Using and Creating Therapeutic Games in Virtual Reality and the Player/Game/Therapy Model

Zielina, Martin; Šmahaj, Jan; Raudenská, Jaroslava; Javůrková, Alena

doi:10.51561/cspsych.66.3.332

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“…Up to 57% of post-stroke patients require help with personal activities of daily living (ADL) required for biological needs such as personal hygiene, bathing, dressing, self-feeding, use of the toilet, and control of urination and defecation [ 14 ]. Training in ADL increases patient independence and therefore the possibility of returning to the home environment, which in turn improves patient HRQoL and reduces financial cost of care [ 15 , 16 ]. Effective rehabilitation programmes augmented with virtual reality can also contribute to improved independence and HRQoL [ 1 ].…”

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confidence: 99%

Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients

Dąbrowská,

Pastucha,

Janura

et al. 2023

Medicina

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Background and Objectives: The consequences of stroke have a significant impact on self-sufficiency and health-related quality of life (HRQoL). Virtual reality (VR)-based rehabilitation has the potential to impact these modalities, but information on timing, volume, and intensity is not yet available. The aim of this randomized controlled trial (1:1) was to evaluate the impact of conventional rehabilitation combined with VR on self-care and domains of HRQoL in patients ≤6 months post-stroke. Materials and Methods: The intervention group completed a total of 270 min of conventional VR + rehabilitation sessions. The control group underwent conventional rehabilitation only. Primary assessments with the WHO disability assessment schedule 2.0 (WHODAS 2) questionnaire were conducted before rehabilitation (T0), after completion of the intervention (T1), and at the 4-week follow-up (T2); secondary outcomes included self-sufficiency and balance assessments. Results: Fifty patients completed the study (mean age 61.2 ± 9.0 years, time since stroke 114.3 ± 39.4 days). There were no statistically significant differences between the groups in WHODAS 2, self-sufficiency, and balance scores (p > 0.05). Conclusions: In the experimental group, there was a statistically significant difference in WHODAS 2, assessment of self-sufficiency, and balance scores before and after therapy (p < 0.05). VR appears to be a suitable tool to supplement and modify rehabilitation in patients after stroke.

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