Efectos de la realidad virtual sobre el equilibrio y la marcha en el ictus: revisión sistemática y metaanálisis

Domínguez-Téllez, Pablo; Moral-Muñoz, José A.; Casado-Fernández, Esteban; Salazar, Alejandro; Lucena-Antón, David

doi:10.33588/rn.6906.2019063

Cited by 20 publications

(5 citation statements)

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Section: Discussionsupporting

confidence: 82%

“…Compared to the results of other studies [ 1 , 48 ], our results support and endorse the efficacy of this therapeutic approach in improving balance and gait ability in people following a stroke. Concerning balance, some studies [ 1 , 36 ] assessed static balance by means of the Berg scale, similarly to this study. However, the dynamic analysis of balance and gait is evaluated by means of the Tinetti scale in our study, whereas other authors focused on the Timed Up & Go (TUG) and the 10 Meters Walk Test (10 MWT) [ 36 , 48 , 49 ], therefore hindering any potential comparison.…”

Section: Discussionsupporting

confidence: 82%

“…A stroke, also known as a cerebrovascular accident (CVA), is one of the main causes of physical disability in adults [ 1 ]. It is a neurological disease characterized by the dysfunction of different areas of the brain caused by a sudden vascular (either arterial or venous) disease [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Use of Virtual Reality and Videogames in the Physiotherapy Treatment of Stroke Patients: A Pilot Randomized Controlled Trial

Peláez-Vélez

Eckert

Gacto-Sánchez

et al. 2023

IJERPH

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A stroke is a neurological condition with a high impact in terms of physical disability in the adult population, requiring specific and effective rehabilitative approaches. Virtual reality (VR), a technological approach in constant evolution, has great applicability in many fields of rehabilitation, including strokes. The aim of this study was to analyze the effects of a traditional neurological physiotherapy-based approach combined with the implementation of a specific VR-based program in the treatment of patients following rehabilitation after a stroke. Participants (n = 24) diagnosed with a stroke in the last six months were randomly allocated into a control group (n = 12) and an experimental group (n = 12). Both groups received one-hour sessions of neurological physiotherapy over 6 weeks, whilst the experimental group was, in addition, supplemented with VR. Patients were assessed through the Daniels and Worthingham Scale, Modified Ashworth Scale, Motor Index, Trunk Control Test, Tinetti Balance Scale, Berg Balance Scale and the Functional Ambulation Classification of the Hospital of Sagunto. Statistically significant improvements were obtained in the experimental group with respect to the control group on the Motricity Index (p = 0.005), Trunk Control Test (p = 0.008), Tinetti Balance Scale (p = 0.004), Berg Balance Scale (p = 0.007) and the Functional Ambulation Classification of the Hospital of Sagunto (p = 0.038). The use of VR in addition to the traditional physiotherapy approach is a useful strategy in the treatment of strokes.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

Use of Virtual Reality and Videogames in the Physiotherapy Treatment of Stroke Patients: A Pilot Randomized Controlled Trial

Peláez-Vélez

Eckert

Gacto-Sánchez

et al. 2023

IJERPH

View full text Add to dashboard Cite

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“…Numerous clinical studies have been conducted in the field, and the latest metaanalysis suggests that when combined with traditional therapy, VR technology can further improve the prognosis of patients, especially in regards to the dimensions of their upper limb motor function and daily living ability (59). Favorable results were also reported in improving post-stroke balance, gait and neglect (12,60). At the mechanistic level, VR-induced neuroplasticity has also been confirmed.…”

Section: Virtual Realitymentioning

confidence: 99%

Enhancing Brain Plasticity to Promote Stroke Recovery

2020

Front. Neurol.

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Stroke disturbs both the structural and functional integrity of the brain. The understanding of stroke pathophysiology has improved greatly in the past several decades. However, effective therapy is still limited, especially for patients who are in the subacute or chronic phase. Multiple novel therapies have been developed to improve clinical outcomes by improving brain plasticity. These approaches either focus on improving brain remodeling and restoration or on constructing a neural bypass to avoid brain injury. This review describes emerging therapies, including modern rehabilitation, brain stimulation, cell therapy, brain-computer interfaces, and peripheral nervous transfer, and highlights treatment-induced plasticity. Key evidence from basic studies on the underlying mechanisms is also briefly discussed. These insights should lead to a deeper understanding of the overall neural circuit changes, the clinical relevance of these changes in stroke, and stroke treatment progress, which will assist in the development of future approaches to enhance brain function after stroke.

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“…It is even possible to use VR technology in combination with other applications, such as brain-computer interface (BCI) technology that make possible to control avatars or objects in video games [ 28 ]. This training model is being used to promote neural reorganization and neuroplasticity, which is key during recovery from various neurological disorders, such as stroke, multiple sclerosis or infantile cerebral palsy (PCI), among others, and to improve balance and risk of falls [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Non-Immersive Virtual Reality to Improve Balance and Reduce Risk of Falls in People Diagnosed with Parkinson’s Disease: A Systematic Review

et al. 2021

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(1) Objective: To evaluate the effectiveness of non-immersive virtual reality in reducing falls and improving balance in patients diagnosed with Parkinson’s disease. (2) Methods: The following databases were searched: PUBMED, PEDro, Scielo, CINAHL, Web of Science, Dialnet, Scopus and MEDLINE. These databases were searched for randomized controlled trials published using relevant keywords in various combinations. The methodological quality of the articles was evaluated using the PEDro scale. (3) Results: A total of 10 studies with a total of 537 subjects, 58.7% of which (n = 315) were men, have been included in the review. The age of the participants in these studies ranged between 55 and 80 years. Each session lasted between 30 and 75 min, and the interventions lasted between 5 and 12 weeks. These studies showed that non-immersive virtual reality is effective in reducing the number of falls and improving both static and dynamic balance in patients diagnosed with Parkinson’s disease. Results after non-immersive virtual reality intervention showed an improvement in balance and a decrease in the number and the risk of falls. However, no significant differences were found between the intervention groups and the control groups for all the included studies regarding balance. (4) Conclusions: There is evidence that non-immersive virtual reality can improve balance and reduce the risk and number of falls, being therefore beneficial for people diagnosed with Parkinson’s disease.

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Efectos de la realidad virtual sobre el equilibrio y la marcha en el ictus: revisión sistemática y metaanálisis

Cited by 20 publications

References 0 publications

Use of Virtual Reality and Videogames in the Physiotherapy Treatment of Stroke Patients: A Pilot Randomized Controlled Trial

Use of Virtual Reality and Videogames in the Physiotherapy Treatment of Stroke Patients: A Pilot Randomized Controlled Trial

Enhancing Brain Plasticity to Promote Stroke Recovery

Non-Immersive Virtual Reality to Improve Balance and Reduce Risk of Falls in People Diagnosed with Parkinson’s Disease: A Systematic Review

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