Virtual Reality effect on upper limb Motor function paretic in post stroke

Background Virtual reality and interactive video gaming have emerged as recent treatment approaches in stroke rehabilitation with commercial gaming consoles in particular, being rapidly adopted in clinical settings. This is an update of a Cochrane Review published first in 2011 and then again in 2015. Objectives Primary objective: to determine the efficacy of virtual reality compared with an alternative intervention or no intervention on upper limb function and activity. Secondary objectives: to determine the efficacy of virtual reality compared with an alternative intervention or no intervention on: gait and balance, global motor function, cognitive function, activity limitation, participation restriction, quality of life, and adverse events. Search methods We searched the Cochrane Stroke Group Trials Register (April 2017), CENTRAL, MEDLINE, Embase, and seven additional databases. We also searched trials registries and reference lists. Selection criteria Randomised and quasi-randomised trials of virtual reality ("an advanced form of human-computer interface that allows the user to 'interact' with and become 'immersed' in a computer-generated environment in a naturalistic fashion") in adults after stroke. The primary outcome of interest was upper limb function and activity. Secondary outcomes included gait and balance and global motor function. Data collection and analysis Two review authors independently selected trials based on pre-defined inclusion criteria, extracted data, and assessed risk of bias. A third review author moderated disagreements when required. The review authors contacted investigators to obtain missing information.

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Virtual reality for stroke rehabilitation

Laver

Lange

George

et al. 2017

Cochrane Database of Systematic Reviews

798

708

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Virtual reality in thermal body symmetry and muscular force after stroke

Paixão¹

2018

MOJSM

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The use of virtual reality (VR) in post-stroke patients can maximize praxic-motor skills. The aim of the present study is to investigate whether the use of this interface can improve upper limb muscle strength, balance, body symmetry and functionality. The research was longitudinal, quantitative, case-study with a patient diagnosed with stroke. The selected variables were muscle strength (Load Cell), Body Symmetry (Thermography). The platform of the Nintendo Wii Sports game was used in association with the rehabilitation protocol based on the Bobath concept, in weekly 60 minutes of duration. There was a significant improvement in the scores of the evaluations related to functionality, muscle strength, balance and body symmetry. VR is a biofeedback tool that provides the individual with an immediate return on performance, where body parameters are directly influenced and praxis-motor skills are maximized.

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Influência do tônus muscular na função do membro superior de indivíduos hemiparéticos

Feijó¹,

Santos

2020

Rev Neurocienc

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Introdução. O Acidente Cerebral Vascular (AVC) é caracterizado por um distúrbio de rápido desenvolvimento, que resulta na restrição da irrigação sanguínea ao cérebro, o que pode levar a disfunções motoras, sensitivas e cognitivas. Por isso, membro superior de indivíduos hemiparéticos tem recebido atenção especial na sua reabilitação, visto que é fundamental para a independência funcional. Objetivo. Avaliar a função do membro superior acometido de indivíduos hemiparéticos. Método. Estudo transversal, realizado na Clínica-escola de Fisioterapia da Universidade Luterana do Brasil, Canoas-RS, com uma amostra de 30 indivíduos com diagnóstico de AVC. Inicialmente preencheram a ficha de identificação, e foram avaliados através da Escala de Tônus Muscular (Ashworth modificada), Escala de Movimentos da Mão, Dinamometria, Escala Motor Activity Log (MAL). Para a associação entre as variáveis, o teste da correlação linear de Spearman foi utilizado, com <0,05. Resultados. Predomínio do sexo masculino (63,3%), a média de idade foi de 56,3±13,76 anos e o tempo de acometimento foi de 49±63,3 meses. A correlação do tônus muscular foi significante com as escalas de movimento da mão (p=0,002), MAL quantitativo (qt) (p=0,006), MAL qualitativo (ql) (p=0,005) e com a força de preensão manual (p=0,047). Assim como na correlação de força de preensão manual e escala de movimento da mão com a MAL qt e MAL ql, todas com p<0,0001. Conclusão: O tônus muscular influenciou na funcionalidade da mão da amostra estudada, pois quanto mais próximo da eutonia, melhor a sua funcionalidade.

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Virtual Reality effect on upper limb Motor function paretic in post stroke

Cited by 3 publications

References 13 publications

Virtual reality for stroke rehabilitation

Virtual reality for stroke rehabilitation

Virtual reality in thermal body symmetry and muscular force after stroke

Influência do tônus muscular na função do membro superior de indivíduos hemiparéticos

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