Technik-gestützte Bewegungstherapie oberer Extremitäten nach Schlaganfall

Neuendorf, Tilo; Zschäbitz, Daniel; Nitzsche, Nico; Schulz, Henry

doi:10.1007/s15016-017-6123-9

Cited by 4 publications

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“…Numerous reviews [ 15 , 17 , 31 ] have already shown the successful use of VR technologies for rehabilitation, especially in the field of neurological disorders. For rehabilitation of musculoskeletal diseases, in contrast, only a few publications can be found [ 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

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Virtual Reality in the Rehabilitation of Patients with Injuries and Diseases of Upper Extremities

et al. 2022

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Upper-extremity injuries and diseases rarely have life-threatening consequences, but failure to manage them properly can result in severe dysfunction. This article presents the current state of using virtual reality to support the rehabilitation process of patients with injuries and diseases of the upper extremities and points out their effects on upper-extremity functions. A scoping review was conducted to provide a comprehensive overview of the field of virtual reality for upper-extremity rehabilitation. PubMed, Web of Science, and the Cochrane Library were searched by two independent researchers between April and May 2021 to identify relevant publications and were examined according to inclusion and exclusion criteria. As a result of the literature review, 11 studies of various target groups were identified. Virtual-reality technologies were categorized into multisensory high-end systems and game-based systems. With respect to functional recovery, technologies based on virtual reality were not inferior to traditional rehabilitation. In addition, the users were highly motivated and satisfied. The results emphasize the need for stronger evidence-based virtual-reality technologies for rehabilitation of injuries and diseases of upper extremities.

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Section: Discussionmentioning

confidence: 99%

“…The effectiveness of VR in neurorehabilitation has been studied extensively in individuals with cerebral palsy [ 16 ] and especially stroke [ 15 , 17 ]. In spite of VR´s promising effects for rehabilitation, it lacks routine use in practice.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality in the Rehabilitation of Patients with Injuries and Diseases of Upper Extremities

et al. 2022

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“…In this context as well as due to innovative developments in technology-supported concepts and components [25][26][27][28][29][30] in the field of stroke rehabilitation such as exergaming, [31][32][33][34] the "Sphero 2.0" robotic ball was reviewed in combination with game-playing applications as a supplemental therapeutic activity [35]. The potential benefit for stroke patients regarding improving motor parameters has been documented in review articles on technology-supported therapeutic measures [36,37]. Hardware and software components from the enter tainment industr y or telecommunications are used to develop new therapy activities.…”

Section: Introductionmentioning

confidence: 99%

Movement Therapy of the Upper Extremities with a Robotic Ball in Stroke Patients: Results of a Randomized Controlled Crossover Study

Neuendorf

Zschäbitz

Nitzsche

et al. 2017

Neurology International Open

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Background Stroke is associated with motor impairments of the upper extremities. The defining goal of rehabilitation is independent execution of activities of daily living. New therapy procedures use different hardware components to implement digital therapy contents. These can be useful complements to established therapy protocols. Objectives The aim of this study was to examine the effect of movement therapy with a robotic ball on motor function parameters in stroke patients. Materials and Methods 25 patients (60.0±10.0 years, 172.5±13.8 cm, 79.5±13.8 kg, 89.8±72.6 months post-stroke) took part in this crossover study. The intervention and control periods comprised 12 weeks each. Training with the robotic ball was done in addition to standard therapy two times a week for 45 min each. Different game activities were carried out with the help of a tablet and a smartphone. Results Isometric grip strength improved by 4.5±3.6 kg (p=0.000), and unilateral dexterity increased by 7.5±6.3 successful tries (p=0.000) in the round block test. The self-reported disabilities of the arm, shoulder and hand were assessed using the QuickDASH questionnaire and showed improvements by 12.4±13.0 points (p=0.001). Conclusions Additional therapy using the robotic ball improved upper extremity motor function and self-perceived health status in chronic stroke patients. However, performance stagnated when standard therapy was implemented alone. Moderately affected patients seem to benefit the most. The presence of very severe motor or cognitive symptoms led, in part, to some dropouts. The results need to be verified using larger patient populations.

