Virtual Reality Enhances Gait in Cerebral Palsy: A Training Dose-Response Meta-Analysis

Ghai, Shashank; Ghai, Ishan

doi:10.3389/fneur.2019.00236

Cited by 44 publications

(43 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 Moreover, studies have reported enhancements in sensorimotor and cognitive performances after training with VR. [22][23][24] Recent neuroimaging studies too have reaffirmed these aspects, as VR-based interventions were shown to instigate neural plasticity. [25][26][27][28][29] In addition, other mechanisms that have been proposed to facilitate recovery using VR include enhanced biomechanical efficiency, real-time error feedback, 30,31 increased arousal, 32 and motivation.…”

Section: Introductionmentioning

confidence: 98%

Virtual reality training enhances gait poststroke: a systematic review and meta‐analysis

Ghai

Ghai²,

Lamontagne

2020

Annals of the New York Academy of Sciences

Self Cite

View full text Add to dashboard Cite

Virtual reality (VR)-based interventions are gaining widespread attention for managing neurological disorders such as stroke. A metastatistical consensus regarding the intervention is strongly warranted. In this study, we attempt to address this gap in the literature and provide the current state of evidence for the effects of VR on gait performance. We conducted both between-and within-group meta-analyses to provide a state of evidence for VR. Moreover, we conducted a search adhering to PRISMA guidelines on nine databases. Out of 1866 records, 32 studies involving a total of 809 individuals were included in this review. Considering all included studies, significant enhancements in gait parameters were observed with VR-based interventions compared with conventional therapy. A between-group meta-analysis reported beneficial significant medium effects of VR training on cadence (Hedge's g = 0.55), stride length ((STrL; Hedge's g = 0.46), and gait speed (Hedge's g = 0.30). Similarly, a within-group metaanalysis further revealed positive medium effects of VR on cadence (Hedge's g = 0.76), STrL (Hedge's g = 0.61), and gait speed (Hedge's g = 0.69). Additional subgroup analyses revealed beneficial effects of joint application of VR and robot-assisted gait training on gait speed (Hedge's g = 0.50). Collectively, findings from this review provide evidence for the effectiveness of VR-based gait training for stroke survivors.

show abstract

Section: Introductionmentioning

confidence: 98%

Virtual reality training enhances gait poststroke: a systematic review and meta‐analysis

Ghai

Ghai²,

Lamontagne

2020

Annals of the New York Academy of Sciences

Self Cite

View full text Add to dashboard Cite

show abstract

“…It helps to sort out different neuropsychological issues for the treatment of the patient. [3][4][5] It is a useful tool for pain management where it is helpful to reduce the pain during treatment. The applications of this technology are emerging to provide a breakthrough for the treatment of phobia.…”

Section: Introductionmentioning

confidence: 99%

Virtual reality applications toward medical field

Javaid

Haleem

2020

Clinical Epidemiology and Global Health

184

View full text Add to dashboard Cite

Background/objectives: Virtual Reality (VR) is a developing technology, which seems to have extensive applications in different areas such as entertainment, sports, gaming and simulation. In the current scenario, due to Computer-generated imagery and content aim at simulating a real presence through senses capability, it has functional applications in the medical field. So, there are requirements to study its applicability in the medical field. Methods: Relevant papers on VR in the context of the medical field are identified and studied. This paper is a literature review based analysis, where we are trying to find how this technology is going to solve a medicalrelated problem in saving the life of the patient and what are the significant applications. Results: VR provides a simulated environment to interact with the 3D world. Medical professionals are developing and implementing this technology for training, diagnosis and virtual treatment during a critical situation. The study sees that there is good potential for VR in the medical field. We also studied the processes involved in implementing this technology in the medical field. Finally, this paper identifies fourteen major applications of VR in the medical field with description. This technology is helping to create quality healthcare services during complicated cases. Conclusions: VR is used effectively for better surgical technique. It creates detailed virtual models of a patient's anatomy. It helps physicians to effectively move around and view virtual 3D images from different angles. This technology is currently applied in cardiology and Neurology for monitoring and improves patient outcomes. It plays a significant role to help physician related to trauma and other fractures. VR is an emerging technology which can also be used in hospitals and clinics for rehabilitation & training approaches. The applications of this technology are in virtual guides and to fulfil different other virtual goals in the medical field. It seems like an efficient technology to teach body fitness and help create a positive impact on doctors and the patient. This technology leads to creative and exciting discoveries in the medical field.

show abstract

“…So far, VR-based therapies have been shown to induce cortical reorganization and promote the activation of different neuronal connections over a wide range of ages [7][8][9][10], leading to contrasted improvements in some motor and functional skills, such as gait or balance [11,12], while their potential contributions to the visual system remain virtually unexplored. Actually, most authors who have considered the study of VR interventions in relation to vision have focused their efforts on describing the short-and long-term ocular side effects associated with its use and on recreating different performance tests to try to identify common eye disorders or related impairments [13][14][15][16], with only a few who have attempted to use this tool to improve visual abilities that are not being adequately addressed by existing treatment options [17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

The Potential of Virtual Reality for Inducing Neuroplasticity in Children with Amblyopia

Coco-Martín

Piñero

Leal-Vega

et al. 2020

Journal of Ophthalmology

View full text Add to dashboard Cite

In recent years, virtual reality (VR) has emerged as a new safe and effective tool for neurorehabilitation of different childhood and adulthood conditions. VR-based therapies can induce cortical reorganization and promote the activation of different neuronal connections over a wide range of ages, leading to contrasted improvements in motor and functional skills. The use of VR for the visual rehabilitation in amblyopia has been investigated in the last years, with the potential of using serious games combining perceptual learning and dichoptic stimulation. This combination of technologies allows the clinician to measure, treat, and control changes in interocular suppression, which is one of the factors leading to cortical alterations in amblyopia. Several clinical researches on this issue have been conducted, showing the potential of promoting visual acuity, contrast sensitivity, and stereopsis improvement. Indeed, several systems have been evaluated for amblyopia treatment including the use of different commercially available types of head mounted displays (HMDs). These HMDs are mostly well tolerated by patients during short exposures and do not cause significant long-term side effects, although their use has been occasionally associated with some visual discomfort and other complications in certain types of subjects. More studies are needed to confirm these promising therapies in controlled randomized clinical trials, with special emphasis on the definition of the most adequate planning for obtaining an effective recovery of the visual and binocular function.

show abstract

Virtual Reality Enhances Gait in Cerebral Palsy: A Training Dose-Response Meta-Analysis

Cited by 44 publications

References 71 publications

Virtual reality training enhances gait poststroke: a systematic review and meta‐analysis

Virtual reality training enhances gait poststroke: a systematic review and meta‐analysis

Virtual reality applications toward medical field

The Potential of Virtual Reality for Inducing Neuroplasticity in Children with Amblyopia

Contact Info

Product

Resources

About