Virtual Reality–Enhanced Partial Body Weight–Supported Treadmill Training Poststroke: Feasibility and Effectiveness in 6 Subjects

Walker, Martha; Ringleb, Stacie I.; Maihafer, George C.; Walker, R.; Crouch, Jessica R.; Lunen, Bonnie Van; Morrison, Steven

doi:10.1016/j.apmr.2009.09.009

Cited by 88 publications

(80 citation statements)

References 56 publications

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“…Além disso, estes autores sugerem que a neuroplasticidade dependente da prática teve um papel importante na melhora, já que a prática repetitiva dos movimentos do membro afetado pode gerar uma potencialização sináptica. Já Walker et al (2010) afirmam que os estímulos para a aprendizagem de novas habilidades motoras e subsequente recuperação após uma lesão no sistema nervoso são específicos para a tarefa e dependentes da prática repetitiva. Deste modo, os autores defendem que o uso da RV transforma a marcha numa tarefa direcionada para uma meta e a associa a uma demanda cognitiva associada aos movimentos repetitivos dos membros inferiores.…”

Section: Discussionunclassified

“…Deste modo, os autores defendem que o uso da RV transforma a marcha numa tarefa direcionada para uma meta e a associa a uma demanda cognitiva associada aos movimentos repetitivos dos membros inferiores. Além disso, Walker et al (2010) consideram que a RV pode contribuir de modo positivo para a motivação e empenho no tratamento, fatores que favorecem a aprendizagem motora. Mirelman et al (2010) realizaram um ensaio clínico randomizado e cego para examinar o efeito da RV na biomecânica da marcha de pacientes com hemiparesia.…”

Section: Discussionunclassified

See 1 more Smart Citation

Os efeitos da realidade virtual na reabilitação do acidente vascular encefálico: Uma revisão sistemática

Pompeu¹,

Alonso²,

Masson³

et al. 2014

Motricidade

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ARTIGO DE REVISÃO | REVIEW ARTICLE RESUMOEste estudo propôs-se a realizar uma revisão sistemática da literatura a fim de verificar os efeitos da realidade virtual (RV) sobre a reabilitação de pacientes que sofreram acidente vascular encefálico (AVE). Foi realizada uma busca nas bases de dados eletrónicas Medline, Lilacs, Scielo e Pubmed, no período de 2004 a 2012. As palavras-chave utilizadas foram: realidade virtual, vídeo game, AVC, fisioterapia, reabilitação, virtual reality, stroke, rehabilitation e physiotherapy. Foram localizados 893 artigos e, ao final da seleção foram analisados nove estudos. Os resultados obtidos mostraram que o treino com RV pode contribuir para a reabilitação de pacientes que sofreram AVE. Os estudos selecionados utilizaram sete sistemas de RV para o treino das seguintes funções: marcha, equilíbrio, membro superior, cognição e perceção. Além disso, dependendo da função treinada, os autores utilizaram diferentes métodos de avaliação. Entretanto, mesmo os estudos que avaliaram funções similares utilizaram instrumentos de avaliação diferentes o que dificulta a comparação dos resultados. Conclui-se que a RV pode promover efeitos positivos na reabilitação de pacientes pós-AVE. Apesar dos resultados promissores, ainda são necessários novos estudos com maior número de sujeitos e melhor qualidade metodológica. Palavras-chave: acidente vascular cerebral, reabilitação, tecnologia ABSTRACT This study aimed to perform a systematic review to verify the effects of virtual reality (VR) on the rehabilitation of stroke patients. The search was conducted in the electronic databases Medline, Lilacs, Scielo and PubMed, from 2004 to 2012. The keywords selected for the search were: virtual reality, video game, stroke, physiotherapy, rehabilitation. It was found 893 articles, and at the end of selection, nine studies were included. The results showed that training with VR may contribute to the rehabilitation of stroke patients. The selected studies involved the use of seven different VR systems for training of functions: gait, balance, upper limb function, cognition and perception. Furthermore, depending on the function trained, the authors selected different assessment methods. However, even in the studies with similar functions assessed it was found different measurement techniques. The conclusion was that VR can promote positive effects on rehabilitation of post stroke patients. Despite promising results, further studies are needed with larger numbers of subjects and better methodological quality.

