Efectividad de la Wii Fit Balance frente a otras intervenciones para la recuperación del equilibrio en pacientes postictus. Revisión sistemática y metaanálisis

García-Muñoz, Carmen; Casuso-Holgado, María Jesús

doi:10.33588/rn.6907.2019091

Cited by 12 publications

(4 citation statements)

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“…Different studies have suggested that non-immersive VR therapy produces improvements in UE motor function in patients with stroke and increases gray matter volume in the motor and premotor regions of the affected hemisphere and could be correlated with an improvement in motor skills in undamaged brain areas, suggesting plasticity changes related to imagining, planning, and performing motor tasks [93]. In recent studies, other non-immersive VR devices, such as Doctor Kinetic [94] and the Nintendo ® Wii gaming system [95], have proven effective in improving UE motor function in stroke patients, demonstrating that they are a good tool to be used in neurorehabilitation, although they are not superior to CT when used alone [96,97]. One of the main strengths of the LMC in retraining mobility in stroke patients is that it allows the recognition and reproduction of the movements of the elbow, wrist, hand, and fingers in the three planes of space with high accuracy [36], improving the overall mobility of any joint of the damaged UE.…”

Section: Discussionmentioning

confidence: 99%

Leap Motion Controller Video Game-Based Therapy for Upper Extremity Motor Recovery in Patients with Central Nervous System Diseases. A Systematic Review with Meta-Analysis

Cortés‐Pérez

Zagalaz-Anula

Montoro-Cárdenas

et al. 2021

Sensors

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Leap Motion Controller (LMC) is a virtual reality device that can be used in the rehabilitation of central nervous system disease (CNSD) motor impairments. This review aimed to evaluate the effect of video game-based therapy with LMC on the recovery of upper extremity (UE) motor function in patients with CNSD. A systematic review with meta-analysis was performed in PubMed Medline, Web of Science, Scopus, CINAHL, and PEDro. We included five randomized controlled trials (RCTs) of patients with CNSD in which LMC was used as experimental therapy compared to conventional therapy (CT) to restore UE motor function. Pooled effects were estimated with Cohen’s standardized mean difference (SMD) and its 95% confidence interval (95% CI). At first, in patients with stroke, LMC showed low-quality evidence of a large effect on UE mobility (SMD = 0.96; 95% CI = 0.47, 1.45). In combination with CT, LMC showed very low-quality evidence of a large effect on UE mobility (SMD = 1.34; 95% CI = 0.49, 2.19) and the UE mobility-oriented task (SMD = 1.26; 95% CI = 0.42, 2.10). Second, in patients with non-acute CNSD (cerebral palsy, multiple sclerosis, and Parkinson’s disease), LMC showed low-quality evidence of a medium effect on grip strength (GS) (SMD = 0.47; 95% CI = 0.03, 0.90) and on gross motor dexterity (GMD) (SMD = 0.73; 95% CI = 0.28, 1.17) in the most affected UE. In combination with CT, LMC showed very low-quality evidence of a high effect in the most affected UE on GMD (SMD = 0.80; 95% CI = 0.06, 1.15) and fine motor dexterity (FMD) (SMD = 0.82; 95% CI = 0.07, 1.57). In stroke, LMC improved UE mobility and UE mobility-oriented tasks, and in non-acute CNSD, LMC improved the GS and GMD of the most affected UE and FMD when it was used with CT.

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Section: Discussionmentioning

confidence: 99%

Leap Motion Controller Video Game-Based Therapy for Upper Extremity Motor Recovery in Patients with Central Nervous System Diseases. A Systematic Review with Meta-Analysis

Cortés‐Pérez

Zagalaz-Anula

Montoro-Cárdenas

et al. 2021

Sensors

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“…The improvement in PBS and BBS can be a result of the improvement in sensory system integration, anticipatory postural adjustments, and internal representation of limits of balance stability with VR gaming and balance-specific physiotherapy 43 . Nonimmersive VR balance rehabilitation can provide a variety of positive feedback, such as audiovisual and proprioception, 61 reinforce the correct rehabilitation behavior of patients, and stimulate their enthusiasm for rehabilitation until they master the activity. At the same time, nonimmersive VR balance rehabilitation provides a variety of personalized modules, and patients can dynamically adjust the rehabilitation intensity and time to maintain rehabilitation motivation 62 .…”

