Virtual reality in upper extremity dysfunction: specific features of usage in acute stroke

Dolganov, M V; Karpova, Maria B.

doi:10.17116/kurort20199605119

Cited by 3 publications

(2 citation statements)

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“…A partir das coletas de dados, foi sugerido que a realidade virtual (RV) não promove uma melhora funcional significativa para o membro afetado, porém apresenta melhora no bem-estar geral do paciente. Sendo assim, foi concluído que a temática necessita ser bem Brazilian Journal of Development, Curitiba, v.9, n.1, p. 5733-5748, jan., 2023 mais aprofundada, para encontrar uma forma de melhorar as condutas de atendimento dos pacientes pós-AVE. Dolganov (2019) afirma que as sequelas do AVE, como supracitado, trazem consequências limitantes na realização das atividades de vida diária (AVD's) do indivíduo, por isso, inúmeras ferramentas estão sendo pesquisadas, e devem possuir como requisito: ser uma terapia reabilitativa e integrativa para inserir o paciente pós-AVE na sociedade, proporcionando-lhe qualidade de vida. Nesse âmbito, a RV provou ser uma terapia eficaz em pacientes com sequelas neurológicas, pois as atividades cerebrais mostram que durante a terapia acontece o desencadeamento de gatilhos motivacionais, comprometimento e interesse na participação ativa pela reabilitação.…”

Section: Discussionunclassified

Os efeitos da realidade virtual para reabilitação de pacientes pós AVE

Lopes¹,

Ribeiro²,

Corrêa³

et al. 2023

Braz. J. Develop.

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Introdução: O acidente vascular encefálico (AVE) ocorre quando o suprimento sanguíneo do cérebro é cessado ou ocorre um sangramento dentro ou ao redor do cérebro, resultando em danos cerebrais. A sequela causada por um acidente vascular encefálico irá depender da área que foi acometida, porém os sinais/sintomas comuns são hemiparesia, deficiência visual, afasia, dificuldade para ler e escrever. Metodologia: O presente estudo trata-se de uma revisão de literatura do tipo integrativa, a qual possui como objetivo averiguar diferentes fontes bibliográficas que descrevam de maneira fundamental e conexa os efeitos da Realidade Virtual sobre a reabilitação desses indivíduos. Resultados: A partir da análise dos 10 artigos integrados na construção desta revisão, notou-se os efeitos potenciais à reabilitação de pacientes pós-AVE com o uso da Realidade Virtual associado à terapia convencional cinesiológica. Dessa maneira, os principais efeitos encontrados foram melhora no equilíbrio dinâmico e sentado, na função motora de membro superior e extremidades de membros inferiores, na qualidade de vida (QV), na marcha de pacientes hemiplégicos e na realização de tarefas cognitivas. Conclusão: A aplicação da realidade virtual (RV) como meio de tratamento de pacientes pós-AVE, tem-se mostrado um recurso benéfico para reabilitar funções cognitivas e motoras. Outrossim, a integração ativa e colaborativa dos pacientes com esse artifício lúdico somado a técnicas fisioterapêuticas tradicionais permitiu que os efeitos psicomotores tivessem ganhos significativos.

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Section: Discussionunclassified

Os efeitos da realidade virtual para reabilitação de pacientes pós AVE

Lopes¹,

Ribeiro²,

Corrêa³

et al. 2023

Braz. J. Develop.

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“…Dolganov and colleagues added virtual reality training to conventional rehabilitation. They found that participants in the experimental group had better upper extremity function and fewer daily limitations than those in the control group (Dolganov & Karpova, 2019). Additionally, a randomised controlled trial concluded that patients with stroke who received physical exercise and cognitive training had better cognitive performance than those who received only physical exercise therapy 3 months after a stroke (Bo et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Can rehabilitation adherence among stroke patients be measured using a single item?

Kuo

Chen

et al. 2022

Journal of Clinical Nursing

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Aims and objectives To assess the concurrent validity between logbooks and a single‐item rehabilitation adherence measurement for patients with stroke. Agreement between caregivers and patients and between caregivers and physical therapists regarding a single‐item measurement was investigated, and its predictive validity was explored. Background Adherence to therapy is a primary determinant of treatment success. There are no standard instruments for measuring rehabilitation adherence available for stroke patients. Design Prospective longitudinal study. Methods Seventy‐five patients with stroke were recruited, measured four times and followed for 6 months. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used to ensure comprehensive reporting. Adherence was documented in logbooks, and single‐item measurements were compared. Predictive validity was explored by assessing associations between adherence levels, self‐care ability and health‐related quality of life. The Spearman's correlation coefficients, weighted kappa, and generalised estimating equations statistics were used to explore the concurrent validity, measurement agreement, and predictive validity, respectively. Results Logbook records had a fair correlation (rs = .23, p = .04) with the single‐item rehabilitation adherence measurements. There was moderate agreement (kappa = 0.42, p < .001) between caregiver and patient assessments and fair agreement (kappa = 0.29, p = .017) between caregiver and physical therapist assessments of patients' rehabilitation adherence levels. Perfect rehabilitation adherence, based on the logbook and single‐item measurements, predicted better scores for self‐care ability and quality of life than imperfect rehabilitation adherence during 6 months after inclusion. Conclusions There was fair concurrent validity between logbooks and single‐item rehabilitation adherence measurements and moderate and fair adherence measure agreement between caregivers and patients and caregivers and physical therapists, respectively. Logbooks and single‐item rehabilitation adherence measurements had adequate predictive validity. Relevance to clinical practice Single‐item rehabilitation adherence measurement is a workable and straightforward method to assess stroke patients' rehabilitation adherence in busy clinical care settings. Caregivers can represent stroke patients regarding their reported rehabilitation adherence. Patient or public contribution Patients were diagnosed with stroke in the study hospital. Rehabilitation physicians transferred patients to a research nurse who then screened them for the inclusion criteria and invited them and their family caregivers to participate in this study if they met the requirements. We also recruited seven physical therapists responsible for the physical therapy of the study participants. After participants signed informed consent, the research nurse encouraged participants to respond to research questions face to face, including rehabilitation adherence...

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Efectividad de la realidad virtual en las actividades de la vida diaria tras un ictus: revisión sistemática

Lobo

Alventosa

2023

Fisioterapia

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Virtual reality in upper extremity dysfunction: specific features of usage in acute stroke

Cited by 3 publications

References 25 publications

Os efeitos da realidade virtual para reabilitação de pacientes pós AVE

Os efeitos da realidade virtual para reabilitação de pacientes pós AVE

Can rehabilitation adherence among stroke patients be measured using a single item?

Efectividad de la realidad virtual en las actividades de la vida diaria tras un ictus: revisión sistemática

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