Effects and feasibility of virtual reality system vs traditional physical therapy training in multiple sclerosis patients

Streicher, Matthew C.; Alberts, Jay L.; Sutliff, Matthew; Béthoux, François

doi:10.12968/ijtr.2018.25.10.522

Cited by 5 publications

(9 citation statements)

References 18 publications

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“…Twenty-two articles used the computer-assisted rehabilitation environment system for biomechanical analysis , 15 articles used the computerassisted rehabilitation environment system for rehabilitation [43][44][45][46][47][48][49][50][51][52][53][54][55][56][57], 4 articles were reviews [19,20,58,59] and 9 articles addressed the computerassisted rehabilitation environment system in other ways [60][61][62][63][64][65][66][67][68]. A flow chart summarizing study selection is shown in figure 1.…”

Section: Resultsmentioning

confidence: 99%

The use of the computer assisted rehabilitation environment in assessment and rehabilitation

Abdelmegeed,

Elkhawaga

2023

HSR

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Purpose. The purpose of this review article was to review and analyze the available literature regarding one of the most advanced virtual reality technologies. We reviewed and analyzed the use of the computer-assisted rehabilitation environment system in assessment and rehabilitation. Materials and methods. PubMed, Web of Science, Cochrane Library, Scopus, and Physiotherapy Evidence Database databases were searched from inception to October 2021. We used the search term “Computer Assisted Rehabilitation Environment” and included articles which directly or indirectly addressed the use of the computer assisted rehabilitation environment system in assessment, rehabilitation and on healthy people. We excluded articles not published in the English language, conference proceedings, reports of abstracts only, and duplicated articles. Also, articles addressing the use of other virtual reality technologies whether they used fully immersive, semi-immersive, or non-immersive interfaces or virtual reality devices such as the Wii or Xbox gaming technologies were also excluded. The relevant studies were collected and critically analyzed. Results. Our search retrieved 205 articles, with 119 duplicates identified and removed. Following screening 86 articles, we included 50 relevant articles which directly or indirectly addressed the computer-assisted rehabilitation environment system and were published in scientific journals. Twenty-two articles used the computer assisted rehabilitation environment for biomechanical analysis, 15 articles used the computer assisted rehabilitation environment for rehabilitation, 4 articles were reviews, and 9 articles addressed the computer assisted rehabilitation environment in other ways. Conclusion. The computer assisted rehabilitation environment system is a promising tool for assessment and rehabilitation. It can be used with different concepts to assist in diagnosis and treatment, can be used for healthy individuals and with patients, and basically follows biomechanical principles in operating. The high cost and complex infrastructure, however, may be the restriction to its use for research purposes and in clinical practice.

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Section: Resultsmentioning

confidence: 99%

The use of the computer assisted rehabilitation environment in assessment and rehabilitation

Abdelmegeed,

Elkhawaga

2023

HSR

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“…Changes from the baseline visit (V 1 ) to month 6 (V 3 ) and from the baseline visit (V 1 ) to month 1 (V 2 ) will be collected as secondary and exploratory variables, respectively. ClinROs were selected on the basis of previous studies of rehabilitation that reported statistically significant improvements by using VRR in disability ( 17 , 18 ), spasms and spasticity ( 40 ), and balance ( 19 , 24 , 33 ).…”

Section: Methodsmentioning

confidence: 99%

“…Virtual reality rehabilitation offers the possibility of task-oriented and home-based training that allows the simulation of complex multisensory situations simulating everyday activities. The use of VR with lifelike scenarios in people with MS has shown to be safe and effective in motor rehabilitation, including gait, balance and arm mobility improvements ( 17 – 23 ). VRR not only engages patients in motor activities, but it simultaneously require patients to use cognitive abilities, since enriched virtual environments usually require greater attention and dual-tasking to complete the goal-oriented task ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

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A Pilot Study to Explore Patient Satisfaction With a Virtual Rehabilitation Program in Multiple Sclerosis: The RehabVR Study Protocol

Meca-Lallana

Prefasi

Alabarcez³

et al. 2020

Front. Neurol.