Section: Discussionmentioning

confidence: 99%

Effects of non-immersive virtual reality intervention on children with spastic cerebral palsy: a meta-analysis and systematic review

Wang

Liu

et al. 2023

Am J Phys Med Rehabil

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This review aimed to assess the effectiveness of non-immersive virtual reality intervention compared to traditional rehabilitation in improving the functions of the upper and lower extremities, balance, and social participation among children with spastic cerebral palsy. We used librarian-designed searches of 10 databases to identify research articles on randomized controlled trials that assessed the effectiveness of non-immersive virtual reality in intervening spastic cerebral palsy patients up to 4/15/2023. Independent evaluation was conducted by two trained investigators using the evaluation criteria of RCT quality indicated in the Cochrane Manual of Assessment ‘risk- of- bias tool.’ The PEDro scale was used to evaluate the method and quality of the literature. 21 research articles involving 779 patients with spastic cerebral palsy were included. Significant differences between the non-immersive virtual reality rehabilitation and traditional rehabilitation groups were observed in all indicators, except for the Jebsen-Taylor Hand Function Test. Non-immersive virtual reality intervention is effective in improving the function of the lower extremity, balance, and social participation in children with spastic cerebral palsy, but its effect on upper limb function is still controversial.

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“…Around 30% of people who survive stroke require assistance in activities of daily life (ADLs), 20% need help with ambulation, and 16% need institutional care [ 2 ]. An early multidisciplinary approach reduces high dependency rates [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of the therapeutic use of video games on the depressive state of stroke patients: Protocol for systematic review and meta-analysis

et al. 2022

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Aim To assess the effects of virtual reality (VR) on the depressive state of patients with stroke admitted to neuro-rehabilitation units. Design: Systematic review and meta-analysis protocol. Methods Randomized Controlled Trials (RCTs) focusing on the effects of virtual reality on depressive state as a primary outcome will be included. Grey literature and the following databases will be consulted: PubMed, Cinahl, PsycInfo, Scopus, Embase, Cochrane Library and Web of Science. The recently revised Cochrane risk of bias tool will be used to assess the quality of included studies. Data will be extracted and meta-analyses will be performed within the specific condition of the emotional state of stroke patients admitted to neurorehabilitation units. Meta-regression and subgroup analyses will be used to identify effective modes and patterns of therapy delivery. The approach of assessment, development and evaluation of recommendations will be applied to reach a convincing conclusion. Discussion An accurate, transparent and standardized review process is expected to provide recommendations on the use of VR technology in the healthcare of stroke patients. Impact Emotional difficulties are common after stroke and have an impact on rehabilitation outcome. VR seems to have an important role in the treatment and depression in neurological patients, as it is able to improve levels of well-being, coping strategies and social relationships. The systematic review may contribute to a more convincing and specific conclusion compared to existing studies of this type. Trial registration Systematic review registration: CRD42022303968.

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Efectividad de la Wii Fit Balance frente a otras intervenciones para la recuperación del equilibrio en pacientes postictus. Revisión sistemática y metaanálisis

Cited by 12 publications

References 0 publications

Leap Motion Controller Video Game-Based Therapy for Upper Extremity Motor Recovery in Patients with Central Nervous System Diseases. A Systematic Review with Meta-Analysis

Leap Motion Controller Video Game-Based Therapy for Upper Extremity Motor Recovery in Patients with Central Nervous System Diseases. A Systematic Review with Meta-Analysis

Effects of non-immersive virtual reality intervention on children with spastic cerebral palsy: a meta-analysis and systematic review

Efficacy of the therapeutic use of video games on the depressive state of stroke patients: Protocol for systematic review and meta-analysis

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