Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of better response

Gonçalves, Mafalda; Luvizutto, Gustavo José; Neto, Eduardo de Moura; Marques, Carlos Leonardo Sacomani; Bazan, Rodrigo; Betting, E.G.G.

doi:10.1016/j.rehab.2018.05.063

Cited by 6 publications

(7 citation statements)

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“…While a meta-analysis has indicated that VR rehabilitation provides only moderate improvement over traditional therapies, [14] this case reports provides evidence to support combination, or hybridized interventions that combine conventional treatments with VR-augmented therapies, resulting in improved patient outcomes. Current research is examining the utility of VR not only as therapy but also to identify specific patient populations that may benefit from VR, how to best implement the therapies, and to measure and monitor patients’ response to interventions [15–17] …”

Section: Discussionmentioning

confidence: 99%

Highlighting hybridization: a case report of virtual reality-augmented interventions to improve chronic post-stroke recovery

Bailey¹

2022

Medicine

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Rationale:Cerebrovascular accident, or stroke, is a leading cause of serious long-term disability, and incidence is expected to continue rising in the coming years. Stroke-related disability can manifest as motor, sensory, or cognitive impairment, and although current therapies can improve these impairments, many stroke patients are still left with reduced abilities and struggle to maintain independence in their daily lives. Virtual reality (VR) has been proposed as a novel therapeutic tool to treat stroke-related disability, particularly in conjunction with traditional post-stroke therapies.Patient concerns:Here, we report 1 case of a 75-year-old male with ongoing right upper extremity impairment.Diagnosis:The patient was previously diagnosed with an ischemic stroke.Interventions:Seven years post-stroke, during which he did not receive any therapies, and on the recommendation of his neurologist, the patient sought VR therapy as an innovative treatment strategy. His clinicians employed a combination of traditional exercise and VR therapy to improve his strength and mobility.Outcomes:The combination of traditional and VR therapy was able to provide meaningful improvement to his daily quality of life, even years after the stroke.Conclusions:These results suggest that combination therapy with VR is a viable tool for treating post-stroke impairment, even several years on from the cerebrovascular accident.

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Section: Discussionmentioning

confidence: 99%

Highlighting hybridization: a case report of virtual reality-augmented interventions to improve chronic post-stroke recovery

Bailey¹

2022

Medicine

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“…Indivíduos com acidente vascular cerebral (AVC) são acometidos por diversas incapacidades, sendo uma das sequelas mais frequentes, a hemiparesia de membro superior, acometendo cerca de 85% dos indivíduos 1,2 . O processo de recuperação funcional deve ser iniciado o mais precocemente possível, estimulando o processo de plasticidade cerebral.…”

Section: Introductionunclassified

Efeitos da utilização da realidade virtual não imersiva na reabilitação de membro superior de pacientes acometidos por AVC em um hospital público de Porto Alegre

Rocha¹,

Schmidt²,

Schaan³

et al. 2021

CBR

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O presente estudo teve por objetivo relatar os efeitos do uso da realidade virtual não imersiva através de um jogo criado para a reabilitação de membro superior pós AVC. O mesmo foi aplicado com quatro pacientes na Unidade de Cuidados Especiais do Hospital de Clínicas de Porto Alegre, sendo realizado duas vezes ao dia durante a semana e uma vez ao dia nos finais de semana, desde a avaliação ao momento da alta hospitalar. Foi realizado a avaliação inicial e final da escala de Rankin modificada e selecionou-se as jogadas inicial e final para a verificação dos resultados. A análise dos dados foi realizada através de estatística descritiva. Os resultados demonstraram uma diminuição do tempo de execução do jogo com aumento da pontuação alcançada durante os desafios na maioria dos pacientes. Entende-se que jogos sérios podem ser utilizados como complemento na reabilitação pós-AVC.

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“…Concerning the effectiveness of this type of rehabilitation in patients with movement impairments, several studies have shown favorable results regarding the use of virtual reality as a tool for rehabilitation [ 6 , 7 , 8 ]. In a study by Webster et al [ 9 ], virtual reality was used to help subjects in wheelchairs to improve control over their mobility.…”

Section: Introductionmentioning

confidence: 99%

Relative and Absolute Reliability of a Motor Assessment System Using KINECT® Camera

Castro-Luna

Jiménez-Rodríguez

2020

IJERPH

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(1) Background: Virtual reality is currently useful in different clinical specialties as a diagnostic and therapeutic tool. In this study, we analyzed the relative and absolute reliability of the motor evaluation with the Kinect camera, a markerless motion system. (2) Methods: Observational study in healthy people, whose inclusion criteria were: healthy people, age 18 to 40 years old without pathologies or injuries in osteoarticular structures or ligamentous muscle and pharmacological treatment with influence on motor skills. Fifty-two subjects were evaluated. (3) Results: The results of the relative reliability were favorable in variables such as the amplitude of passage of the right leg (ICC (Intraclass Correlation Coefficient) = 0.95 ± 0.03), the step width of the left leg (ICC = 0.92 ± 0.04) or balance of the left leg (ICC = 0.90 ± 0.05). Moderate values were found for other variables. The absolute reliability, measured by the coefficient of variation, was favorable in most of the variables. (4) Conclusions: The results reflect a favorable intraclass correlation in the evaluation of the variation and asymmetry of movements of the upper limbs, the balance of both legs, the side step width and the evaluation of the sitting and standing positions. The reliability of the evaluation of the variation of movements and the asymmetry of the lower limbs must be further improved.

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Effects of virtual reality therapy on upper limb function after stroke and the role of neuroimaging as a predictor of better response

Cited by 6 publications

References 0 publications

Highlighting hybridization: a case report of virtual reality-augmented interventions to improve chronic post-stroke recovery

Highlighting hybridization: a case report of virtual reality-augmented interventions to improve chronic post-stroke recovery

Efeitos da utilização da realidade virtual não imersiva na reabilitação de membro superior de pacientes acometidos por AVC em um hospital público de Porto Alegre

Relative and Absolute Reliability of a Motor Assessment System Using KINECT® Camera

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