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“…B. in Form von Exergaming [31 -34] wurde der Roboterball "Sphero 2.0" in Kombination mit spielerischen Anwendungen als ergänzende Therapiemaßnahme geprüft [35]. Der mögliche Nutzen für Schlag-anfallpatienten im Sinne einer Verbesserung motorischer Parameter ist für technikgestützte Therapieinhalte im Rahmen von Übersichtsarbeiten dokumentiert [36,37]. Es werden Hardund Softwarekomponenten aus der Unterhaltungsindustrie oder Telekommunikation genutzt, um neue Therapieinhalte zu gestalten.…”

Section: Introductionunclassified

Bewegungstherapie der oberen Extremitäten mit einem Roboterball bei Schlaganfallpatienten – Ergebnisse einer randomisierten kontrollierten Crossover-Studie

et al. 2017

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Zusammenfassung Hintergrund Der Schlaganfall ist für die betroffenen Patienten häufig mit motorischen Einschränkungen der oberen Extremitäten verbunden. Ein Ziel der anschließenden Rehabilitation ist die möglichst selbstständige Bewältigung der vielfältigen Aufgaben des täglichen Lebens. Neue Therapieverfahren nutzen verschiedene Hardwarekomponenten, um digitale Therapieinhalte umzusetzen. Diese können eine sinnvolle Ergänzung zu etablierten Standardverfahren darstellen. Ziel der Arbeit In dieser Studie soll der Effekt eines innovativen bewegungstherapeutischen Therapiekonzepts mit einem Roboterball auf motorische Parameter bei Schlaganfallpatienten überprüft werden. Material und Methoden An der Crossover-Studie nahmen 25 Patienten (60,0 ± 10,0 Jahre, 172,5 ± 13,8 cm, 79,5 ± 13,8 kg, 89,8 ± 72,6 Monate post-stroke) teil. Der Interventions- sowie der Kontrollzeitraum umfassten jeweils 12 Wochen. Das Training mit dem Roboterball erfolgte als Ergänzung zur Standardtherapie zweimal pro Woche für jeweils 45 min. Verschiedene spielerische Inhalte wurden mithilfe von einem Tablet und einem Smartphone durchgeführt. Ergebnisse Die isometrische Greifkraft konnte um 4,5 ± 3,6 kg (p = 0,000) erhöht werden. Die unilaterale Geschicklichkeit im Roundblock-Test verbesserte sich um 7,5 ± 6,3 gültige Versuche (p = 0,000). Die durch den QuickDASH-Fragebogen erhobene subjektive Gesundheitswahrnehmung der Patienten verbesserte sich um 12,4 ± 13,0 Punkte (p = 0,001). Diskussion Die zusätzliche Therapie mit dem Roboterball konnte die Funktionsfähigkeit der oberen Extremitäten bei chronischen Schlaganfallpatienten verbessern sowie deren subjektive Gesundheitswahrnehmung positiv beeinflussen. Hingegen stagnierte die Leistungsfähigkeit bei alleiniger Standardtherapie. Moderat betroffene Patienten profitierten am stärksten. Sehr stark ausgeprägte motorische oder kognitive Symptomatik führte teilweise zum Dropout. Die Ergebnisse sollten mit größeren Stichproben verifiziert werden.

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Technik-gestützte Bewegungstherapie oberer Extremitäten nach Schlaganfall

Cited by 4 publications

References 41 publications

Virtual Reality in the Rehabilitation of Patients with Injuries and Diseases of Upper Extremities

Virtual Reality in the Rehabilitation of Patients with Injuries and Diseases of Upper Extremities

Movement Therapy of the Upper Extremities with a Robotic Ball in Stroke Patients: Results of a Randomized Controlled Crossover Study

Bewegungstherapie der oberen Extremitäten mit einem Roboterball bei Schlaganfallpatienten – Ergebnisse einer randomisierten kontrollierten Crossover-Studie

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