate the effects of an eye-tracking linkage attention training system on cognitive function compared to a conventional computerized cognitive training system in stroke patients with cognitive impairment. Methods: This retrospective study was enrolled 40 stroke patients who received cognitive rehabilitation. The intervention consisted of 30 sessions and 30 min per session. Before and after the intervention, we assessed cognitive functions by Mini-Mental State Examination (MMSE-K) and activities of daily living by Modified Barthel Index (K-MBI) and administered a computerized neuropsychological test (CNT). Results: In both groups, there were significant improvements in MMSE-K and K-MBI (p < 0.05). In the visual and auditory attention test of the CNT, the eye-tracking linkage attention training group was significantly improved after intervention (p < 0.05). However, there were no significant differences in the conventional computerized cognitive training group. In addition, there were significant improvements in all memory tests of the CNT in the eye-tracking linkage attention training group. However, in the conventional computerized cognitive training group, there were significant improvements in some memory tests of the CNT. Conclusions: The training of poststroke cognitive impairment patients using an eye-tracking linkage attention training system may improve visuospatial attention and may be helpful for the improvement of short-term memory and independent performances in daily life activities.

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Effects of virtual reality combined with balance training on upper limb function, balance, and activities of daily living in persons with acute stroke: a preliminary study

Cited by 7 publications

References 28 publications

Virtual Reality Training Using Nintendo Wii Games for Patients With Stroke: Randomized Controlled Trial

Virtual Reality Training Using Nintendo Wii Games for Patients With Stroke: Randomized Controlled Trial

Effects of virtual reality-based exercise on balance in patients with stroke: a systematic review and meta-analysis

Effects of an Eye-Tracking Linkage Attention Training System on Cognitive Function Compared to Conventional Computerized Cognitive Training System in Patients with Stroke

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