Effects of virtual reality on upper extremity function and activities of daily living performance in acute stroke: A double-blind randomized clinical trial

Kwon, Jeong-Seung; Park, Mi Jung; Yoon, In Jin; Park, Soo Hyun

doi:10.3233/nre-2012-00807

Cited by 97 publications

(69 citation statements)

References 8 publications

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“…When combined, the TR and the RFVE treatments seem to regain a better motor function compared to the recovery induced by the simple augmenting of the conventional rehabilitation program intensity. The RFVE showed significant better effects than conventional treatment, confirming the evidence coming from previous studies [27, 29, 32, 35]. Indeed, also kinematic outcomes showed a significant improvement, after the RFVE than the TR treatment.…”

Section: Discussionsupporting

confidence: 88%

Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a Randomized Controlled Trial

Kiper

Agostini

Luque-Moreno

et al. 2014

BioMed Research International

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Objectives. To study whether the reinforced feedback in virtual environment (RFVE) is more effective than traditional rehabilitation (TR) for the treatment of upper limb motor function after stroke, regardless of stroke etiology (i.e., ischemic, hemorrhagic). Design. Randomized controlled trial. Participants. Forty-four patients affected by stroke. Intervention. The patients were randomized into two groups: RFVE (N = 23) and TR (N = 21), and stratified according to stroke etiology. The RFVE treatment consisted of multidirectional exercises providing augmented feedback provided by virtual reality, while in the TR treatment the same exercises were provided without augmented feedbacks. Outcome Measures. Fugl-Meyer upper extremity scale (F-M UE), Functional Independence Measure scale (FIM), and kinematics parameters (speed, time, and peak). Results. The F-M UE (P = 0.030), FIM (P = 0.021), time (P = 0.008), and peak (P = 0.018), were significantly higher in the RFVE group after treatment, but not speed (P = 0.140). The patients affected by hemorrhagic stroke significantly improved FIM (P = 0.031), time (P = 0.011), and peak (P = 0.020) after treatment, whereas the patients affected by ischemic stroke improved significantly only speed (P = 0.005) when treated by RFVE. Conclusion. These results indicated that some poststroke patients may benefit from RFVE program for the recovery of upper limb motor function. This trial is registered with NCT01955291.

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Section: Discussionsupporting

confidence: 88%

Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a Randomized Controlled Trial

Kiper

Agostini

Luque-Moreno

et al. 2014

BioMed Research International

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“…Kwon et al the indicated no benefit for intensive VR programs combined with conventional techniques in the acute phase of stroke, compared to conventional techniques alone. No significant difference was observed in ADL performance and upper extremity function [16]. In our study, the comparison of pre-treatment and posttreatment values for both groups were significant, except for SIS.…”

Section: Discussioncontrasting

confidence: 52%

“…Nintendo Wii has been suggested as an easily accessible complementary device for improving conventional therapy specially in the subacute stage of stroke rehabili-S tation in subjects with moderate strength and upper limb functional limitations [15][16][17]. In addition, VR training could be advantageous in improving the voluntary function of the arm during the acute stage of stroke in subjects participating in an intensive training program [17].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Virtual Reality on Upper Limb Function in Chronic Stroke Patients: A Clinical Trial

et al. 2019

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Stroke is one of the main causes of disability and mortality worldwide. Most survivors experience impairments in their upper limb motor function. Methods: This experimental study was performed as a clinical trial on 30 chronic stroke patients who experienced stroke from 6 to 96 months ago. Patients were non-randomly divided into the intervention (Virtual Reality besides conventional occupational therapy) and control (conventional occupational therapy) groups. Each treatment session lasted for one hour which was divided into conducting conventional occupational therapy techniques and Virtual Reality (VR) for the intervention group, and routine techniques for the control group. The intervention effectiveness was evaluated by the Fugl-Meyer Upper Extremity Scale, Stroke Impact Scale, Chedoke Arm and Hand Activity Inventory, Motricity Index, Modified Ashworth Scale and goniometer. Results were analyzed by SPSS and one-sample Kolmogorov-Smirnov, Shapiro-Wilk test, Independent Samples t-test and Mann Whitney U test were applied to assess the normality of data and to detect significant differences between study variables. Results: The results suggested that investigated parameters such as upper limb motor function, muscle tone and the range of motion were significantly different in the intervention group, compared to control group; however, there was no significant changes in none of the group's daily living activities. Discussion: VR-based computer games in combination with routine occupational therapy interventions could improve upper extremities functional impairments in chronic stroke patients. However, it seems the mechanisms behind the effectiveness of video games and their impact on brain cortex as well as upper limbs function need to be further investigated.

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“…In this approach, users interact with virtual objects through the movements of their hands and body, or through tactile interfaces (gloves, joysticks, mouse), performing actions in a simulated environment 7 . The invention of low-cost human movement sensors in commercial game systems has made it easier to use video games for rehabilitation 8 . Examples of these systems include the Kinect for Microsoft's Xbox ® , the Nintendo Wii ® and the PlayStationMove ® by Sony.…”

mentioning

confidence: 99%

Virtual reality in the rehabilitation of patients with stroke: an integrative review

Aramaki

Sampaio

Reis

et al. 2019

Arq. Neuro-Psiquiatr.

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Objective: To describe the intervention protocols to using commercial video games as virtual reality (VR) in rehabilitation of patients with stroke. Methods: Integrative review using the descriptors “rehabilitation”, “virtual reality exposure therapy” and “videogames” in the LILACS and PUBMED databases. Articles published from 2011 to 2018 were selected. Results: We found 1,396 articles, 1,383 were excluded and 13 were selected. Most of the articles were randomized clinical trials published in 2014 or later. The sample size varied from 5–47 adults, or adults and elders, with chronic stroke. The Nintendo Wii® was the most used video game system. The intervention happened two or three times a week, each session lasting from 30 to 60 minutes, over 2–12 weeks. Balance, upper limb motor functions, quality of life and daily living activities were the most common evaluated outcomes. The Fugl-Meyer Assessment, Berg Balance Scale, Timed Up and Go test, Barthel Scale and SF-36 were the most common outcome measurement tools. Conclusions: The studies indicated improvement in dynamic balance, upper limb motor function and quality of life after rehabilitation using VR. The VR was more effective than conventional treatments for the outcome of dynamic balance. Two studies did not find any changes in static balance and daily living activities. Physical aspects and quality of life were the outcomes most evaluated by the researchers; as were the population with chronic strokes and protocols of long duration and low intensity. Few studies targeted immediate VR effects, performance in daily living activities and social participation.

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Effects of virtual reality on upper extremity function and activities of daily living performance in acute stroke: A double-blind randomized clinical trial

Cited by 97 publications

References 8 publications

Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a Randomized Controlled Trial

Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a Randomized Controlled Trial

The Effects of Virtual Reality on Upper Limb Function in Chronic Stroke Patients: A Clinical Trial

Virtual reality in the rehabilitation of patients with stroke: an integrative review

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