Virtual Reality Training for Upper Extremity in Subacute Stroke (VIRTUES)

Brunner, Iris; Skouen, Jan Sture; Hofstad, Håkon; Aßmus, Jörg; Becker, Frank; Sanders, Anne-Marthe; Pallesen, Hanne; Kristensen, Lola Qvist; Michielsen, Marc; Thijs, Liselot; Verheyden, Geert

doi:10.1212/wnl.0000000000004744

Cited by 97 publications

(96 citation statements)

References 29 publications

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“…FMA-UE BBT 2 Kwon et al, 9 , Zheng et al, 27 Rubio et al, 41 Saposnik et al, 26 Kiper et al, 4 Kong et al, 30 Taveggia et al, 24 Brunner et al 28 Quality were considered to increase the confidence in our findings. For the meta-analysis, the standardized mean difference was calculated along with the 95% confidence interval (CI), and the significance level was set at P < 0.05.…”

Section: Ul Motor Functionmentioning

confidence: 86%

“…A meta-analysis was applied to compare changes in the effect size (pre-and post-intervention) between the intervention group (IG) and the control group (CG). Only metaanalyses with greater than or equal to four RCTs included 1 Broeren et al, 5 Housman et al, 39 Piron et al, 40 Kwon et al, 9 Sin et al, 23 Thielbar et al, 29 Kiper et al, 4 Rubio et al, 41 Lee et al, 43 Saposnik et al, 26 Shin et al, 42 Kong et al, 30 Brunner et al 28…”

Section: Discussionmentioning

confidence: 99%

“…The lowest ages for CG and IG appeared in the study by Shin et al, 25 with 54.6 and 53.3 years, respec-tively. Considering the number of participants, three studies stand out with samples composed of more than 100 subjects: Saposnik et al, 26 Zheng et al, 27 and Brunner et al 28 The remaining studies recruited between 14 29 and 68 30 subjects, with a similar distribution of subjects between CG and IG. Table 1 shows the main characteristics of the interventions carried out in the different studies.…”

Section: Data Extractionmentioning

confidence: 99%

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Game-Based Virtual Reality Interventions to Improve Upper Limb Motor Function and Quality of Life After Stroke: Systematic Review and Meta-analysis

Domínguez-Téllez¹,

Moral-Muñoz

Salazar

et al. 2020

Games for Health Journal

124

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Stroke is the main cause of disability in adulthood. Recent advances in virtual reality (VR) technologies have led to its increased use in the rehabilitation of stroke patients. A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to determine the effectiveness of game-based reality on upper limb (UL) motor function and quality of life after stroke. In March 2018, a search of the following databases was performed: PubMed, PEDro, Web of Science, Scopus, The Cochrane Library, and Medline at EBSCO. The selection criteria were all RCTs published in English or Spanish during the past 10 years. The PEDro scale was used to evaluate the methodological quality of the studies. A total of 20 clinical trials were included in the systemic review, of which 15 contributed information to the meta-analysis. Favorable results were found for VR interventions on UL motor function (Fugl-Meyer Assessment for upper extremity, standardized mean difference [SMD] = 1.53, 95% CI [0.51-2.54]) and quality of life (functional independence measure, SMD = 0.77, 95% CI [0.05-1.49]). The results demonstrate the potential benefits of VR interventions on the recovery of UL motor function and on quality of life after stroke.

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Section: Ul Motor Functionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Data Extractionmentioning

confidence: 99%

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Game-Based Virtual Reality Interventions to Improve Upper Limb Motor Function and Quality of Life After Stroke: Systematic Review and Meta-analysis

Domínguez-Téllez¹,

Moral-Muñoz

Salazar

et al. 2020

Games for Health Journal

124

View full text Add to dashboard Cite

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“…home) exhibit higher enjoyment and exercise intensity compared to those who exercise alone. Brunner et al (2017) explored the effectiveness of their upper extremity VR rehabilitation system and showed that the improvements were similar to the conventional therapy. They also suggested that the motivating nature of VR could be a supplement to standard rehabilitation.…”

Section: Opportunitiesmentioning

confidence: 99%

A SWOT Analysis of Virtual Reality for Seniors

Soltani

2019

Advances in Psychology, Mental Health, and Behavioral Studies

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The population of older people is increasing. In this book chapter, the author reviewed some of the applications of virtual reality (VR) for seniors in form of a strengths, weaknesses, opportunities, and threats (SWOT) analysis. This approach is commonly used to assess and guide internal and external parameters to accomplish a mission. Some of the challenges that the elderly are facing were reviewed and the way VR can help in overcoming those challenges were discussed. A comparison of VR technologies was also presented. The results show that VR's feasibility and concept are linked to existing technologies and the characteristics of each system control immersion, interaction, and stimulation. VR interventions might have the potential to be used as ecologically valid e-health screening systems. Systems should be specifically designed and adapted for seniors and usability issues should be addressed. Ideally, VR interventions work best in addition to traditional methods. Future studies should use more subjects to ensure the efficacy of such interventions for seniors.

