Telerehabilitation using virtual reality task can improve balance in patients with stroke

Cikajlo, Imre; Rudolf, Marko; Goljar, Nika; Burger, Helena; Matjačić, Zlatko

doi:10.3109/09638288.2011.583308

Cited by 97 publications

(96 citation statements)

References 14 publications

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“…Among these 64 papers were excluded for the following reasons: 35 because the ICTs used were not aimed to rehabilitation purposes ; eight papers were protocols of ongoing studies and results were not available [52][53][54][55][56][57][58][59] ; seven studies did not have a control group [60][61][62][63][64][65][66] ; five because the intervention setting was the same in the two groups 8,[67][68][69][70] ; five were pilot studies [71][72][73][74][75] ; two were secondary analysis of RCTs already included 76,77 ; two studies were excluded because the poor reporting precluded any possible assessment of its eligibility 78,79 . Finally, 12 RCTs for a total of 1047 participants were included in the review ( Figure 1).…”

Section: Studies Selectionmentioning

confidence: 99%

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

et al. 2015

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Recent advances in telecommunication technologies have boosted the possibility to deliver rehabilitation via the internet (i.e. telerehabilitation). Several studies have shown that telerehabilitation is effective to improve clinical outcomes in disabling conditions. The aim of this review was to determine whether telerehabilitation was more effective than other modes of delivering rehabilitation to regain motor function, in different populations of patients.We searched PubMed, Embase and the Cochrane library retrieving 2360 records. Twelve studies were included involving different populations (i.e. neurological, total knee arthroplasty (TKA), cardiac) of patients. Inconclusive finding were found on the effect of telerehabilitation for neurological patients (SMD = 0.08, CI 95% = -0.13, 0.29), while both for cardiac (SMD = 0.24, CI 95% = 0.04, 0.43) and TKA patients (Timed Up and Go test: MD = -5.17, CI 95% = -9.79, -0.55) the results were in favour of telerehabilitation.Conclusive evidence on the efficacy of telerehabilitation for treatment of motor function, regardless of pathology, was not reached. Nevertheless, a strong positive effect was found for patients following orthopaedic surgery, suggesting that the increased intensity provided by telerehabilitation is a promising option to be offered to patients. More and higher quality research is needed in this field especially with neurological patients.

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Section: Studies Selectionmentioning

confidence: 99%

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

et al. 2015

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“…In regards to balance, VR provides an avenue to implement many of the therapy strategies that have been established for physical and neurological recovery, including repetitive practice, self-observation, biofeedback and imitation of others movements. [35] An extensive evidence base has been established demonstrating the positive effects of utilizing VR for the treatment of balance deficits in neurologically similar patients, including stroke, [81][82][83][84][85][86][87][88][89][90][91][92] Parkinson's disease [80,93,94] and spinal cord injury. [35,36,95,96] Studies of varying levels of complexities in these populations have shown that groups utilizing VR have improved gait speed, standing endurance, and score higher than groups receiving the 'standard of care' on measures of posture, standing and higher level balance.…”

Section: Emerging Techniques For Balance Treatments: Virtual Realitymentioning

confidence: 99%

Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury

et al. 2014

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Thesis directed by Assistant Clinical Professor Cynthia Harrison-Felix.Balance deficits are one of the most commonly occurring and physically limiting sequlae that result from more severe traumatic brain injury (TBI). The purpose of this study was to evaluate the effectiveness and applicability of using a commercially available virtual reality (VR) system as a treatment of these deficits for patients receiving inpatient rehabilitation for a primary diagnosis of TBI by conducting analyses of data collected as part of a pilot randomized controlled trial. The aims of this thesis were: (1) to examine the relationships between treatment received (VR or Extra Standard of Care) and static and dynamic balance changes over time; (2) to assess the predictive validity of the VR game scores on static and dynamic balance; and (3) to investigate dose response relationships between study treatments and changes in static and dynamic balance.Results indicate that patients receiving either treatment demonstrated significant balance improvements over time; however, neither treatment condition was found to be significantly better than the other. Scores from the VR balance games were found to have some moderately strong associations with the standardized assessment of static balance, with less strong relationships between VR scores and standardized assessments of dynamic balance. The results did not suggest the existence of any relationship between the amount of treatment received and changes in standardized assessments of balance. These data provide an essential first step in the establishment of the use of iv commercially available VR systems as effective tools for treating balance deficits for patients with TBI.The form and content of this abstract are approved. I recommend its publication.

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“…Most of these programs have focused on rehabilitation of physical disability or speech impairment 5,9,13,14,17,18) . In contrast, only a few studies have reported on telerehabilitation for cognition 7,8,10) .…”

Section: Discussionmentioning

confidence: 99%

“…Since the 1990s, many telerehabilitation programs have been developed for patients with brain injury 5,9,14,17,18,21) . Most of these programs have focused on rehabilitation of physical disability or speech impairment 5,9,13,14,17,18) .…”

Section: Discussionmentioning

confidence: 99%

“…With the rapid development of modern technology and the use of computers in communications, many applications and telerehabilitation programs have been developed for rehabilitation various functions, including cognition [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] . However, little is known about applications for memory training based on telerehabilitation for patients with TBI.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of a Memory Training Application for a Patient with Traumatic Brain Injury

et al. 2013

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Abstract.[Purpose] Memory impairment is a common sequela in patients with traumatic brain injury (TBI). Little is known about applications for memory training for patients with TBI. We investigated the effect of a memory training application in a patient with TBI. [Subjects and Methods] A 37 year-old male patient presented with memory impairment since onset of TBI resulting from a traffic accident. We developed a memory training application for use with a tablet PC. It consists of six stages. Each stage is composed of visual and auditory memory training parts. Two training sessions were conducted per day, five days per week, for a period of three months from nine months after onset to 11 months after onset.[Results] The patient's scores on the Memory Assessment Scale showed improvement after participating in the memory training program for a period of three months: global memory, 56.6%; short-term memory, 13.2%; visual memory, 75.0%; and verbal memory, 37.9%. [Conclusions] We observed significant improvement of memory function of this patient after memory training using this application. As a result of these findings, we believe that this application could be useful for improving memory impairment of patients with TBI.

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Telerehabilitation using virtual reality task can improve balance in patients with stroke

Cited by 97 publications

References 14 publications

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury

The Effect of a Memory Training Application for a Patient with Traumatic Brain Injury

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