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Section: Discussionunclassified

Os efeitos da realidade virtual na reabilitação do acidente vascular encefálico: Uma revisão sistemática

Pompeu¹,

Alonso²,

Masson³

et al. 2014

Motricidade

View full text Add to dashboard Cite

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“…Kim et al implemented virtual reality training for chronic stroke patients using an interactive rehabilitation and exercise system (IREX) and reported significantly more improvement in dynamic balance compared with that in patients receiving conventional therapy 29) . Moreover, Walker et al reported that virtual reality treadmill training has a significant effect on dynamic balance in chronic stroke patients 13) . Since the results of our study agree with those of the previous studies, one can conclude that virtual reality treadmill training has a positive effect on dynamic balance in stroke patients.…”

Section: Discussionmentioning

confidence: 99%

“…Yang et al reported that 3 weeks of virtual reality treadmill training was more effective than treadmill training in improving balance control 12) . Walker et al reported that virtual reality treadmill training improves dynamic balance in stroke patients 13) .…”

Section: Introductionmentioning

confidence: 99%

Effects of Virtual Reality Treadmill Training on Balance and Balance Self-efficacy in Stroke Patients with a History of Falling

2012

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Abstract.[Purpose] The purpose of this study was to investigate the effects of virtual reality treadmill training on balance and balance self-efficacy in stroke patients with a history of falling.[Subjects] Twenty-one stroke patients with a history of falling were allocated into 2 groups: a virtual reality treadmill training group (experimental group, n = 11), and control group (n = 10). [Methods] We measured patients' balance function and balance self-efficacy before and after 3 weeks of virtual reality treadmill training.[Results] Balance and balance self-efficacy were significantly higher in the experimental group. Furthermore, balance and balance self-efficacy significantly increased after 3 weeks in both groups compared with the baseline values.[Conclusion] Virtual reality treadmill training significantly improves balance and balance self-efficacy in stroke patients who are able to participate in physical balance training.

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“…Literature results showed BWSTT improved walking speed, motor function and balance ability on stroke patients [21,22]. Moreover, VR coupled BWSTT had demonstrated its feasibility, and the results of clinical scales showed the improvement of the gait and balance for persons after stroke [23,24]. In this study, a VR environment system on the TV screen before treadmill combined BWSTT was applied to assist therapists in training subacute stroke patients with gait deficits and the results were analyzed by quantitative motion analysis.…”

Section: Y Mao Et Al / Changes Of Pelvis Control With Subacute Strokementioning

confidence: 94%

Changes of pelvis control with subacute stroke: A comparison of body-weight- support treadmill training coupled virtual reality system and over-ground training

Mao¹,

Chen²,

Li³

et al. 2015

THC

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Abstract. BACKGROUND:Gait recovery is very important to stroke survivors to regain their independence in activity of daily life. OBJECTIVE: This study aimed to investigate the effects of virtual reality (VR) coupled body weight support treadmill training (BWSTT) on pelvic control at the early stage of stroke. METHODS: Kinematic and kinetic changes of pelvic motion were evaluated by a 3D gait analysis system and were compared to the results from over-ground walking training. Twenty-four patients having unilateral hemiplegia with subacute stroke were recruited to a VR coupled BWSTT group (n = 12) and a conventional therapy (CT) group (n = 12). Both of the groups received training of 20-40 min/day, 5 days/week, for 3 weeks. RESULTS:The results showed the tilt of pelvis in sagittal plane improved significantly (P = 0.038) after treatment in the BWSTT+VR group, in terms of decreased amplitude of anterior peak (mean, from 10.99• to 6.25 • ), while there were no significant differences in the control group. CONCLUSION: The findings suggested that VR coupled BWSTT gait training could decrease anterior tilt of pelvis in early hemiparetic persons following a modest intervention dose, and the training may have advantages over conventional over-ground gait training and can assist the therapists in correcting abnormal gait pattern of stroke survivors.

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Virtual Reality–Enhanced Partial Body Weight–Supported Treadmill Training Poststroke: Feasibility and Effectiveness in 6 Subjects

Cited by 88 publications

References 56 publications

Os efeitos da realidade virtual na reabilitação do acidente vascular encefálico: Uma revisão sistemática

Os efeitos da realidade virtual na reabilitação do acidente vascular encefálico: Uma revisão sistemática

Effects of Virtual Reality Treadmill Training on Balance and Balance Self-efficacy in Stroke Patients with a History of Falling

Changes of pelvis control with subacute stroke: A comparison of body-weight- support treadmill training coupled virtual reality system and over-ground training

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