Virtual reality for therapeutic purposes in stroke: A systematic review

Viñas-Diz, S.; Sobrido-Prieto, M.

doi:10.1016/j.nrleng.2015.06.007

Cited by 46 publications

(48 citation statements)

References 34 publications

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“…Los sistemas de realidad virtual semiinmersivos son en los que el usuario percibe parte del mundo real y parte del entorno virtual, como es el caso de Xbox 360° Kinect ® . Pueden simular el aprendizaje y generar retroalimentación sensorial específica, ya sea mediante serious games o videojuegos comer ciales adaptados a pacientes con déficits funciona les [17,18]. Gracias al feedback sensorial asociado al entorno virtual, podría activarse el sistema de neu ronas espejo relacionado con mecanismos de apren dizaje por observación e imitación [19].…”

Section: Introductionunclassified

Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

2017

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Introduction. Stroke generates dependence on the patients due to the various impairments associated. The use of lowcost technologies for neurological rehabilitation may be beneficial for the treatment of these patients. Aim. To determine whether combined treatment using a semi-immersive virtual reality protocol to an interdisciplinary rehabilitation approach, improve balance and postural control, functional independence, quality of life, motivation, selfesteem and adherence to intervention in stroke patients in subacute stage. Patients and methods. A longitudinal prospective study with pre and post-intervention evaluation was carried out. Fourteen were recruited at La Fuenfría Hospital (Spain) and completed the intervention. Experimental intervention was performed during eight weeks in combination with conventional treatment of physiotherapy and occupational therapy. Each session was increased in time and intensity, using commercial video games linked to Xbox 360° videoconsole and Kinect sensor. Results. There were statistical significant improvements in modified Rankin scale (p = 0.04), baropodometry (load distribution, p = 0.03; support surface, p = 0.01), Barthel Index (p = 0.01), EQ-5D Questionnaire (p = 0.01), motivation (p = 0.02), selfesteem (p = 0.01) and adherence to the intervention (p = 0.02). Conclusions. An interdisciplinary rehabilitation approach supplemented with semi-immersive virtual reality seems to be useful for improving balance and postural control, functional independence in basic activities of daily living, quality of life, as well as motivation and self-esteem, with excellent adherence. This intervention modality could be adopted as a therapeutic tool in neurological rehabilitation of stroke patients in subacute stage.

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Section: Introductionunclassified

Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

2017

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“…(for a review see [19]). However, reviews and meta-analyses usually point out that, despite the theoretical potential, studies in this field do not manage to prove a clear cut advantage over classical rehabilitation and that further research is needed [19,20,21,22] (although some authors find sufficient proof to state this [23,24], at least in some aspects of the rehabilitation).…”

Section: Discussionmentioning

confidence: 99%

Non-Immersive Virtual Reality for Upper Limb Rehabilitation in Stroke Survivors - A Feasibility Study

Grigoras¹,

Matei²,

Ignat³

2018

Balneo

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We present the results of a feasibility study for the use of a commercially available non-immersive virtual reality system (SeeMe®) in upper limb motor rehabilitation of stroke survivors. The study included 8 chronic phase stroke survivors. All patients received 12 sessions with the system over 2 weeks, each session comprising 20 minutes of motor training using a sequence of 8 serious games. Outcome measures included the Fugl-Meyer assessment scale -upper limb section (FMA), the Stroke Impact Scale (SIS), the ingame assessment procedure of the SeeMe system and a feedback questionnaire. Following the rehabilitation program, we found no change on the clinical scales. Although some of the system generated parameters (score, endurance and reaction time or movement amplitude for each game) have improved significantly, in 3 of the 8 games none of the recorded variables has shown significant changes, with only one game showing significant improvement in 2 out of 3 parameters. The satisfaction questionnaire did not generally correlate with game performance (although this has happened in some of the games), but reflected correctly the increased interest of the subjects for the intervention and also their awareness of its real influence on motor abilities. This initial pilot study indicates that the SeeMe virtual reality system has the potential to be of use in clinical settings as a complement to conventional therapy. Future studies should include larger number of subjects, longer training duration, use more sensitive/dedicated measurements of improvement, and focus on a single game/exercise type.

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“…These studies have approached the problem from different points of view: (1) on the one hand, by analysing the physiological and psychophysical characteristics of different devices [11], (2) on the other analysing the key aspects of design and usability [12] and (3) finally studying its effectiveness in therapy [13,14]. According to Kuchinke [12], these technical devices can be organized into two big groups: (1) on the one hand, devices based on virtual reality (VR) and (2) on the other robotic glove-like devices (GDs).…”

Section: Technological Devices For Upper Limb Rehabilitationmentioning

confidence: 99%

“…These devices can be used at home and in most cases do not require special investment in therapeutic hardware because they can use game consumables existing at home such as Nintendo(R) Wii 1 [17,18], Leapmotion 2 [19,20] or Kinect sensor 3 [21,22]. Although first systematic studies based in VRs indicate that there is insufficient evidence to determine its effectiveness compared to conventional therapies [8], more recent studies [13,14,23] offer moderate evidence on the benefits of VR for UL motor improvement. Most researchers agree that VRs work well as coadjuvant to complement more conventional therapies; however, further studies with larger samples are needed to identify most suitable type of VR systems, to determine if VR results are sustained in the long term and to define the most appropriate treatment frequency and intensity using VR systems in post-stroke patients.…”

Section: Technological Devices For Upper Limb Rehabilitationmentioning

confidence: 99%

Hand Rehabilitation after Chronic Brain Damage: Effectiveness, Usability and Acceptance of Technological Devices: A Pilot Study

Rodríguez–Hernández¹,

Fernandez‐Panadero²,

OlgaLópez-Martín³

et al. 2017

Physical Disabilities - Therapeutic Implications

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Purpose: The aim is to present an overview of existing tools for hand rehabilitation after brain injury and a pilot study to test HandTutor ® in patients with chronic brain damage (CBD). Method:Eighteen patients with CBD have been selected to test perception on effectiveness, usability and acceptance of the device. This group is a sample of people belonging to a wider study consisting in a randomized clinical trial (RCT) that compares: (1) experimental group that received a treatment that combines the use of HandTutor ® with conventional occupational therapy (COT) and (2) control group that receives only COT.Results: Although no statistical significance has been analysed, patients report acceptance and satisfaction with the treatment, decrease of muscle tone, increase of mobility and better performance in activities of daily life. Subjective perceptions have been contrasted with objective measures of the range of motion before and after the session. Although no side effects have been observed after intervention, there has been some usability problems during setup related with putting on gloves in patients with spasticity. Conclusions:This chapter is a step further of evaluating the acceptance of technological devices in chronic patients with CBD, but more research is needed to validate this preliminary results.

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Virtual reality for therapeutic purposes in stroke: A systematic review

Cited by 46 publications

References 34 publications

Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

Non-Immersive Virtual Reality for Upper Limb Rehabilitation in Stroke Survivors - A Feasibility Study

Hand Rehabilitation after Chronic Brain Damage: Effectiveness, Usability and Acceptance of Technological Devices: A Pilot Study

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