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Background: Virtual reality (VR) has emerged as a promising treatment approach in rehabilitation for patients with multiple sclerosis (MS) due to its potential to increase patient motivation and rehabilitation adherence. One of the key features for rehabilitation adherence is patient satisfaction with the VR rehabilitation (VRR) program, and information on user satisfaction and not only effectiveness is required to systematically include VRR in routine clinical practice. Given that information on patient satisfaction with VRR is scarce, the primary objective of this study is to assess long-term patient satisfaction with a novel VRR program. This program has been specifically designed for MS patients by a multidisciplinary team of specialists, based on an effective conventional rehabilitation (CR) program. Secondarily, discomfort with VRR will be evaluated, and therapy adherence and changes in a variety of domains typically affected by MS will be compared between patients receiving VRR and patients receiving CR. Methods: In this prospective single-center 6-months follow-up study, 32 and 16 MS patients will receive VRR or CR, respectively. Patients will attend twice weekly rehabilitation sessions on site during 4 weeks, and they will continue with rehabilitation at home for five additional months. Satisfaction, assessed by the User Satisfaction Evaluation Questionnaire (USEQ), at 6 months of the VRR program initiation will be the primary outcome. Secondary outcomes include adherence, disability, spasms and spasticity, balance, fatigue, activities of daily living (ADLs), depression, anxiety, work status, cognition, demographic, and clinical characteristics (in the VRR and CR groups), and discomfort (in the VRR group). Outcome measures will be assessed at baseline, and at 1 and 6 months of rehabilitation initiation. Discussion: The study is intended to provide a better understanding of long-term patient satisfaction with a VRR program specifically designed for MS patients. Additionally, the study will provide information on long-term adherence, changes in motor symptoms, cognitive functions and patient-reported outcomes after the rehabilitation program. The results from this study will help to gather valuable knowledge on the use of rehabilitation with a new VR tool in MS patients.

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“…Studies have also indicated that task-oriented training is more effective in preserving white matter integrity in the brain than passive training [85]. VR can be used to provide task-oriented training while performing the exercise using a robot [81] and can also improve the experience of therapy as it can motivate and encourage the user during rehabilitation [86]. One of the common drawbacks in studies that have looked at Lokomat and its effect on gait rehabilitation has been the limited size of subject samples [79][80][81].…”

Section: Robot-assisted Gait Training and Rehabilitationmentioning

confidence: 99%

A Survey of Assistive Technologies for Assessment and Rehabilitation of Motor Impairments in Multiple Sclerosis

Rajavenkatanarayanan

Kanal

Tsiakas

et al. 2019

MTI

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Multiple sclerosis (MS) is a disease that affects the central nervous system, which consists of the brain and spinal cord. Although this condition cannot be cured, proper treatment of persons with MS (PwMS) can help control and manage the relapses of several symptoms. In this survey article, we focus on the different technologies used for the assessment and rehabilitation of motor impairments for PwMS. We discuss sensor-based and robot-based solutions for monitoring, assessment and rehabilitation. Among MS symptoms, fatigue is one of the most disabling features, since PwMS may need to put significantly more intense effort toward achieving simple everyday tasks. While fatigue is a common symptom across several neurological chronic diseases, it remains poorly understood for various reasons, including subjectivity and variability among individuals. To this end, we also investigate recent methods for fatigue detection and monitoring. The result of this survey will provide both clinicians and researchers with valuable information on assessment and rehabilitation technologies for PwMS, as well as providing insights regarding fatigue and its effect on performance in daily activities for PwMS.

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Effects and feasibility of virtual reality system vs traditional physical therapy training in multiple sclerosis patients

Cited by 5 publications

References 18 publications

The use of the computer assisted rehabilitation environment in assessment and rehabilitation

The use of the computer assisted rehabilitation environment in assessment and rehabilitation

A Pilot Study to Explore Patient Satisfaction With a Virtual Rehabilitation Program in Multiple Sclerosis: The RehabVR Study Protocol

A Survey of Assistive Technologies for Assessment and Rehabilitation of Motor Impairments in Multiple Sclerosis

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