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“…Rehabilitation therapies offer a chance for an individual to recover and adapt to situation following acute stroke. There has been a large amount of research into methods of rehabilitation management, including task-oriented training [8], impaired limb forced training [9], movement science-based therapy, robotic-assisted movement, virtual reality (VR) training [10], functional electrical stimulation [11], and skill acquisition training paired with impairment mitigation and motivational enhancement and etc.…”

Section: Introductionmentioning

confidence: 99%

Adopting Literature-based Discovery on Rehabilitation Therapy Repositioning for Stroke

Meng

Huang

et al. 2018

Preprint

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2 18 Abstract 19 Stroke is a common disabling disease severely affecting the daily life of the 20 patients. There is evidence that rehabilitation therapy can improve the movement 21 function. However, there are no clear guidelines that identify specific, effective 22 rehabilitation therapy schemes, and the development of new rehabilitation techniques 23 has been fairly slow. One informatics translational approach, called ABC model in 24 Literature-based Discovery, was used to mine an existing rehabilitation candidate 25 which is most likely to be repositioned for stroke. As in the classic ABC model 26 originated from Don Swanson, we built the internal links of stroke (A), assessment 27 scales (B), rehabilitation therapies (C) in PubMed relating to upper limb function 28 measurements for stroke patients. In the first step, with E-utility we retrieved both 29 stroke related assessment scales and rehabilitation therapies records, and complied 30 two datasets called Stroke_Scales and Stroke_Therapies, respectively. In the next 31 step, we crawled all rehabilitation therapies co-occurred with the Stroke_Theapies, 32 named as All_Therapies. Therapies that were already included in Stroke_Therapies 33 were deleted from All_Therapies, so that the remaining therapies were the potential 34 rehabilitation therapies, which could be repositioned for stroke after subsequent 35 filtration by manual check. We identified the top ranked repositioning rehabilitation 36 therapy following by subsequent clinical validation. Hand-arm bimanual intensive 37 training (HABIT) ranked the first in our repositioning rehabilitation therapies list, 38 with the most interaction links with Stroke_Scales. HABIT showed a significant 3 39 improvement in clinical scores on assessment scales of Fugl-Meyer Assessment and 40 Action Research Arm Test in the clinical validation on upper limb function for acute 41 stroke patients. Based on the ABC model and clinical validation of the results, we put 42 forward that HABIT as a promising rehabilitation therapy for stroke, which shows 43 that the ABC model is an effective text mining approach for rehabilitation therapy 44 repositioning. The results seem to be promoted in clinical knowledge discovery. 45 46 Keywords 47 Text mining; ABC model; Stroke; Hand-arm bimanual intensive training; Upper 48 extremity 49 50 Author Summary 51 In the present study, we proposed a text mining approach to mining terms related 52 to disease, rehabilitation therapy, and assessment scale from literature, with a 53 subsequent ABC inference analysis to identify relationships of these terms across 54 publications. The clinical validation demonstrated that our approach can be used to 55 identify potential repositioning rehabilitation therapy strategies for stroke. 56 Specifically, we identified a promising rehabilitation method called HABIT 57 previously used in pediatric congenital hemiplegia. A subsequent clinical trial 58 confirmed this as a highly promising rehabilitation therapy for stroke. 4 59 Introduction 60 Stroke and rehabil...

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Virtual Reality Training for Upper Extremity in Subacute Stroke (VIRTUES)

Abstract: This study provides Class I evidence that for patients with upper extremity motor impairment after stroke, compared to conventional training, VR training did not lead to significant differences in upper extremity function improvement.

Cited by 97 publications

References 29 publications

Game-Based Virtual Reality Interventions to Improve Upper Limb Motor Function and Quality of Life After Stroke: Systematic Review and Meta-analysis

Game-Based Virtual Reality Interventions to Improve Upper Limb Motor Function and Quality of Life After Stroke: Systematic Review and Meta-analysis

A SWOT Analysis of Virtual Reality for Seniors

Adopting Literature-based Discovery on Rehabilitation Therapy Repositioning for Stroke

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